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HomeMy WebLinkAboutHomestead_Winds CLAIM FOR HOMESTEAD PROPERTY TAX t. FORM t r CREDIT/STANDARD DEDUCTION State Form 5473(R8/7-07) HC 10 t• Prescribed by the Department of Local Govemment Finance ryt INSTRUCTIONS:See reverse side for filing instructions. /(r • CERTIFICA7ION'STATEMENT=: ` I(We)fid-( (.C/��%!tQ�� ( 1 �[ 741111 _ . . ' Y certify that on the 152 day of March, 20 I(We)occupied as our principal place of residence the following described real property for `+• a •omestead Property Tax Credit is hereby claimed: I(We)owned ❑ Are buying under contract Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. • • CONTRACTRECORDED - . • • If buying on contract.Fee Simple owner's name Recorder's office where contract is recorded Record number Page • ' PROPERTY DESCRIPTION. • - •• • • County Township Ta2lWiCt(city town,townshi ) Parcel number Legal descnption 1 f �� A( Is the property question: tar Lac / A. s J -! Real property ❑ Mobile Home(IC 6-1.1.7) ) ���� -©/ pk) . ezD}U) -1-0 a LQ- t-k-E t CO LA 0 • PROPERTY OWNED BY CI AINIANT.IN•O_THER COUNTIES • • • - - - • County Township County Township I hereby certify the above statements are true, correct and complete. sign re of claimant street.essit2umber and city,st�ra,one ZIP code)5 O -7110'it -j[w `L 6 r, 6 t I ASSESSED VALUE HOMESTEAD I• NON-RESIDENTIAL. • ASSESSOR USE ONLY c ( TRUE TAX VALUE. • I AT 100%OF TTV -� VALUE • r i . • VALUE _ Land not exceeding 1 (one)acre immediately surrounding residential improvements. (1) Other land (2) Trial land(line 1 plus line 2) (3) Dwelling (4) Residential improvements or Annually Assessed Mobile I Manufactured Home • . Garage (5) • . Other improvements (6) Trial improvements(line 4 through line 6) (7) Trial value (line 3p/us line 7) (8) I hereby certify the above is true,correct,and Signature of Assessor Date signed(month,day,year) complete. Verifying action-Signature of Auditor Date signed(month,day.year) l - 7 STANDARD'DEDUCTION ALLOWANCE - : -' I -- I I STATE FORM 53569(R 15-09) TREASURER FORM TS-IAI APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6 I.1-22 E.1 IMPORTANT.NOTICE'TO:HOMESTEAD PROPERTY O\V'NERS • individuals and married couples are limited to one homestead standard deduction. As the receipt of this -1- '-iction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud 'uses higher tax bills for all; therefore, HEA 1344-2099 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings. This information will be kept confidential and can only be 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. �r�iEci=i Z ROPERTY I\F'ORMAT1ON A Taapaser Name Property Address State Parcel Number Leeal Descrintioo: Odessa Winds Inc R 1 Box 162 009-00432-00 PT LOC 125 1-10 Patoka LN 47666 21.32 AC C-I Complete and return to: GIBSON COUNTY AUDITOR. 101 N MAIN PRINCETON IN 47670 PART.2:_TAYPAYER INFORMATION '1 Owner I First BOSS A4aarg Address(number. 7 eel,city,state and ZIP code) I ti Pa-L; 1C T Same as property addrs( 5- ' S ha..ri n o -e.t A Matting Address(number and street,city.state and ZIP code) $ Same as property address 'ic . °, Pa; (Cot ' -) . . AKI .5: laKIIhILA MIN . 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 Date /1'1- C7/ 7( Date _� 57/ / U —if 1[_ PART-4i ADDI•rI0NAL:INFORN1ATION 11111/ .�► i MAY 2 4 727 4f4 GIBSON COUNTY A ' e'