HomeMy WebLinkAboutHomestead_Brown (2) MAZE FORM,)H IR:/MNI TRLASUIEA FORM SIA
APPRovEO ay SF TE MNRD Or.NTRA s.9n PUS-BIDET)BY THE DEPARTMENT, Of EQaLrovrtNMENT FINANCE ICH.1-_!.I
Gibson N Main County Auditor
11IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud_Iomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 reqdi taxpayers ho receive the homestead standard deduction to ge that they are eligible to deceive the
bene fit and to provide a dditional identifying information emvey to allow county government to better monitor homse
filings.This information will be kepi confidential and can only he accessed by authorized county officials.The Ikpanmenl of
Local Government Finance still use this information to create tools that will help county officials eliminate homestead fraud.
LUIU PART 1: PROPERTY INFORMATION
APR 9 Taxpayer Name Prtnperty Address
y� Brown, Gary W/Patsy S
2aa 6
ON R1 I3ox 273 Aa
GIBSON COUNTY AUDITOR •
C--.. Francisco
c IN 47649
1791 I
Gary W Brown
2254 S 750E State Parcel Number Legal Description
FRANCISCO IN 47649-9051
26-13-21-300-001.399-004 002-01399-00 PT SW 21 2 9 5.00 AC
IIIIIIItIIiIllttlllllllllllllrtllttllllltlttllllllt,II,I,iI,,i X C-1-D-6
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
Gat LID e_ 9)c o w n
•te Address(number and street.city,state,and ZIP code) Same as property address
-.54 s Fro.ncseq _in. Lk- ‘a el- el 0S I
Spouse First Middle Last
10. S SJ� ?If 0 IsJ R
Mailing Address(N ber and Street,city,state,and ZIP code) ❑ Same as property address
aa�y 5 . P5o E . ok\\c\sco . fin . ylhy9 - R051
- -_--- ----"""—""' " .
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
•
I
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slats Form 5473 (R71 SM 00
Prescribed try the Departrnerd of Local Goiernrnert Fc;arms
INSTRUCTIONS: See use side for filing ms&LrADns,
CAT10i
I (we) certify that on the 1 st day or March, 20
1 (Vie) occupred�as Our P rd Are of residence the lo"- feel property for which a Homestead Property Tm Credit is hereby claimed:
I (m) owned Are buying under contract
Have a hpnefi ial' interest Rt in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
IICONTPACTRECORDED6�P,��4 'k -r
If btiying on cmbacL Fee Sirriple owners nerne
Retarders dke vrhee corbad is,ended Record number Page
PRdPElMDESCRJPTlC*Jkt, �` .�01J��-s
�Mllli
Tmnship
Tomnship
Tad1v (ci�K bwA, tOWT13119)
hereby certify the above stateffwnts are true, correct and complete.
Signalum of claimant
71&�j
Q
Parcel run be
L IS the pop"
Real properly ❑ Mobile Hone (L C. 61.1 -n
If any of the residential Ich or the kvrd rat excesdingone (l) are thm that sdu�furs
=Wilimd
m used to produce incorre, describe the umr and Portion
d the Pr=
I& -olv
surrounding residential improvements.
20_Pay2O_
Lesser of 12 Homestead
Valuation Of 535,000
- =71
County
Tmnship
comfy
Township
hereby certify the above stateffwnts are true, correct and complete.
Signalum of claimant
( nurber ad street Ely: st9ts. ZIP code)
S— S 75 0 'C 11W)W(f / S C C; -1/v
7r;
20_Pay2O_
Lesser of 12 Homestead
Valuation Of 535,000
- =71
q TRUE TAX i' "U
ASSESSED 4,
HDNESTEAD-*�
NONIIX
Land not exceeding 1 (one) acre invnediately
surrounding residential improvements.
(1)
Off" lend
(2)
Trial land (Ike I plus lore 2)
(3)
Dwegng
(4)
£ig.
Residential improvements Or Annually
11
Assessed Mobile I Man hatred Poo"
Garage
(5)
�
-00
Other improvernents
(6)
v,
Trial mprovernents (rve 4 thmo Nne 6)
(7)
IOU %,due (Ihv 3 phE Aw 7)
(8)
I hereby offfify the above is true, coffecL and
SqnshzecrFAssessor
Date SWAd
complete.
Vantyng acbm - SUnature ofAuchb3r
Date signed
20_Pay2O_
Lesser of 12 Homestead
Valuation Of 535,000
- =71