HomeMy WebLinkAboutHomestead_Askren (2) sWArF FORM S'w iG(s.lut Ih:AURIA FORM IS-IA
APPROVED Sly CcAtE?.0 1R11 OF lF F I Y NIN,YON FRF_4C?WFONI"RIF otr AM IVt T OF LXCAL COVER:.WEN1 IL\FANCE_IC t-1.1-12-7 I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD.PROPERTY MINERS:.
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tux bills for all:therefore.
41111 u II EA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to barer monitor homestead
a� filinu-This inl'ormauon will be kept confidauial and can only be accessed by authorized counts officials.The Department of
1 Local Government Finance will use this information m create tools that will help eonnrt-officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION--
Taxpayer Name Location Address
FEB 2 5`2013 Askren, Eric/Bessie
— 5882E 175 S
FRANCISCO IN 47649
44A31BSON G444go''" UD)TOR
II 11111 III Dlul mill de DI i II dia 1 II_IIill I IIII mil Ill Askren
5882E 175 S .
FRANCISCO IN 47649-9031
II'IIIIIIIIII'I'I'1'11111'IIII'IIIII1''II'III'I'iII1'II'II'IIIIII State Parcel Number Legal Description
26-13-19-102-000.009-004 PT E NW 19-2-9 1.494 AC C-1
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
,� �l�'i IiA1P�.Y V\L 71'�I�I 17'I 1 `
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.r l First Middle 4 - Last°- iz
== L� -. a A
Mailing Address(number and street.city,stare.and ZIP code) Same as property address
588Zeti 173$, rie\t.4 cgs c-c—R -
Spouse First ' �r Middle Last
Mailing Address(Number znd :reek city,state,and ZIP code) Same as property address s
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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
. .
PART 4:ADDITIONAL INFORMATION• . -
. v
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 (R51 10-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. V IT
I (We) &dj
lst
certify tha) AnNth JdP9?Marh, 20
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Cre9t is hereby cfakned:
El I (We) owned ❑ Are buying under contract AI Oave 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.
;-co N-r RACT! R ECO RDE D-ft-4
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
N&I—W-1-1 1-01, W- I ;FROPERT.YDESCRIPTIONA
F t �P'e p—;� �;
�V';- �'.' 5
County
Township
Taxing district (city, t q, t h
County
Township
I hereby certify the above statements are true, correct and complete.
Pa ;pe lnu 7 , _ 0000 q_'
Legal description
e property in question:
Q-Real property El Mobile Home (I.C. 6-1.1-7)
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.
Land not exceeding I (one) acre immediately
- 6 _ b Iy�NP FO PE RTY W N E CB Y CLAIMANT I N T E R C CL N TI E§
TRUE TAX'S 41
County
I Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signatur of claimant
CLLQkv6j
4C,(njbZrxf street, id� cT,,, L
ULAg
N
TRUE TAX'S 41
ASSESSED VALUE
HOMESTEAD'''
-NONASIDENTIAL -
E RUSE ON
x.
YA-
A �TTVy
VAL
W
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (fine I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
'V, STANDARDMEDLICTION ALLOWANCE
qw 20 — Pay 20_
L esser of 1/2 Homestead
$
n or $6,000
6
Signature of Auditor
D7 Sgned'*/
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