HomeMy WebLinkAboutHomestead_Nichol • HAM I ORM!YHilt:I4P1 TREAAILEA FORM 75-IA
.APPROVED BY VW BINRD OF'ern'.%l.y.n PLr9[NBIED BY nil DEPARTSENTOELOCSL r TLNMFTT FINANCE r tII-"JI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples. ale limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eler for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serif),that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county gmeminetlt to better monitor homestead
flings.This information will he kept confidential and can only he accessed by authorized county officials.The Ikpanment 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
Nichol, Glenn R/Juanita
301 N West
Fort Branch IN-1764
2480
Glenn R/Juanita Nichol
301 N West State Parcel Number Legal Description
Fort Branch IN 47648-1041
111111111111111111111111111111111111111111111111 11111111 26-18-13-401-000.347-02 011-00347-00 PT SE 13-3-11 .26 AC
_
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
CLa v 11ICGtard fJ (c10
•tg Address(number and street,city,state,and ZIP code) / ,, `` r� Same as property address
OI Or1 ) - ST Pt. t;raiich / I�/. II 76 /"g
Spouse First Middle t Last
Juarheito 1 revue 1ctin
Mailing Address(Number and street,city,state,and ZIP code) 171 Same as property address
301 N_ oa. ST - FT f eahch /Ai .
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 1 Signature rate
•
, �
�,� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Fam 5473 (RB / 1-03)
Prescribed by the Departmem ot Local Govemment Finance
INSTRUCTIONS: See reverse side lor filing inslnicfions.
i�'
1 �',
7' . • _ ;. 4 �.
4 i ) � :�,
I(VJe) �(4J � ce at on h sJd�y�oj��-la^-r�r�Ii�2.�/
I(We) occupied as our principal place o sidence the following described r al property (or which a Homes d�{g�.� j,a c Eit�iRf�tepyfdafined
❑ I(We) owned ❑ Are buyi under contracl -
= Have a benefidal in[erest in the entiry ihat is liable for the Oroperty taxes on the property and ihat owns the property or is buying under a conVaU.
If buy'u�g on conVaU, Fee Simple ownafs name
Remrders ofica where coniracl is remrded
Counry
FJ// L
I1 eny portion c
ol the properry
Rewrd number � Page
- 7uvnship T" ' ri(rity, f , township�
O
/� Legal rip{LOCn �s ine properry in question_
�!%V �p�(„ �" 3—/ Real Droperty ❑ Mobila Homo (I.C. bf.f-7)
iAenUal aWCWre w the land not exceetling one (1) aae that immediatey surrounds Nat cture is used W produce income, desttibe the use and pallon
to produce irrcame. .���
Twvnship
I hereby cer6fy the above sWtements are we, corred and complete.
�ress (num6er aM sneef, cily, ata(e, ZIP e)
�0�� .� ��e�G/� /A�
Counly
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� Y3'�3'n��},ej9�,�u�i�g?`T' 3 7-v.Q � - o-ass..�- � �
. t', '�'i�°�'..,��,' �'TRUEsTAX ASSESSED VALUE FIOMESTEADF{ � NON;RESI�EN�T�� �
ASSESSOR�USE ONLY � w
� m`�, ��v�g��.�y�.r,r.,M. ���',��vVALUE.j�-'���' xAT 700%a;0 �T,:TV� �' z�VALIIE� �,�:L;�VALUE
Land not exceeding 1(one) acre immediatery F�`��'���F'�dF.y,'�'�+'`�
surrounding residential improvements. ��) Y����.`k'ac`r�M,����
-'°r t•;
Otherland (p) � ` ��` ��r`'�
>..r"�'�cw?:�.,.�4�_.3w
Tdal land (line 7 plus line 2) (3)
�,�,�r "�` +`�' #.��,�;
Dwelling (4) ��� � r-'��rt
Residentiel improvements or Mnuafly '�`K}""��tr`� �"�y'�'��
0.s�d Mohik / AAenufac4iied Hame Gara e � E• a'.',: .m- '�.•`.�'�•zt 4� �
����� �
9 (5) a "��,.�:. �.
�h� sr.-�'.1'-"_� .�
n -.e?;
���'� .i�� °�
Other improvements (6) -��.,-.e.,,-,s;y: . ��
�-�a+.�. ex
Tdal improvements (line 4 through line 6) (7�
Tctal vatue (line 3 pl�s line n �g�
I hereby certify fhe above is W e, corted, and Signature ofnssessor Date signed
complete.
Vuilyi�g aClion - Sigfa[ure oflwAilor Date signed
r3� `i" ro,cw�'"�`�.•��?�"``�*'�i STANDARO:DEOUCTION'ALL`OWANCE;�����,..�,�'„�i-�..,R ��a.. cE_ �"'
...��..w���� ��._� ._ ._... 'R' "�'"�'�ikY'3���.�.�'-�
20_Pay20_
Lesser of 1/2 Homesiead
Vauanon or E35.000
5
SgnaWreofAuOhw ' Datesigned