HomeMy WebLinkAboutHomestead_WiraWl
a� °� CLAIM FOR HOMESTEAD PROPERTY TAX t
CREDIT /STANDARD DEDUCTION
, ,; '� State Form 5473 (R215 -92)
0 4ii .
INSTRUCTIONS: See reverse side for tiling instructions.
CERTIFICATION
FORM YEAR
HC10
... 1. � -..
I (We) _ certify tha//pdrop/n-''ih�e, 1st of U rch 9�
L,occupied as our principal p e esidence the following described real property for which a Homestead Pro47ty'Ia'Cr erE y claimed
(We) owned re buying under contract _ r�7U0 UUU00U fc
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
_ CONTRACT RECORDED -
It buying on contract, Fee Simple owner's name - -
Recorders office where contract is recorded Record number Page 12
- PROPERTY DESCRIPTION
County
Township _
Taxing district (city. Town- township)
Parcel number
06 1 -o - m
Legal description
-6 34 -3 -9
If any portion of the residential structure or the land not exceeding one (1) acre that immediatety 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 -
Township
eby certify the above statements are true, correct and complete.
Sign r of claimant _
Address (number and street, dry. state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Other land
(2)
Signature of Auditor
Total land (line I 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 pits line 7)
(6)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
verifying action - Signature of Auditor
M
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
$
Valuation or S2,000
Signature of Auditor
Date signed
SIMLE FORM!!!4.1R.7 z!wl TREASULEA FOAM 7.11A
AmmIinEOor AVE.MSD OF AMOUNT,.T-• PVYNIar BY lilt oEPMTME4T OF LOCAL CMc0.4MET7 FDSANCE MH.1 L`4.1
Gibson County Auditor
101NMain IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuab and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ester for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are elicible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Dgvnment 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
Wira, Larry E 962x. S. 900 6 •
p,any,,,
Elberfeld IN 47613 /^\�
8870 11
Larry E Wira
9626 S 900 E State Parcel Number Legal Description
Elberfeld IN 47613-8444
�F�FF��FFr�F�� ��rr��r�Fr�rr�Fr�r�Fr�l lrFlr llrl rll III 26-20-34-200-001.164-001 001-01164-00 PT NE 34-3-976.47 AC
/
PART 2:TAXPAYER INFORMATION
Owner I First ,! Middle Last
LtYry C CO C.YR r_
_•tg Address(number and street.city,state,and ZIP code) - — — [9<ame as properly addres;—--- - _. --— -
96 --(.0 6. 900 e - ae —me- v,P 1 476 /e3
Spouse First Middle Last
�/%/ �- 6 C rift-
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
96X6 c5, 900 C/h +J Jd • C c76 /3
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 m. be liable for back t xes and substantial financial penalties.
Owner I Si 'cure Date