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HomeMy WebLinkAboutHomestead_VaughnCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR CREDIT /STANDARD DEDUCTION HC10y1 _ State Form 5473 (R2/5-92) INSTRUCTIONS: See reverse side for tiling instructions. I'We) 4 V C�V�X..t l�Vv1'11 certify that'JIM ist 1day drUmIn, 19! J ,e) occupied as our principal place of residence the folio described real property for which a Homestead Property Tax Credit is hereby claimed: �x,1� IJ I (We) owned ❑ Are buying under contract gU�ITOR a ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or Is uying under a contract. . CONTRACT RECORDED - It buying on contract, Fee Simple owner's name Recorder's office where contract is recorded Record number Page PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES - PROPERTY DESCRIPTION - County Township NON- RESIDENTIAL VALUE Taxing district (city, town, township) . x Parcel number i8ao Legal description 1 -3 - - D If 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 to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES - County Township County NON- RESIDENTIAL VALUE Township reby certify the above statements are true, correct and complete. Signature of c imant Address (number and street. city, state, ZIP code) 1—xi . R. ( ! .i8.i% (2) G 6 0 ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Otherland (2) - Total land (line 1 plus line 2) (3) Residential improvements Dwelling (4) - Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 pUs line 7) (g) 1 hereby certify the above is true, correct, and complete. Signature of Assessor Date signed Verifying action - Signature of Auditor Date signed 19 —Pay 19_ Lesser of 1/2 Homestead Valuation or $2.000 STANDARD DEDUCTION Date signed 6 —L ArAIE FOAM,3,0 W.:/!.■PI ItFA5URUR PO/01 73-IA APPROVED KY SIVE BnARDOf MYYRINT4_on PRr9TInr BYIDLDtPARn 4flf LORALri0AELNMrst FINAx'CEIC4-1.I-224.1 Gibson County Auditor 001 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to onc homestead standard deduction.As the receipt of this deduction becomes mole beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 1344-200c requires taxpayers who receive the homestead standard deduction to verify that they are eligible to revere the benefit and to provide asklitional identifying information necessary to allow count'government to better monitor homestead filings.This infomution will he Levi confidential and ran only be accessed by authorized county officials.The Department of Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Vaughn, Sandra K HI Box 1581) __ __ Oakland City IN 47660 8583 _ — — -- -- - - -- _ --- . -- -- - — _. - -- Sandra K Vaughn 5689 S SR 57 State Parcel Number Legal Description OAKLAND CITY IN 47660 26-20-11-201-000.182-001 001-00182-00 PT W NE 173-9 1.10 AC D-8 PART 2:TAXPAYER-INFORMATION Owner I First Middle Last 5Mnia,e4 k I V!l v G-A1 / �tg Address(number and street.city,state,and ZIP code) — — — --- -a Same as properly',Cdres-- -— —-- __ _ 5-679 5©u Skit_ had 5 7 Fhkk 1S err/ / </7&60 Spouse First Middle Last Dervasp I 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 Pan 4 below) Sae PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation is true and correct and that he or she is eligible to receive the homestead standard deduction on this properly. 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 ature Date •