HomeMy WebLinkAboutHomestead_Lewis (13) 7..r .
T.stt FORM.1390.0.31..-10i 'MASURWH 101114 tS.tA
,sP?*ITFD nI T\TE VNRnfF.•t.LInNrt]n n rRLQRnH;n BY THE WPAR-VVVp LOCAL COVELUS1 RR`.CEIC bt.t.ae4.t
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD,PROPERTY.OWNERS t :
101 N.Main Street Individuals and married couples ale limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more ircmtive than net for homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
A true,t and?o p ovide s dition l i w o rmzire the homestead standartl deduction to cedfy that dry ae eligible.to homes.)the
geu' hnclit and to pnxidc additional idcntifring ir,tircmaWm m:cs.nn• In al4aw county gm'cmmcm ;o betttt mmtmr homestead
fibrin.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead Baud.
MAY 2 3 2012 PART 1:PROPERTY INFORMATION+ .
Taxpayer Name Location Address
C.J.n Lewis, Ryan E
105 S WILLARD ST
GIBSON COUNTY AUDITOR FT BRANCH IN 47648
2451
Ryan E Lewis 111111"111110111001111111 ID[111111111ml III111111101111110111 [111111111111
105 S Willard
FORT BRANCH IN 47648-1243
"I'III'1'I11[Il1t[[rII'I1t'I1IIII1III'1II'1I"I1I'1I"I11I"III State Parcel Number Legal Description
26-19-18-303-000.224-026 EASTVIEW 3
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
.r 4 First • Middle Last
all Fr f G Z•-e w Ls
Mailing Address(number and street.city,state.and ZIP code) ..a.Samc as property address
1OS SsJ L /orJ 4, For* &r-. �i/ //% 417G /3'
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) 0 Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
I I I I . I 1 Soo
PART 3:CERTIFICATION i. :
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 Lure Date
-
ry� CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
�., j Sfate Fwm 5473 (R4 / &00)
INSTRUC710NS: See �averse side for filing insWctions.
FORM � YEAR
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�. ����
I (We) '� � - " � � that.on�tlte�7st-day�ot:March;-20u
I(We}ocwpie s our prinapal ptace of residence ihe (oil described rea roperty for which a Homestead-Propeity�Tai.Ciedd'is' tieretiy da'uned
❑ I(We) owned ❑ Me buying under contraG
�ave a benefidal interesl in fhe entiry that is liable for lhe property taxes on the property and that owns the property or is buyin9 under a contrad.
11 Duyvg on contrad, Fee S"unpie ovmefs name
County
� . _ ? 5 ��� ,�� . , '�. �'� ' P R,'1
Twmship
Legal descripdon �
Tacing tlisUiU (cify, fown, fownshiP)
Record number � Page -
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If any poriion of the resiCential sW Gure a Ne land rrot exceeding one i) aue that imme0iately surrounAS Nat swaure is used to produce irrcome, EescriCe ttre use and pwtion
of Ne praperty WLzed to produce income. � -
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