HomeMy WebLinkAboutHomestead_Hornby elilt IOXM!.1110 Ire aw 1RFASutfB FORM IS-IA
nfMtn:ED BY CTSIL.MNMDeW ACCOuNix aln PRESCRIBED BY FIDE DEPARTMENT OF URAL C.(WERNWIIT FINANCE M•1J--"J.1
0 County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than estr for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reethe the
benefit and to provide additional identifying information nett art to allow county government to better monitor homestead
filings,ibis information will he kept confidential and can only be accessed by authorized county officials.The Depannlent of
local Govenunent Finance will use this information to create teals that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hornby, William M/ Mary Ann Life Est
Et
5237 E 1150 5
Ilaubstadt IN 47639
10943
William M/Mary Ann Homby
5237 E 1150 S State Parcel Number Legal Description
Haubstadt IN 47639-7913
�t�n��ut�t��un��t�r�n�nt��t� ��n��tn��t�ut�ut��� -26-23-12-400-000.493-024 004-00493-00 PTWSE 1241038.648 AC
PART 2: TAXPAYER INFORMATION
Owner 1 First ^ Middle Last
TVH /V ! .SIL A S HORu
tg Address(number and street,city,state,and ZIP code) — -- gi—Same as property oddfess —_. - --- - - — —_.
First Middle Last
in A r 'r. .A N H D 2 N 9 r L C:
Mailing Address(Number and street,city,state,and ZIP code) ®Same as property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elicible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfttlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
d�•?, CLAIM FOR HOMESTEAD PROPERTY TAX
•;,�> --; = CREDIT/STANDARD DEDUCTION
' State Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side lo� liling instructions.
FORM YEAR
HC10 �
CERTIFIC TION STATEMENT UO T- D0 � 9� 'O�%
) ���`.���I� ertify that on the tst day of March , 19 �
occupied as our principal pl�Qe of residence the f�g described real property for which a Homestead
rty 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 ihe
property or is buying it under a contract �
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract
ownship
PROPERTY D
\
�.,�•���`�
_r,
-in ii�-
If any portion of the residential structure or the land noi exc�eding one ( t)"acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township�_ County Township
i
certify the above statements are irue. correci and � � /Siqnatu[e„� ,/
�' �..L�� �7��i��
�(�ee� �� r, cit , u t�jand IP c�e) � /� 7� S 9
�
,( � !�(�+�t.01�
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSEO VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements ��)
Otherland (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)
Total value - line (3) plus Iine (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 1 /2 Homestead
Valuation or $2,500
��
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 7991 Pay 1992 19—Pay 19—
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesserof 1/2 Homestead
Valuation or $2,000 Valuation or �7,500 Valuation or $7,500