HomeMy WebLinkAboutHomestead_Taylor %EVE FORM:!MIle'I• /1 ME LIRmm FOAM 75-IA
A•PROVED FIT%E%TE DCWIDor.+nrtzas.:Ow PLF4AmmnY rnr DEPARn2Yr OF LOCAL CO tLYMTAl FINANCE IC 4.I.1-$:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.I homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to'reuse the
benefit and to provide additional identifying information n necessary to allow county govemmenl to better monitor homestead
Shiro,This information will be Lept confdential and can only he arces.ed by authorized county officials.The Depanntw of
Local Government Finance will use this information to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Taylor, Douglas S/Cheri I<
507 N West
Fort Branch IN 47648
2483
Douglas S Taylor
507 N West State Parcel Number Lezal Description
•FORT BRANCH IN 47648-1045
III I I I I IIII I I I I I I I I I I I 26-18-13-401-000.771-02 011-00771-00 ROBERTSON ADD
t o nr t rn n n tot nu n t t t to tit t o 22PT/23PT/33PT/34
•
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
oO k(kS S CoA4— .r—� ,
R-
ip., Ida R-
ng Address(number and street,city,state,and ZIP code) T Same as proper' dress
Spouse First Middle Last
Cheju Y-TH —f- /yR-
Mailing Address(Number and street,city.sate,and ZIP code) a as pro address
- -- -- ^�--�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
•
•
•
4� ?.�`: CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
'� _ � State Fortn 5473 (RS / 10-01)
Presaibed by lhe Depariment of Local Govemment finance
INSTRUGTIONS: See ieverse side 7or filing instructions.
�..>`_�`-• '-.-% : . ._ :. :. . ' (� � . CERTIFICA71
FORM
HC10
� �.� �
�� ��
�_�/II/'�II'�S!��lt��/i �Pi_�s�� - � i
I(VJe) occupied as our pr ipal place of residence Ihe following described real prop rt for which a omestea roperty T
❑ I(VJe) owned ❑ Are buying under contract �
GiBSON
� Have a benefidal interest in the entlty that is Iiabie (or the pmperty taxes on the property and Ihat owns the property or
Y
YEAR _ j
�
� � :2 :�� ,2 _-sy.. : , .. �
c-.s.�. r7rt� �: ;xfi, . -.�._ -.�� t+ � , _ �::? -": CONTRACT�RECORDED.':yr � - -
If buying on contract, Fee Simple owners name
Recordefs ofice whera coniract is rewrded Record number Page
��
_ . � . ,�� . ' � F ":.`t�
Counry Tavnship
�
I( any
ofthe
!JJ- / � I "�\J�
udential structure w the Wntl not exceedine
to produce inwme. d
� L/
"p.
To.vnsnip
'PROBERTY.DESCRIPTION�.�-- - �.�. ._ - �"`.=" `•``' _ ,
Tmcing dislrict (ciry, town, fownship)
Is lhe O�operty in queslion:
��� ❑ Real pmperry ❑ Mobile Flomo (I.Q 61J-7)
7 � acre t a�/mmedia�e�nou�s that swaure is used b produce income, desuibe ihe use and portion
3 /33 3
Co�niy
I hereby certi(y lhe above stalements are true, conect and complete. I 5� n� re o'�
�dre�nu�eianQ�{�eef,piry,s(afe,ZlPCOQe) �1 � ,
�- 3�" 'r�`" 'r � "� '� � `Y TRUE•TAX ' -� ASSESSED VALUE HOMESTEAD� � �� ��NON-RESIDENTIAL � ��'�
fi ��r�'",��rA5S,E550R�US�ONLY� ��.-� t s. � VALUE�.. �' 'ATt00YeOF'T7V -�.VALUEr �� �i i�� h� i�VALUE �`E,�s�i.
Land not exceeding 7(one) acre immediately �= „r�j $+ �� `�-� �-°"�3,. `"' �
surroundingresidentialimprovements. (�� 5. ._'.?�,�^.`_-?_..;,,,;-..,,-�r�3;,�',�:x, �
?.�„i � a`: Y -
Other land (2) •• _ f,_ . -_:.:'�.}
=�-.i.....:�.: �-:
Tolal land (line 7 plus line 2) (3)
,� y a��, qs � r..�.yy, �
Owelling (4) �� � t-` � .
t 7�� �, '
Residentia� improvements ' �' � �'�'' �'t`" �"'
,� -e� � - r-� 5 >} a�`R`� '.
Garage (5� ��' y"`�?�,.is-cr"�—��'-�s,r3.;s::
;a.��' i..nr�'.-r"H.S�:*�cx-.. ��l i' ._
Other improvemenis (6) � -{' �,; � � �' `i".�
._ �.'',n; .•�
'_i� �»�r-r
To[al improvements (line 4 through line 6) (7�
Tctal value (line 3 phs line n (g�
I hereby certity ihe above is Irue, wvect, and S�gnature of nssessor oate signea
complele.
Vrrifying aclion - Signature of Auditor Date signetl
20_Pay20_
Lesser of tY2 Homestead
Valuatlon or 56,000
S
SgnaWreofAuditor ]� n ^^ I � �I , n . . /� .� ^ Ivay'y9ie
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