HomeMy WebLinkAboutHomestead_Osborne (4) i <HIE FORM!AMne/YNI 1Hr.SneQ FURY TS-IA
Arnim/En BY stATE BOARD Of Art"1A1NT[!Vn ?Rr9RUBFn BY cur OrrAHne1T(F((aA£riO<RRNMrTn FINANCE IC•-e.1-r4
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples arc 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 cause higher tat bills for all:therefore.
HEA 1344-3009 requires mtpavers who receive the homestead standard deduction to verify that they are eligible to rrcene the
benefit and to provide additional identifying informaton necessary to allow county government to better monitor homestead
filings.This inlurmation will be kepi conlidnmial and can only be accessed by authorized county officials The Ikpanntent of
Local Government Finance w ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Osborne, Paul R/Connie M and 1/2
int/Jul
loll SCenter
Eon Branch IN 47648
7052
Julie Marie Osborne
1011 S Center State Parcel Number Legal Description
FORT BRANCH IN 47648-1707
26-18-24-204-000.635026/ 011-00635-00 BRENTON ADD 9
Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sate
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 properly.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
_ ,�
CLAIM FOR HOMESTEAD PROPERTY TA}( FORM 1'EAR
CREDR/STAIVDARD DEDUCTION ; G � Hcio��gg----��
State Form 5r73 (R6 / 4-03) � � � H � .
Proaaibed Ey Ne DePertrne�t d Lasl Caovemment Finarwe � .�L/
INSTRUCTiONS See icvaau atc� /y &fip b�uc6'onn
�_ .,��� - ��,.,,i„ �,., � .... Ilf: n
Q.�sr�€.�i£�-z�iF'..: '��#�-'„� "'�,t .U:.-.'�.. . � �,3v';'�avre��,CERTIPICAiION STAlEMENT'r.. �.,;��_;,:�:,p .:�s.�� _. ���,�-'s� yyxkTi��°�
��e) � certi(y ihat on•t e7st�day of March, 20
I(We) occup' as our principal place of residence ihe following descnbed real property for which a Home��d Ecope[��T��re��as�vr�eby daimed:
❑ I(We) ed ❑ Are buying under wntract
� Have a benefidal interest in the entiry that is Iiable (or the property taxes on the property and ihat owns the property or is buying under a wntraU.
II huying on conVact, Fee Simple owners name
Recarders ofice whare conVad is recorded
Counry � ' Toxnship I Tmting dislr'Lc� (tify foyt� townShiP)
Parcel number
Remrd number � Page
Is Ne prop�r�tylyin �questian:
.F�J�i%I property ❑ MoElle Homo (I.C. 67.7-n
H any portion ot Ne resitlentlal aWcture w Ue Wn�not axceeding one (7 ) ace fhat immedialety wnounds that swcNre is used b praduce income. tlesuibe the use and porUon
ot tha propery uti¢eE b produce i�ome.
��#aG-i�-a��o� c�.�3� ��
��LS�i�^} �-�•��;��� `�'�� ��-r .. .,t' . 4. . ti� •,,,,,a . . .
�'"'� ��ASSESSOR�USE ONLY- � r � F TRUE TAX+�-, :»4. ASSESSED VALUE �HOMESTEAD�F NiON-RESIDENTIAL}
' -_ 'a �}'�SP'�3�1.. � ��k��� ��'LVAL.UE..7.:�`.:,�.. "AT47OO°IeIOFTN-.� �CVALUE� �M�Ret-k:�3�V/1LU�''.�''�i+.��
Land not exceeding 1(one) arae immediately ' ��"'�, >"��,�;}'"�'�,��t.�'��-9'•3W.t�
surtounding residential improvements. ( � <,.e-,,.�'+`.',�3;�.:.�:�:�s`_��'Sf?��,
�....x:-..i.� _�,,. .v-�3:.a-_
Other land �2) s���-`�-`f��t'�
"��n•`t':�Y��`*e'"s
Tdal land (line 1 plus line 2) �3)
- �s v : � ss v, •-,�
������ ����
oweu��9 (a) r���, r
�R�idenUal fmprovemenb wMnuaOy �^'``�"'� ''�r�''�'
Asa�ad dka60e / ManufacNred Hame Garage (5) � ���� ;w � �
� -�'%_-�' �'ar'::`�i�
Other improvemenls (6) �"�*=j *'es;�»
;�1 a-��.`�'. i't a . �i�`'
Tdal improvements (line 4lhrough line 6) ���
Tdal value (line 3 plus line n (g� �
I hereby certify fhe above is We, corred, and Signature otnsseuor Date signed
complete. .
Veityitg aclion - Signature ollwditor Date signed
yi"t�.5 . , . (�..r '—. , u.e:' ., ' ' _P'y� s ` :h � � r +a ' ' ,� ._r.
r����.-����'.���:�,.,�i��s�.".:STANUARU:DEDUCTION`ALCOWANCE �;�. ��"t�s���-�+.+���..�.���_'�
- 20 _ Pay 20 _
Lesser of 1r2 Homestead $
Vauauon a f35.000
SignaWreoflwditw " Datesigned