HomeMy WebLinkAboutHomestead_Collins (2) •
SAVE FORM?OAR IR-/A+1 MEASURER FORMm-IA
/ APPRISED BY MATE BOARD?AM R:1S.•ow PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 61.1-L4.1
Gibson County Auditor
101.N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PFjINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1374-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional idennfytne information necesstry to allow county government to better monitor homestead
filing..This information will be kept confidential and can only he accessed by authorize(county officials.The Department of
Local Goverment Finance ss ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Collins,Joseph W/Susan
RI13ox34313 /
Francisco IN 47649 / 1p t
- ti. - r- .- - - - _ , _ �(h/ _ �/
Joseph W/Susan Collins W/1
R1 Box 343 B Stale Parcel Number Legal Description
Francisco IN 47649-9166
I I I I tit III 1 1 1 1 1 1 I I I I I I 11tH I I I I tit III 26-13-32-300-001.296-004 002-01296-00 PT SW 32 2 9 17.58 AC
1 11 1 I11 11 n ll l 11111 n 111 I I 1 D-10
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
052 Q V\ W. Co LLB rS
—__i tg Addrea.(number and street,cit).state and ZIP code) - _ ._ —_____0 Sunk as pmpcaraddrer - — _ — -
y215 S c,-iSE
-
Spouse Iiddte _ Last
SO 50.V\ C. cLL AS
Mailing Address(Number and street city,state,and ZIP code) 0 Same as property address
92l5S EISE
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 penal ties.
Owner I Signature Date
le
1
aE CLAIM FOR HOMESTEAD PROPERTY TAX
"mss } is CREDIT /STANDARD DEDUCTION
State Farm 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC70
*�:�SZP, ertify that on the 1st day of March, 19/
d as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby daimed:
1 0 'ed ❑ 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 pro etyisu�nnr�d� contract.
CCA 2
- CONTRACT RECORDED " ,S
If buying on contract, Fee Simple owner's name
0
Recorder's office where contract is recorded Recor 1TOR 9 Page
PROPERTY DESCRIPTION
County
�sby certify the above statements are true. correct and complete. Signatula of claimant
Township
Taxing district
Parcel number —O —OO
Legal io
3 D Qti I
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 1 (one) acre immediately
surrounding residential improvements.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County Townshi County Township
�sby certify the above statements are true. correct and complete. Signatula of claimant
Address (number an rre .city. state. ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
I
Residential improvements
Dwelling
(4)
Garage
(6)
-
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
I�ying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
$
Signature of Auditor
FA