HomeMy WebLinkAboutHomestead_Lloyd S WE FORM MR.oe 1WO TRFAStIE1 FORM TS-IA
LrrK'EO BY SILT aO\RD(*Art in:TS.-"is PRES(AIpED HY THE DEPARTME4T OF LOCAL GOVERNMENT FB:AYCE M 6-I.I-2Z-1.I
Gibson County Auditor
701 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 134:-2009 requires taxpayer.who receive the homestead standard deduction to verify th•1 they are eligible to teethe the
benefit and to provide additional identifyitle information necessary to allow county government to better monitor homestead
filing:.This information will he kepi confidential and can only he 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 fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lloyd, James G Jr/Joann
208 W Strain
Fort Branch IN 47648
6878
James G/Joann Lloyd Jr Jr.
208 W Strain State Parcel Number Legal Description
Fort Branch IN 47648-1330
ItIuIIntItIIutIuIInInn11n11nt11t 11nt�1nt1u1n11ul 26-18-13-404-000.677-026 411-00677-00 MCCRARY ETAL 69170
•
PART 2:TAXPAYER INFORMATION
Owner I first r Middle Last
Me-5 6 era.lc/ Load c
•me Address(number and street,city,state,and ZIP code) /' - — ` - _ - - -� I�f Some as prperty odllrev — - ---
A)08 (A) Strain or F" (3r'onrii In 9-709; ?
/
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
40 8 a) 61-rain St— l't�JR cA /4 $77Y?
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 /1/1-21(2-b) Usti,/
� s..rF .
�� 's
: �i
fi
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sta[e Form 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side lorliling inst/ucGons.
FORM YEAR
i
CERTIFICATION STATE NT
I(VJe) certify t t n the f ch, 1
I(We) occupied as ur principal place of residence the follo ng described real property for which omesiead P er���� � �j�:
❑ I(VJe) owned ❑ Are buying under contract
❑ Have a beneficial inierest in the entity that is liable for the property taxes on the property and thai owns the property or is buying under a coniract.
CONTRACTRECORDED
II buying on contract. Fee Simple owners name
Recortlels ottice where contrad is recortled Record number Page
PROPERTY DESCRIPTI
Coun Tovmship � . Taxing tlisi �d 'ry row wnship)
Parcel number Legal description
Q//-00�77-0� C �9 7a
II arry ponion of Ne resitlential structure or the land rwt exceeding one (1) aue that immetliatey su ntls Ihai structure is used to prod e, describe Ne use antl portion of
the properry utilizetl ro produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry TownsNp
Signat r claimani
�ereby certify the above statements are true, correct and complete. G�
Addreu (num6er antl street ci , state, ZIP cotle
0� �/ u�� f���( c� TG ��
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL -
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediate�y (��
surrounding residential improvements.
Otherland (Z)
Total land (line 7 plus line 2) (3)
' Dwelling (4)
Residential improvemenis
Garage (5)
Other improvemenis (6)
Total improvemenis (line 4 through line 6) (7)
Total value (line 3 plus line 7J (8)
I hereby certiy Ihe above is Irue, COVeCt, and Signa[ure ot nssesar Date signed
complete.
Verifying ac6on - Signature of Auditor Dare signetl
STANDARD DEDUCTON ALLOWANCE
19_ Pay 19 _
�esser oi 7/2 Homestead S
Valuatio r 52,000
Synatura o uditw Date si ned
0 -/O -O