HomeMy WebLinkAboutHomestead_Conklin SIM FORM!!!t+IR/■rl i.1RLlSI'yaB FORM 1tA
A MOVED BY ST VIE 13CHRD OFAM1TIUNT3.Tx rap/warn DV DIE orewsw.YT or LOCAL OOVtt MITT FT:M'CE IC 1-1.1-174.1
Gibson County Auditor
101 N Main ` IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
di more beneficial.there is more incenthe than net- m
for homestead fraud.Iloestead fraud causes higher tax bills for all:therefore.
IV HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are cligibic to receive the
benefit and to provide additional identifying information rktt.slrr to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authnri'ed county officials.The Ikpanncm 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
Conklin, Roger L/ Rebecca G
RI Box 87
Ilaubstadt IN 47639
9443
Roger L/Rebecca G Conklin
3003 W 1050S State Parcel Number Legal Description
Haubstadt IN 47639-8634
III,rIIttIlulLtttilrlllu.1. LJlFtttlL1111III 11.1...II 26-22-03-100-000.818-024 004-00818-00 PT E W 3 4 11 1-207 AC .
`l PART 2:TAXPAYER INFORMATION ,
Owner I First Middle Last
Mio66-2. (6-6 Coio�L_Z�
on Address(number mad street city,state,and ZIP code) —--- -/ Same as property odor ss — —-- . , -- - --'-'
Spouse First Middle /� Last
/'
Mailing Address(Number and street.city,state,and ZIP code) yr'Same as properly address
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, or she may be liable for back taxes and substantial financial penalties.
Owner I S. hare Date
• /
��
a�'•M s CLAIM FOR HOMESTEAD PROPERTY TAX veaR
•.,�3'� y4° CREDIT/STANDARD DEDUCTION . H i �
� State Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side for filing instructions. MQR 1� 199?
CERTIFICATION STATEMENT -
I(We) �►- `. certify that on the 1 st day �tafBrdSR 19 �
"We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: L�-jWe) 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 I
property or is buying it undera contracL
If buying on coniract. Fee Simple Owner'
Recorder's office where contract is recorc
,� -o� -d3 - G8-pGY� • �i
Couniy T n i
Par�cerl,�umQ,b�er�IQ Legal e$
i
CONTRACT RECORDED
DESCRIPTION
Record
township)
� '3-�F-II • �01 f��
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
ES
ASSESSOR USE ONLY TRUE TAX VAIUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
� VALUE
land not exceeding 1(one) acre immediately ��
surrounding residential improvemenis (�)
Other land (2)
Total land - line (7) plus line (2) (3)
�Residential improvements Dwelling (4) -
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through line (6) (7) -
s �
Tolal value - line (3) plus line (7) (8) F
I hereby certify the above is true. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 7990
Lesser of 1/2 Homestead
Valuation or $2.500
��
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991
Lesser of 7/2 Homestead
Valuation or S2,000
�
1997 Pay 1992 79—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or 51.500 Valuation or $1,500
Date Signed
3-IS -9�