HomeMy WebLinkAboutHomestead_Stuckey (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Suite Form 5473 (R5110 -01)
Prescribed by the Department of Locaf Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
CERTIFI C ON STATEMENT
I (V certify that ort 1 st dq c2o&h, 20
following described real property Homestead Property Tax credit is hereby daimed
I (We) occupied as our principal place of residence the bed r y
F-1 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 th
MBSO�CAOO V "AU'd " r Pct
CONTRACT RECORDED
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
I I
-PROPERTY DESCRIPTIQA�\
T, I" �% - I I V
'Township
County
Cou y
Township
kASSESSOR USE ONLW
- -
Taxing ct ci
n, tow
I hereby
Pa um r
110,S) _0b
sCIpVon
-3J9`,6b"
I /
,question:
property El Mobile Homo (I. C. 6-1.1-7)
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that sActure
of the property utilized to produce income.
is used to Produce income, describe the use and portion
I I
"4. - - PROPERTY OWNED BY CLAIMANT IN OTHER-COUNTIES
County
:;HOMESTEAD
Township
kASSESSOR USE ONLW
- -
County
Township
I hereby
certify the above statements are true, correct and complete.
W
In re of claimant
,e.rer
,&ess
and street, city, 5�"�' coda'(Y),,,J2 CL
Lt-7&sq
I I
TANDARD. DEDUCTION ALLOWANCE--".'
ASSESSED VALUE
:;HOMESTEAD
NON -RESIDENTIAL,;��"- -
kASSESSOR USE ONLW
- -
AT.100-. OF.TTV
" - � � ,i�
W
Valuation or $6.000
�- ,Y�LYEAEa:
.:VALUE
Land not exceeding I (one) acre immediately
Date ate SF,6
( R
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Z,,
Dwelling
(4)
4f�r^'crt
Residential improvements
*n*, A
Garage
(5)
4-,
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
TANDARD. DEDUCTION ALLOWANCE--".'
..........
20 _ Pay 20
Lesser of V2 Homestead
S
Valuation or $6.000
Signa fAjdft
a W
Date ate SF,6
( R
( STATE FORM BY SEATS I BOARD TRFI5MFA FORM 15-IA
APPROVED BY STATE.BOARD OF A(Y1RMS.ffM T.6CRIBFD BY THE.BFPARTMET OF LOCAL CA1Tai'MENTMANCE IC 61.1-:14.1
Gibson County Auditor IMPOR - - NOTICE TO HOMESTEAD PROPERTY OWNERS
F 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.Gaud.Homestead fraud causes higher tax bills for all;therefore,
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc 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 took that will help county officials eliminate homestead fraud
• PART 1: PROPERTY INFORMATION •
Taxpayer Name• • Location Address
-Stuckey;-Bonnie M —
-
. . 8466E 900 S
BUCKSKIN IN 47654
8948
�Q� 11�1iiiii[illOfl111�1111111�iiliiionii:i1��1111=IIIDII�f 1111=lll�II�II 11MI 111
Bonnie M Stuckey
--P-e-Borg 84171; E,QcoS nn .' 11 .i t&I I.0
—MAeNE4'IN 47654-0083 E L, -2 r 4+tG 3
111111 IIIIIIII IIIII'IIIII,IIIIII"'I'IIIIIIIMPII"II'IIIIII' State Parcel Number Legal Description
T D 26-20-27-100-001.057-001 PT SW NW 27-39.62 AC D-19
F
APR -11 2011 j
Y AUDITOR
This faM°ft 19 ' be returned to County Auditor's office.
Phase do NOT send this form back with your tax payment to the county treasurer.
�r '.\--.s . .--_\_______. PART 7.T. C PAYE.R.J FQ.gmt%TIO_.._-- _ _
O' , I First - Middle Last
Uonilve_ P4. . Stu 6llie y .
Mailing Address(number and street,city,state,and ZIP code) El Same as property address
91440 6 L'o -Rd Poo sry - Y ---iui3` ,
,
. Spouse First Middle Last
Mailing Address(Number and street,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 Part 4 below)
I. I I I I I .I I sage '
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 Signature ' Date