HomeMy WebLinkAboutHomestead_Specht %MUE 104.4 535 tR/w+l TPF.SUULRIORM 71 IA
APPROVED BY ST AIL N% Oof•YY4•Tl_wN PPF3RIBnl MY Till DEPARTYEYTOF LOCAL rOVEILN rp.T MAserle 4-1.1-2:4 I
Gibson County Auditor /
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 ester for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
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FIFA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receue the
FIT , E benefit and to provide additional identifying infomumon necessary to allow county go ernment to better monitor homestead
l,I filings.'Iii.'animation ution will be Lept confidential and can only accessed by aulhonofficials./ed county officials.The Depannenl of
.
local Bovemment Finance w ill we this information to create 1 wIs that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
APR 2 3 zutU Taxpayer Name Property Address
Specht, David R/Diana S
R2
GIBBON COUNTY AUdITCP
Fon Branch IN 47648
7622
David R/ Diana S Specht q'//
913 Chickasaw State Parcel Number Legal Description
Fort Branch IN 47648-9539
26-19-18-101-001.161-026 011-01161-00 LITTLE YORK VIL PHASE II
1 I I I urIl II nrI n I I ItIl I nl I tI ot I I t I I I I n I I toIII
22 D-27
Spouse First Middle Last
3/A/-/.¢ Sitar- .S/5 C,(7—
Mailing Address(Number and street,city,slate.and ZIP code) F� Same as property address
y/3 d.giC7CA5ha) DE/ V6 FT /372/}c/Lf{ , !/=r ,t/ 4/7-5'Y
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.
III
�a rty�
ea E CLAIM FOR HOMESTEAD PROPERTY TAX - � FoRM YEAR
CREDIT/STl�NDARD DEDUCTION HC�o
3�• �' State Form 5473 (R2 / 5-92) �
�_�
INSTRUCTIONS: See reverse side lorliling inst�uclion5. - �� .
' � � - ° CERTIFICATION STATEMENT -' � - - � . � � -
��� e) ��� L�-�l� � certify.ihai on the 1st day of March, 79_
�) occupied as our principal ace of residence ihe foflowing described real property for which a Homestead Property Tau Credit is hereby daimed:
LJ I(We) owned ❑ Are buying under contract � �.. �
❑ Have a beneficial interest in the entity thai is liable for the property taxes on the property and that owns the property or is buying under a coniraci.
�� ' - � .+CONTRACTRECORDED" . ' - '�
If buying on contract, Fee Simple owners name' ' � • • . . - ' � -
Recortlefs oKice where comract is recorded qecord numher Page
County � Township T�inq district�(ciry, tuwn, rownship)
i d�� /�%i d . �(n�� o ni �S/J' —
Parcel nunl er. I Legal description
If any portion ot the residential siruaure or ihe land not eaceeding one (1) acre that immediately surrounds that svucture is usetl ro produce income, describe the use and portion
ot tt�pr�pe =utiy� ip �oQ = epcyQe. , . . .
lJ I lJ < < �%
�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counry Township
� Signature of Gaimani
and complete.
Atltlress (number an streef. iry, s ate IP code)
l � l� s�r�s<�
ASSESSOR USE ONLY TVALUEX A VALUEED �, HOVALUEAD � NON- �ALUE�AL
Land not exceeding 7(one) acre immediatety
surrounding residential improvements. (� �
Oiherland (p�
Total land (line 7 plus line 2� g I
O
Dwelling (4) � -
Residential improvements .
Garage (g� -
Oiher improvements (6) �
Total improvements (line 4 thiough line � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is irue, correci, and SignaNre of Assesmr Date signed
camplete.
Verityirg action - Signature of Autlitor Date signed
�� � STANDARD DEDUCTION ALLOWANCE
19_Pay19_
Lesser of 1l2 Homestead
V a �on or $2,000 � �
Signature of Auditw Day signed
J