HomeMy WebLinkAboutHomestead_Wright - STATE FORM 53569TUMOR TRESCRFAm0.Ni$IA
APPROVED RV STATE BOARD OF RECOUNTS.2eW PRFYRIaro RP nit DFPARTMEST OF LOCAL GOVERNMENTaWfl IC 613-33-8.1
•
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard.deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
0 benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
F filings.This information will be kept confidential and can only,be accessed by authorized county officials.The Department of
Local Governmrn:Finance will use this information to create tools that will rely county officials eliminate homestead food.
PART I: PROPS RT1' INFORMATION
APR 6 2011 Taxpayer Name Location Address -
— C rf Wright.Gregory A
309 S Eastview
GIBSON COUNTY AUDITOR Fort Branch IN 47648
2554 -
Gregory A Wright IIII�III1Bill011I��IIIIIII0�111 �I III�InlhllILICIII IIIIIIIII III�DIIDIIHiII�III
309 S Eastview
Fort Branch IN 47648-1601 -
III1'il'I'ii1lll6lll1lilIiFllilll" y"il
illIlllIlIlll'lll'lli'li State Parcel Number Legal Description
26-19-19-101-000.738-026/ASTVIEW 46 .
This form MUST be returned to County Auditors office.
- Please do NOT send this form back with your tax payment to the county treasurer.
- PART 2: TAXPAYER INFORMATION .
• .._ I First Middle last
17-j'� v�{�'/"�)� Allen G� 11f
Mailin Address umber�d street,city,state,and ZIP code) - Same as pro address
-.
Spouse First' Middle .Last
n
Mailing Addiess(Number end sweet,city.state,and ZIPcode)- - "—. —. -- ''—. - - ' - - ❑ Same"as property address _ - `--
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
1 I L i s
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 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 Si ore Date;
/
� CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
♦ �, Siate Form 5773 (R6 / 403;
PreSCribed Dy Ne Department ol local GovemmeN Finance
INSTRUCTIONS: See revc�se sidc !oi lilfng inslruclions.
�"
FORM YEAR
HC10
I(We) U certifyiltt2v�n��l�e�of March, 20_
I(We) occupied as our princip lace r s ence lhe follo described real property for which a Homestead Property T�c Credit is hereby daimed:
❑ I(VJe) owned ❑ Ne buyin nder wntracl
, Have a benefidal interest in lhe entity lhat is liable for the property taxes on the property and ihat owp��,q���q���na un�er a contract.
I( buyu�g on contrad. Fee Simple owners name
RemMefs o16ce where wnVaq is recordcd
Record number Page
- .i-:_. . ....„. ._.. ..-:,,. � ..�
-.�+% � s - ... - �. : "'?"':` "-y-= �- '. PROPERTY �ESCRIPTION';.`� -.:�- •
i- _, _ .
..� TamShip Tacing dislric� (ciry, fown, rownshi
P rcel n�b-r ^^ �n r� � Le9al de lion ,/� Is the pmperty in queslion:
W vlJ T Reai proaerty ❑ Mobile Homo (l.c. bt.7J�
I any potlion of iha residentlal sWCture w Iha land noI exceeding one (1 � acre Ihat immediatety surmunds thal sWCWre is used to produce income, desaibe Ihe use antl ponion
of the property utilized to produce inwme.
r.�p�-��`?,� v'�i k" A�ESSOR-0SE ONLY ._ � - : TRUE TAX ASSESSED VALUE �•HOMESTEAD ' . NON-RESIDENTIAI,.,
;rx� s.�.lGi:. : - f *..:'6..=-=?- _ - � VALUE AT 100%OF..TTV ' VALUE'- �. �. r; -. ;;+:1 . VALUE'G . �
Land not exceeding 1(one) aue immediatety '7'ti<'�:==;""�':"- --"i°
surrounding residential improvements. (� � . .. � - �
Otherland (2� �- ' _ -
Total land Qine 1 plus line 2) (3) I
Dwelling (4) � {-, � ..
ResidenUel improvements or Annually
Assessed Mobile / ManuFaUUred Home Garage (5� E�-� '":iY, r - .--
/ - _ ' .. „. . .
Other improvements (6)
Taal improvements Qine 4 Ihrough line 6) (7) I
Tdal value (line 3 pl�s line � (g)
I hereby certify Ihe above is we, wrrect, and Signawre of wsseswr oaie signea
complele.
Veifying acl'an - Signalure o(lwditor Oa�e signed
- _ _ � �� _ -STANDARU,DEDUCTIONALLOWANCE�_-� ' � . -._.__.. .. .-
20_Pay20_
lesser ot 1/2 Homesead
vauauon or 535.000
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