HomeMy WebLinkAboutHomestead_Knapp • • SIAM FORM:Mt.IEl•••t TREASURER MIN SIA
A•PROVED BY MATE Y ARDOf ArrMITS.:nN PtflYIBUS BY WE DEPARMEJT Q LO' L DMRLYMEAT FINANCE IC 6-I.1-L'4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •PRINCETON IN 47670 f
Individuals and married muplL�arc limited to one homestead standard deduction,As the receipt of this deduction becomes
•� more beneficial,there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit anti to provide additional identifyine information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and on only be accessed by authorized county officials.The Department of
Local Govcntaent finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Knapp, William R
'P I
Fon Branch IN 47648
2678
William R Knapp
7872 S 38 E State Parcel Number Legal Description
Fort Branch IN 47648-8005
II III I II I I III II III I I II I I 26-19-19-204-001.301-02y 007-01070-00 INDIAN HILLS 60/61/62
•1 11 nl I 111 u n I u t nl nll I t nl u I I se 0-27
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
;/date 1� - —
te Address(number and street,city at ,and ZIP.coder me as property address_
/
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) DAVIT'S License/Stale ID Number (last 5 digits) Other(please spaifv in Part 4 below)
Stile
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
, Nn � CLAIM FOR HOMESTEAD PROPERTY TAX
- � CREDIT/STANDARD DEDUCTION
� � State Form 5473 (RS / 10-01)
Prescribed by ihe Depariment of Local Govemment Finance
INSTRUCTIONS: See reverse side 7or (ling instructions.
FORM YEAR
HC10 � O�
—9
I(We) �,��� a�i1 �V ��.�{.�.+ /� � i� certify that on theast day of Ma� 20_
V
I(We) occupied as our principal place of residence the follovring descnbed real property for iicl a Homestead Property T�c Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract y�/,/�� �
�iave a bene5dal interest in the entity that is liable for the property tazes on Ihe property and that owns the prop,erty�or,�s,b� uying under,.a:conGact.
�_ �'i3„J.'.. �.v
t,a:=-� a � �yr`. �..'�r; � -=.-i'� s ,�` M, ry. .--.-- - . ;. - tr�. � r � z - .... ' � `� ,. `r � :, :--� �
.ch�:t�.c3�b,.. .�.�:yr-^�:ti�`�`, z°:a..rs...:. ri{ :<CONTRACT'RECORDED;',�(,;` ;._.,fi .+�*.,:�..;'.s
If buying rn mnVaa, Fee Simpie owners name
Recofdefs otfice whera conuad is recor0ed Rewrd number Page
����`��AS E SOR'USEON Y�}`�y'�*���� '�TRUET����� ASSESSEDVALUE � HOMESTEAD �,��i �3�� NON-RESIDENTIAL"�{, "�
.a �- �' /- VALUE= �. .AT.100%OF'TN Y"VALUE��. � "z��'y_r yr} ;VALUE�.-.�� �•� �3
���i3;1 ��.':..��tr .R�-.�3'r.�':SE'�,.an '�"� �.4..;.�. �rac, .t'F�rY..- . �
Land not exceeding 1(one) acre immediately ;�fi ,�.y� E�;,� `��� `:`,� �`r�'.'^
sunounding residential improvements. (�) `! ., �"�j�,wt.'��� r �r'M�'� � �_ ��
�� �5 ��3 ' x
Other land �
(2) ;a,.i� rr�....�.
t._.. z
_ �r;,
Tofal land (line 7 plus line 2) (g)
.:5, y' t �'"F4,£ �' a�s `�
Dwelling (4) � J ,'�+�� ;.; � e�iF�" 's�"z-
Residential improvements �� -"Y""'°���"�'- �"'"�""�'��"�"t
* � ;n-'^�K'�
Gara e .C�,,,+s..�e,�,'Y,�J' ��,�t`�•`�w.sm-
9 �5) 7 ,t..Ur3'� -�-."�.f-� i .i.�.
�'tr''V »�, r _ .
Otherimprovements (6) ��` ga�,,,, �`��;,
s�*.-7:..fn..yM•a �.;:;
Tual improvemenfs (line 4 fhrough line 6) (7)
Ttial value (line 3 phs line n (g�
I hereby tert'rfy the above is W e, corred, and Signamre of Assessor Date signed
complete.
Verifying actbn - Signawre otlwditor Date sgned
��'�,*?�??,�:. ��?'�",�,�`,�,"'ti"�`�;�"''-�6;��STANDARU'.DEDUCTION�ALCOWANCEk 9 " �'�''� ' ����
�,. .... � ���i,'�!.�� �,>::v..' `�`w r� ..,_.... � ���?.Y�`s...�. ..
20_Pay20_
Lesser o( 1/2 Homestead -
Valuation or 56,000 S
SgnaNre of AuOitor - Date sg
- 6-D �