HomeMy WebLinkAboutHomestead_Messick SIM£FORM!WW la_rlW) 1RE15UtIR NORM YtA
APPROVED BY SfltE BMRDOF stnIs.9v rtrJ FD BY THE DEPARMLYr OF LOCAL GOSTVTh1rNT ED:AIYE
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main ,
1 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 food causes higher tax bills for all:therefore.
HEA 1344-2109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifvine information necessary to allow county government to better monitor homestead
filinta_ this information will be kept confidential and can only he accessed by authorized county officials.The Ikpanment of
Local Govenunent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Messick, Debra L
705 S Main
Fort Branch IN 47645
2619
•
Debra L Messick
705 S Main State Parcel Number Legal Description
Fort Branch IN 47648-1727
I I I I 111 III I11 I III '11 I I I I I 26-18-24-204-000.51 7-0 26 J/01 1-0051 7-00 MCCRARY ENLG
I n tot nt n u un nt n t nt nn t t t n 111PT/110PT
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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
1rQ Lit.r1 rl Ill ,ej 5 l r.K —.b td_r n .5
ng Address(number and street,city,state,and ZIP code) EL Same as property address
-
T46-
•
ASpouse� First Middle e-� Last
mil./TiLV401`
Mailing Address(Number and street,city,state,and ZIP code) lyj Same as property address
- -�-- -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.
•
_ /
. ^•n
��� a CLAIM FOR HOMESTEAD PROPERTY TAX
i;��"� CREDIT/STANDARD DEDUCTION �
.,,�y „�'� State Form 5473 (R2 / 5-92) -
ui7
INSTRUCTIONS: See reverse side �ar Iiling instructions.
FORM
HC10
YEAR
I(We) '�.Q�I.iJ��\ !`+ci-�d4J(.1 LQ�LI \/� /���,/„j.l,C.l[� certify.thai on the 7st day of March, 79_
/—�._.._.— v �.-�
���Ne) occupied as our principal place of residence the tollowing described real.property tor which a Homestead Prop�ax are8it �ereby Gaimed:
'I (We) owned ❑ Are buying under contract . � � /� L,
J Have a beneficial inierest in the entiry ihat is liable for the properiy taxes on the property and that owns the �6�eFty+�i� �yin�dadpGlFbontraci.
' � CONTRACT RECORDED� . � �
If Wying on coniract, Fee Simple owner's name . . - _ � �
Recorders oHice where crontract is recorded Record number Page
Coumy
Parcel num�er
�
If any portion of
of the pwperty i
- PROPERTY DESCRIPTION �
TownShip , , � Tanirg distria (ciry, mwn, lownship)
Legal description
��C
:idential structure or the land not exceeding one (1) ave th�
ro produce income.
. // /
that structure is used o produce
� PROPERTV OWNED BV ClA1MANT IN OTHER COUNTIES - -
Couniy Township Counry Township
r.hereby certify the above statements are true, correci and complete. S n re o d imam
�1ress (number arM s[reet dty, slate. ZIP code)
the use and ponion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
. . VALUE VAIUE VALUE VAWE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�) �"
Otherland (2)
Total land (line 7 plus line 1� (3)
Dwelling (4) -
Residential improvements . . .
Garage (5)
Oiher improvements (6)
Total improvements (line 4 through line � (7)
Total vaive Qine 3 pbs line 7) (g)
I hereby certify the above is ime, correCi, and Signature of Asseswr Date signed
complete.
-itying aaion - Siqna;ure of Audiror Date signetl
l
� STANDARD DEDUCTION ALLOWANCE - -
79 _ Pay 79 _
Lesser of 7I2 Homestead
Valuation or 52.000 S
SynaWre ol Audiror Date signetl
____� s _ -�._ . . _ _
.