HomeMy WebLinkAboutHomestead_Beal (3) 'S
SIitI FORM nft.ocifwl MAS11aIA FORM:-IA
ROVrIMPORTANTNOTICETOHOMESTEADrPROPERTY RONNERS za
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to our homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor honrsread
filings.This information will be Ivry confidential and can only be accessed by authorized county officials.The Depannsent of
Local Govenenent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beal, Norma Lee Life Est Etal /a56_2 S' X00 tc
Haubstadt IN 47639 Q
3503
Norma Lee Beal Life Estate Etal
12562 S 200E State Parcel Number Leval Description
Haubstadt IN 47639-7948
Itlullu rltllrnailtiainlnrllr1tu1n11u 1u 11I ur1r 11111. 26-23-16-400-000.056-024 004-00056-00 WARRENTON I9/20PT
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 - Middle Last
NOR/1I fee eaEA b
on,Address(number and street,city,state,and ZIP code) ❑ Same as property address
s boo HAuI ST4DTXIY 47i Jy- 7 �'
' —
Spouse First Middle — Last
Mailing Address(Number and street,city,state,and ZIP code) [] Sande 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)
Sore
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
•
� \ .
�
a"r; q CLAIM FOR HOMESTEAD RROPERTY TAX
��"`= w �= CREDIT/STANDARD DEDUCTION
� :� State Form 5473 (R2/1-90)
'°�• � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
9� 9�
FORM Y AR
H�,o a
I(We) __��/}')'l,�_��,_�2� __ certify that on the 1 st day of March , 19 �
`I ( We) occupied as our principal place of residence the following described real property for which a Homestead
�Property Tax 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
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded �
PROPERTY DESCRIPTION
% Taxing District (City, town, township)
�a�"livum_o/gYr_ �/ _M I �eg�vescnpuon I� ! T/oC �
i(�l.t�,.�19 (:.Jl.�
If any portion of the residential structure or the land not exceeding one (1) acre ihat immediately surrounds that struc-
ture is used to produce income describe the use and portion of ihe property utilized to produce income.
� // iT/A/�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
�� hereby certify the above siatements are irue. correci and Signature � �
complete.
Address (Street. number. city, state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding t(one) acre immediatety �
surrounding residential improvements (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
Resideniial improvements Dwelling - (4) � - �
Garage (5)
Other improvements (6)
Total improvemen[s - �ine (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true; - Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
sser of 7 /2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 1991 Pay 1992 19—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or �1,500 Valuation or �1,500
Signature of Auditor I Date
/1� _ _ .. !� �n-, , , a . � �',