HomeMy WebLinkAboutHomestead_Tepe (5)} CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5673 (R61 4-03)
Prescribed by the Department of Local Govemment Finance
P(STRUCTIONS: See reverse side for filing instructions.
(We) V-&-�j certify that on the 1st day of March, 20_
(We) upied as our principal place of residence Me following described real prope for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under contract [
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Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns property or is buying nder!a contract.
;.CONTRACT ;RECORDED -x:7r r' W i;. iK'%, xc? _ 6 v a �"u3^z •.::tr
If buying on contrail, Fee Simple owners name
Recorder's office where contract is recorded RecorE�riuin6ei � =r�- Page
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Is the property in question:
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VALUE
Land not exceeding 1 (one) acre immediately
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property ❑ Mobile Homo
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to prod" inmme, describe the use and portion
of the property uWized to produce income.
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County I Township I County
hereby certify the above statements are true, correct and complete. "v" "
Address (number and street, city, state, ZIPCade) p� "�1► '�Ov
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ASSESSOR USE ONLY "-4_z3 r�T1RlAL_UE
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VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
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Other land
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Total land (line 1 plus line 2)
(3)
Dwelling
(4)Ag�d
Residential improvements or Annuarry
Assessed Mobile Manufactured Hon
Garage
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Other improvements t
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Total improvements (line 4 through line 6)
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Total value (line 3 pits line 7)
(6)
I hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
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slit E IORM SDK 12!5+/0 IUASURER FORM 73-IA
APPROVED BY MATE BOARD OL.MTTR INT,.Y,n PRFYRIBQI BY 111E DEPMTsOHT Or LOCAL GOVERAMr.Cr FD:sstE M H.I-^dl
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couple.s are limited to one homestead standard deduction.As the receipt of this dedunion becomes
more beneficial.there k more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 13-14-3009 requires taxpayers who receive the homestead standard deduction to verily that they am eligible to recene the
benefit and to provide additional identifying infumtanon necessary to allow county government to better monitor homestead
tiling,.This information will be kept confidential and can only be accessed by authori,ed county officials.The Depannlcnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Tepe, Dennis/Donella
9257 S 1325 G
OAKLAND CITY IN 47660
9283
Dennis Tepe
9257 S 1325E State Parcel Number Legal Description
OAKLAND CITY IN 47660-7773
• • Ilnrlhllnhllnlln hlntl'ntllnrinllnlr ltd htrlr trill 26-21-29-40\ /
•26-21-29-400-001.878-001 Pt NW SE SE 29-3-8 Sac
PART 2: TAXPAYER INFORMATION -
Owner I First / Middle Last
,g Address(number and street,city,state,and ZIP code) ® Same as property address- - -- -
9o?S17 S / 3.23 6 D&k( t, ' c_ (L_ $ 7&6 3
Spouse First Middle Last
DOnzlla Tu✓ie_ lele,
Mailing Address(Number and street,city.state.and ZIP code) gi Same as property address
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 Sign re p 7 Date
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