HomeMy WebLinkAboutHomestead_WidmerFORM YEAR
HCIO
" = , -CERTIFICATION TATIEMENT`:
I (We) that on the I st day of March, 20
1 (We) occupied as our principal place of residen a following describ d eat property for which a Homest e hDaimed:
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❑ I (We) owned ❑ Are buying under contract FftcrE
40 Aave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prope I or is buying under a contract.
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f buying on contract. Fee Simple owners name /P C, I B �So t4 co
Recorders office where contract is recorded Record number Page
.-,0,ROFiERTY.DESCRIFTION.f
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CLAIM FOR HOMESTEAD PROPERTY TAX
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CREDIT/STANDARD DEDUCTION
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State Form 5473(R5/10 -01)
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Prescribed by the Department of Local Government Finance
FORM YEAR
HCIO
" = , -CERTIFICATION TATIEMENT`:
I (We) that on the I st day of March, 20
1 (We) occupied as our principal place of residen a following describ d eat property for which a Homest e hDaimed:
V U
❑ I (We) owned ❑ Are buying under contract FftcrE
40 Aave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prope I or is buying under a contract.
R
7
f buying on contract. Fee Simple owners name /P C, I B �So t4 co
Recorders office where contract is recorded Record number Page
.-,0,ROFiERTY.DESCRIFTION.f
IN OTHER-COUNTIESa�:. -"�k'_"!!;N��,� V. 4
County
7omrship
County 1Tawnshlp
Taxing district (city. to", township)
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Valuation or $6,000
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Land not exceeding 1 (one) acre immediately
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U104eal property ❑ Mobile Home (I.C. 6-1.1-7)
If any portion of the residential structure or the and 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.
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X -- A - - - -, -.bW-NE6BY CLAIMANT
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I hereby certify the above statements are true, correct and complete.
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Valuation or $6,000
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Land not exceeding 1 (one) acre immediately
Signature of Auditor
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surrounding residential improvements.
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Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
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Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
A, value (line 3 plus line 7)
(8)
'rMereby certify the above is true, correct, and
Signature of Assessor
I
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
-"STANDARD:DEDUCTION ALLOWANCE
qw 20 _ Pay 20
Lesser of 112 Homestead
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Valuation or $6,000
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Signature of Auditor
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• • TATE FORS 5354•1221 gum. TREASURER FORM:}IA
^rIMPORTANT NOTICE TO DEPARTMENTOf LOCAL GOVERNMENT MANCE IC
PROPERTY OWNERS
.. ,.t
Gibson County Auditor ,
01 N'Main
PRINCETON IN 47670 Individuals and married couple.; are limited to one homestead standard deduction.As the receipt of this deduction becomes
• more beneficial,there is more incentive than OCT for homestead fraud.I lomestead fraud causes higher tat bills for all:therefore.
El EA 1344-2009 requires taxpayers who receive the homestead standard deduction to serifs/that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lept coati-radial and can only le accessed by authnriced county officials.The Department 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
Widmer, Toy
R2 Box 350
Elberfeld IN 47613
8844
Toy Widmer
10442 S SR 57 State Parcel Number Legal Description
ELBERFELD IN 47613
- __—_ 26-20-31-400-000.314-001 001-00314-00 PT SW SE 31 3 9 4.21 AG
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
t3 Linn V✓idrn�
ig Address I tuber and street.city,state,and ZIP code) 2 u Same as property address - -
/Dq S Si-4+e— 12041 57 € Iber-Pe-ka_1 ` r\ 'i '1(n l 3 _
Spouse First Middle Last
bet±eaSex(
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)
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is tae and correct and that he or she is elieible 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