HomeMy WebLinkAboutHomestead_Martin (9) MALE FORM."M I R'l S.F.) TREASURER FORM 73-IA
APPROCED BY SEVE BlIKREP OF nttTtINIR!w.0 PVAMIBW BY THE DLPARn@Yf OF LOGSL GOVERNMENT FN.AFCE MH.I-Oast
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 incentne than tier for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
IP HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing¢.This information will he Aeon confidential and can only he accessed by authorized cony officials The Depannient 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
_ Martin, Stanley R/Christine T
(tieWt lI tiedress 122 Hox402
5Ngq k.1300 se :Ibcr'fel IN 47613 AV 5
3473 54 I t 1 5
Stanley R/Christine T Martin
R2 Box 402 State Parcel Number Legal Description
Elberfeld IN 47613-8400
IllI r11rrr lrll Ilrrlirlrtirrlrrlll rrr��r rr�l�rrrlrrlr�rrl� 26-23-13-400-001.047-024 004-01047-00 PT S SE 1341012.848 AC
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
St A Nei R,176s•Q. L rvtn gt' ^j
tg Address(number and street,city,state,and ZIP code) L7 S5t&as property address
adi 9v 6 /3oo5 FGJ3,d,yeee1e. ZWd li ) 6 ) 3
Spouse 1 —�— First 1-ex Middle -� Last
Chrl1ne. r `fno.rlln
Mailing Address(Number and street,city,state,and ZIP code) [lame as properly address
57/95/ & 1300 s, EiLer- eIa , Th2 LI 7613
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 Si nature Date
•
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (Fi2l S92) .
INSTRUCTIONS: See reverse side lor /iling instructions.
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CE ICATI N STATEMENT
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I(VJe) T certify�th tonthe9st'day��L��
r,
I(We) occupied as our pri ' al place of residence the tollowing desc ibed real property for which a Homestead , pgcp�au,C�ediYis;hgre,D}LtiFairiie�:
❑ I(We) owned ❑ Are buying under contract
❑ Have a beneficial inierest in the entity that is liable for ihe properry taxes on the property and that owns the property or is buying under a coniract.
CONTRACTRECORDED
I( buying on conVact, Fee Simple owners name
Remrders omce where contract is recorded • RecorG number Page
PROPERTY DESCRIPTIO
Counry 7ownship Taxing dist �(ciry, t lmmshi / �
Parcel number Legal desc tion
no�-olo��-� s C= 1-�-10 . 9o�19-�
If any portion ot Ihe residential sWCture or ihe IaM rrol ezceedirg one (1) acre ihat immediatey sunounds that swCUre is used to protluce income, tlescribe Ne use antl portion of
ihe O�operty ulilizetl to produce incame.
��- �3-/3-��-�/. 0��-O�T
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
ig re of claimant
.ereby certify the above statements are true, correct and complete. ��
Addr (num6erandslreet,city,sfafe,ZlPcod -
,"i D 7 /
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD �NON-RESIDENT7AL
VALUE VAIUE VALUE VALUE
Land not exceeding 1(one) acre immediately �� �
surtounding residentlal improvemenis.
Otherland � (2)
Total land (line 7 plus line 2) (3) �
Dwelling (4)
Residential improvements
Gara9e (5) -
Other improvements . (6)
Total improvemems Qine 4 Ihrough line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, correct, and Signamre ot Assesor Dace signed
complete.
Ventying ac6on - Synature ot Audimr Date signetl
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _ .
Lesser of 1/2 Homestead r�
V ualion or 52,000
Signat f uditor Date sign
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