HomeMy WebLinkAboutHomestead_Stuckey STATE FORM!).'NIR/Y..•1 nzsSOUR FOAM:11A
MPgFED BY Ft4E BOARD OF.M'YANTS_Fm PRESCRIBED BY THE DrPARTME r(w LOCAL GmxRVNrTl FI:ANCEMH.I-'V.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 aandanl deduction.As the receipt of this deduction becomes
I . more beneficial,there is more incentive than can for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2109 requires axpasers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying informaron necesstn to allow count'eovemntent to better monitor homestead
filings.This information will he Lept confidential and can only he accessed by authorized courtly 01116111s.The Deanntent of
Local Government Finance will use this infonnation to create tools that will h:Ip canny officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stuckey, Kim E
404 S Lincoln
Fort Branch IN 47648
2938
Kim E Stuckey
404 S Lincoln State Parcel Number LeHaI Description
Fort Branch IN 47648-1628
26-19-19-101-000.856-026 011-00856-00 SMITH ENLG 23/24PT
r n II set Ir II erI n II n I rru II r II use In II se It II un I III n I
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
_ K ,' yh I: Iler3 \NM01-91\a-,
�n5 Address(number and streets city,state,and ZIP code) ❑ Same as property address
Hoo S. L: a CO I -\- . 31-anL r■ y-2(0 'Ia/
) -
Spume First Middle Last
Mailing Address(Number and suet city.state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
_ __ _ see__ _ __ _
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
•
ill
e`�� "� g CLAIM FOR HOMESTEAD PROPERTY TAX
a
CREDIT/STANDARD DEDUCTION
;.. -
' State Form 5473 (R2 / 5�92)
� .
INSTRUCTIONS: See reverse side !or filing insfructions.
. -. r. . . ` . � CERTIFICATION STATEMENT .
j�„�M, YEAR
�t�f" n
dl. HC]0 ��
� 4��� 81995 �
I . ` 1'1VV..� Q�
I(We) Urr�J �p�. certify.that on the 1st day of March, 79 i='
I(We) occupied as our principal place of resi nce the following described real property tor which a Homestead Property Tax Credit is hereby claimed:
�I (We) owned ❑ Are buying under contraci ,. . . _ � �
Have a beneticial interest in the entity ihat is liable for the property taxes on the property and ihat owns the property or is buying under a contract.
. CONTRACT RECORDED �
If buying on contrac6 Fee Simple owner's name , - .. , �
Recortler's office where contract is recortletl Recortl number Page
PROPERTY DESCHIPTION
Counry Town�
Parcel number Legal desc ion '
' �
If any portion of ihe residential structure or Ihe land not eaceetling one (7 � acre ihat
ot Ne property uaGzetl to D��uce income.
fown,
is used to produce income, descnDe ihe use aM portion
� PROPERTY OWNED BY CIAIMANT IN OTHEH COUNTIES
Township Counry
� certify ihe above statements are true, correct and complete. Signamre d�imam /,p`' _
�^-�, �- • �
(n'um/6erandsIbeeG ciy, sfate, Z/P�c?o�de) y'�-�I 1
� Y S. h . N f n �'J �T� . ' f . �/'Q.v�7 GJ-� �- � � � �n �
ASSESSOR USE ONLY
not ezceeding 1(one) acre immediately
unding residential improvemenis.
land
land (line 7 plus line Z�
Dwelling
improvemenis
Garage
Other im�ovements
Total improJemenis (line 4 Ihrough line �
�
Total value (I rye 3 p�s line �
\
I hereby certify fhe above is tme, correct, and
complete. 1! ,. •
Verifvim action - S'anaWre ot Auditor
79_Pay19_
Lesser of 7/2 Homestead
Valuation or $2,000
(�)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
TRUETAX I ASSESSED ( HOMESTEAD
VALUE VALUE VALUE
ofASSessor
5
NON-RESIDENTIAL
VALUE
Date signetl
Date signed
SgnamreotAutliror� \ \ (�/� � . �a�esi9nea
� ' '1 r �M�,w= �� A-
or