HomeMy WebLinkAboutHomestead_Mowry MALE FORMS 3'M IR'/401 FRFASUtfR FORM fl-IA
ARR(WEO BY SIDE BIxxROOFMCISINTS.:VW PRFAAIDW BY TIME UEPARn,4r(f LOCAL GoVtRNMErn FINANCE IC 6-1.1•224
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead:unclad deduction.As the receipt of this deduction becomes
more beneficial.there is more incenthr than err for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verity that they are eligible to recehe the
benefit and to provide additional identifying information necesory to allow county genernment to better monitor homestead
Point.This information will he kept confidential and can only to 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
Mowry, Marilyn J Life Est Etal
•
702 Roosevelt D2
Fon Branch IN 47648
6722
— ---MarilynJ-Mowry-Etal Life-Est — -- - __ — ___ _ _ __ —_
702 Roosevelt 0R State Parcel Number Legal Description
Fort Branch IN 47648-9774
II III I I I III I II I I III to tot ntn nttnnt uttn 26-18-13-101-001.129-02 011-01129-00 CANDLELIGHT VILLAGE 23
lllll' rIt II
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Iv\ I \n1 � Nt_ Mawr \
ng Address n(number and street,city,state,and ZIP code) - — / --- caame as property addles; —
lOZ /1 ooscucjf , 4 1' - y7ctio
Spouse First Middle Last
Mailing Address(Number and street.city,state.and ZIP code) ❑ Same as progeny address
Social Security Number(last 5 digits) DrivLYS License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sot
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 eliuible 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
a1 �"�°� CLAIM FOR HOMESTEAD PROPERTY TAX`
CREDIT/STANDARD DEDUCTION
�' �
�` � Siate Form 5473 (R2 / 5-92)
rou
INSTRUCTIONS: See �everse side (or7iling instructions.
CERTIFICATION STATEMENT � , '
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�Hl1� : s�; � ;`: .--�
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��)—�fli�c.�GG'�. �.�,�/�-1L�lL�`—fa� . ,� certify.thb�^EtlttSSYiB1 ��
jccupied�as our principal ace of re ' ence the �Ilowing described eal property for which a Homestead Property T�` eby Gaimed:
I(We) owned ❑. Are buying under coniracl
❑ Have a beneficial interesi in ihe eniity that is liable for ihe property taxes on the property and thai owns ihe property or is buying under a contract. .
�
� CONTRACTRECORDED ' � �
If buying on toniract, Pee Simple owner's name , . • � � � ,
Recortlers oHice where contract is recortled Record number Page
' . PROPERTY DESCRIPTION
Counry . . . TovmsFtip� - • ' . Tamng districi (
Parc I number Legal escription
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m
IE any� nion of the residential stmcwre or ihe land not exceeding one (1 ue that immetliarety surrou�!
of the propeny utilized to produce income. \
!\
�\\- U \\2.°�' "' � .
Counry
PROPERTY OWNED BY CI.AIMANT IN OTHEFi
Township County
�eby certify the above statements are irue. correct and complete.
Address(numberandsr;ee�.state.ZlPcode) �1
town, township)
�
� �3
strucNre is used to produce income, descnbe the use and
Township
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE � VALUE VAIUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis. (�)
Otherland (p)
Total land (line 7 plus line Z� �3)
Dwelling (4) '
Residential improvemenis �
Garage (5)
Other improvements (6)
Total improvements Qine 4 through line � (7) �
Total value (line 3 p�s line � (g�
I hereby certify Ihe above is trUe, corrett, and Sgnamre of Assessor Date signetl
complete.
�tyin tion - Signature ot Au ' r Date signed —
— 9�
STANDARD DEDUCTION ALLOWANCE
19f�FaY ���
Lesser of 7/2 Homesiead // �
Valuation or 52,000 S OS ��
Signatur Audiror Da;e signed
� _ 4�