HomeMy WebLinkAboutHomestead_Stuckey (3)° CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
CREDMSTANDARD DEDUCTION Hcfo
State Form 5473 (8614 -03)
Prescribed by the Department of Leal C,overnmem Feerxe
INSTRUCTIONS: See reverse ida kr Mhg i/aftdiam -n--1
I (We) certify that 1Tt4at&jarch, 20
I (We) occupied as our princi I place of residence the followin escnbed real property for which a Homestead PropY y Yac Credit is hereby claimed:
❑ 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 the prope or ts�bi n under tract.
,.., rnnNTY AUDI r
N_ TRACT`RE_COR_DED`
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
'. s'xk " .a',ky: •z v ''
efP'sx''C� �14'wm= P,ROP,ERT`�DESCRIPTION ,','�" 'ts' :`` X ,z . ri s.�`n'- c'i '.'S$s ",�,- 'fn •
County
Toe ship
Tadng district (city, town, township)
r I umber M
/�(i(,/
d c ti ^�_ 7
Is the property in question:
�uVALUEs'
'�-,..,. .. -
(� (� Or
❑ Real property ❑ Mobile Homo (I.C. 6-1.1 -7)
H any portion of the residential structure or the
land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized N produce income.
ao.�0-
.31`%F+..✓.4�` -'.„` PROP. ERTY, OWNEDBYCLAIMANT ,INiOTHER`COUNTIES` .;tT -i'J Witt
County
Tavnship
County Township
1 hereby 'fly the above statements are true, correct and complete.
Ksigr`31dre of claimant
edd (number and street, city, state, ZIP code)
!A2 BeW h :K�.
L.
zt�yA.S�SESSOR USE ONLY
MEN-
Ts
q TRUETAX rM �
ASSESSED VALUE
s??F� HOMESTEAD
x! NON4 ESIDENTIAL ,rVg-2
-�
jr VALUEi. �T
'!tAT 100YeOF'TTV
!..>
�uVALUEs'
'�-,..,. .. -
.>Y VALUE a xr .rs
�:...d
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
W-
Tdal land (line I plus line 2)
(3)
'Residential
Dwelling
(4)
..;:
max, 4 5'1Kt£!x"t'xTt" :a
�1
`
Improvements or Annually
Assessed AbbOe /Marwfac4lred Hama
Garage
(6)
i"� v '�'- ?,•r ✓"
3..3,5 � .S
Other improvements
(6)
Trial improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(S)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 1/2 Homestead
VNuawn or i3S.D00
Signature of Auditor
I
• MATE FORM MN.MT sa'1 TMIASUIDA FORM TS to
ARPROCTD RV RIVE BOARD Of KM1RIT&Yr.v Itr31UBm BY THE DEPMAtirr OF MCAT GOVERNMENT Fn:A\CE IC t.I-C-AI
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 mote incentive than ever for homestead fraud.Homestead fraud causes higher In bills for all:therefore.
I. HEA 1344-2000 requires taspavers who remise the homestead standard deduction to verify that they an eligible to receive the
benefit and to provide additional identifying infomanon necessary to allow county government to better monitor homestead
flinggs 'this information will be kepi confidential and can only be accessed by authorized county officials.The Department of
Local Goyemment Finance will use this information to create noted that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Prnpertv Address
Stuckey, Tony R
R2 Box 312
Buckskin IN 47647
3307
Tony R Stuckey
8293E 900 S State Parcel Number Legal Description
ELBERFELD IN 47613-8430
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1111111 III I I II I I I I I I II 26-20'28-200.941-001 001-00941-00 PT W E NE 28-3-9 20.92 AC
ru t _11_1_11_11_11_11_1_111_1_1111_111_1_ D-19
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 Last
iON kR•J 54uckey
g Address(number art street,city,state,and ZIP code) [Same as property address
S93 260 $ E1 k arF1e1 SH 4 7(0 13
Spouse First Middle Last
11,; 'Cie \*C-i1 k-NN . stucke
Mailing Address(Number and strict,city,sate,and ZIP code) Same as property address
r3 £ 900 S g I kerRe lei IL ■ Lt V
— --
D 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 Signature Date '
- _
7