HomeMy WebLinkAboutHomestead_Lingis STATE font55.a Cl Ann TtEMUtLA FORM:}IA
.APPROVED BY 51ASEIYL•O0F N T 'TS_-24V PRISOUBr BY nil DEPA0.Th TOE LOCAL GOVERNMEA7 FINANCE tr 64.1-224.1
0nCounty Auditor
11 N Main
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.homestead fraud causes higher Ias bills for all:therefore.
• HEA 1344.2001)requires roxpascrs who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling..This information will be kept conliduainl and can only he accessed by authorised county officials.The Germans=of
Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead timid.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lingis, Marianne
902 Mohawk DR
Fort Branch IN 47648
7608
Marianne Lingis
902 Mohawk Dr State Parcel Number Legal Description
Fort Branch IN 47648-9508
III III III I I I I tit' III III II
26-19-18-101-001.007-026 011-01007-00 LITTLE YORK VILLAGE
t 11 11 1 i tit ti it t t tit t t ti i 1111111 19PTf20 PHASE 1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
M AK.I AID Af6 - / 1A16)1
•
®ng Address(number and street,city,state,and ZIP code) -- - - - - M Same as propeny oddness --
90 a /noif nzV K Die, FT BRA-Alai; fl f. Lfl 8 •
Spouse First Middle Last Mailing Address(Number and street,city,stale,and ZIP code) [3 Same us property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Sax
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.
• I Signature • 4110 Date
•
���.� .
da "''; CLAIM FOR HOMESTEAD PROPERTY TAX �"
s� ; CREDIT/STANDARD DEDUCTION -
'�{• Sta.ePorm5a73�R2/5-92) � �
•;\ ^ `
uu '
INSTRUCTIONS: See �everse side lo� filing instructions.
�
our principal place of residence ihe
� T
� � le � 1�
• + I t�'�
�1 � 1
�� '�^���7'JC:Y:Frvn�n�rr�
C1
- � certify-thai on the tsfday�of �arcii��9_
described real property for which a Horrmestead Property Tax Credit is hereby claimed:
7(We) owned ❑ Are buying urWer contract . . ,.
Have a beneticial interest in ihe entity thai is liable for the property taxes on the property and that owns the property or is buying under a contract.
� • - � CONTRACT RECORDED�=�„ ' -
If huying on contract, Fee Simple owner's name � � - � '
Recordefs oNice where contwa is recardetl Recortl wmher Paqe
= PROPEPTV DESCRIPTION
Couniy
fown,
Parcel number Legal tlescription
� � � � � ( � � '� Q . .
If any portion of ihe residemial stmcwre or the land not exceeding one (7 � aae ihat immediately surmunds ihat sirucWre is used to produce income, describe t�e use antl portion
ol ihe propeny utilized to produce income. _ . .
PROPERTY OWNED�BV CLAIMANT IN OTHER COUNTIES � � �
Counry iownship Caunry Township
eby certify ihe above siatements are true, correct and complete. Sg amre of daimam , �
Address (numberan 5treet Gry, 5tat ZlPcode
�
ASSESSOR USE ONLY TRUE TAX � ASSESSED HOMESTEAD NON-RESIDENTtAL
VALUE VALUE VALUE VALUE .
Land not exceeding 7(one) acre immediately �
surmunding residential improvements. (�) � � -
Otherland (p) �
Totat land (line 7 plus line 2� (3)
Dwelling (4) •
Residential improvemenis .
Garage (5) �
Other improvement5 (6)
Total impmvements Qine 4 fhrough lina � (7)
7otal value (line 3 p�s line n (g) .
I hereby Certify �he above is lrue, CArreCi, and Signamre of Assessor Date signed
camplete.
odying action - Signature oi Auditor � Date signed
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000
Signature
�
ALLOWANCE
1-