HomeMy WebLinkAboutHomestead_Benjamin .
•- STATE FORM!t t =r
tR +N1 TREASURER FORM TIT
-.PPMA'ED BY STATE Moan OF AFETEN1S`J w PALwBThED BYTE DEPARTMENT Of LOCAL CAY,ZRMMrNT FBSASCE IC•I.1-x4.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY O�1
101 N Main `NE-RS—__
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become_
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tar bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeeive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings-This information will he kern confidential and can only be accessed by authorized county officials.The Dryunment 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
Benjamin, Marcia B/Ronald R
?4-1
816- - - - -— --- - - _-- - - - - - -no 0. 513-1) .
Marcia B Benjamin Frr hc.,5(a�t-0 41(6'19
1813 N 550E State Parcel Number Lent Description
FRANCISCO IN 47649-8907
jljn)juljljjntjnjj tjn)n)tjtjnjju tju tjnrjllt li ..I.il 26-05-36-400-000.783-004 00-0718300 NE SE 36110 40 AC
PART 2:TAXPAYER INFORMATION
Owner'I1 First r1 Middle Last
MC:YCa t} �?7'efh r1P nJ G NS,Pt
• g Address(number and street.city,state,and ZIPcodc)— ___-_. — _— _ Ii2rSnme as property address___ _ _ . _ _ _ .- __
1413 1J. 1S-cl•S e. FY41,(;scabtu `/1(.4c -45 el
Spouse tt�� I First �// Middle �1 Last
K-avne_IcA ILL / g. ' •
am1 r.
Mailing Address(Number and street city,state,and ZIP code) / [one as property address
I$l3 A). S6u 6• ?ir•fct4C TOO int.4Sr-erd 7
Each undersitmed certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receic'e 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
•
1
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Fomn 5473 IRS / 4-03)
Prescribed by the Department of Local Government Finance
INSTRUC77ONS: See reverse side for Ring bru;oucjjons.
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APR 2 7 mb
'fie) "In �t- ' ' / / j PAX-L4 Y=mj
XZY certify th,,Lo
,g# March. 20
@Vj�y'�off' " —
I (We) occupied as out principal place of residence the following described real property for w a Homestead Property Tax Credit is hereby claimed:
�7 (We) owned ❑ Are buying under contract
IZi 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.
k
NTRAGT-,'RECORDE02a�� 'fi}�i: *.;�W 1*57z�
Vff%m 6".
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
Township
district (city, town, township)
Parcel number
L description Is the property in question:
00 a - 60 79 7- 12) 1 ❑ Real property ❑ Mobile Home (W. 6-1. 1-7)
If any portion of the residential structure W the not exceeding one (1) am that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utifted to produce income. "/ o
r 0z- -.36 fa 0 -moo *.1 '2� 06 /c/
-3699�z'-WW2 -PROP.ERT.YOWNtb? 6*caimAkT,;li4r(jT ET 66L T1
County TMnship County Township
I hereby certify the above statements are true, correct and complete. Signature of claimant
Address (numb" and street, city. state, ZIP code)
I Nky�-2E
�S-S!,�,S-S.-E
UE
RN
-.4 NMiEOE-WrIAL N 1N
Land not exceeding 1 (one) acre immediately
surrounding residential improvements-
F.
NZ
011
OthN land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
'Residential improvements
W
Assessed Mobile /Manufactured Home
Garage
(5)
BECOME I W-W
Other improvements
(6)
Q�'
Total improvements (line 4 through line 6)
(7)
Total value (fine 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
20 — Pay 20
Lesser of 112 Homestead
Valuation or 535.000
Signature of Auditor Date signed