HomeMy WebLinkAboutHomestead_Ralph v -
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- APPROVED BY STATEROOM OF ACCOUNTS,200.1 PnESCRIBO3 BY THE DEPARTMENT OF LOCAL OOV FASMENTWOUV(£IC 61.1-214,1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
' Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
_ J HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
T.( benefit and to provide additional identifiing information necessary to allow county government to better monitor homestead
■ , IT, �, ,:�,/ ; filings.This information will be kept confidential and can only be accessed b1'authorized cowry olhcials.The Department of
1 Local Government Finance will use this information to create tools that will help county officials eliminate Iwnrstead fraud.
APR 1 ° ,� PART l: PROPERTY INFORMATION
- Taxpayer-Name Location Address
' C•�•Hy Ralph, Marlen
� 892ESR68
GIBBON COUNTY AUDITOR iAU6sra0T IN 47639
11236. - . . •
Marlene C Ralph IIII�iiliillILIIII tiliIii_dlliid11 II.Illli11111111Cliltiil illi111111 i lillil� —
892ESR68
HAUBSTADTIN 47639
State Parcel Number Legal Description
26-23-05-300-000.798-024/PT E W 5 410 .535 AC 0-9
- 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.
----r 1—r----_--.__,.___.._ --NT$ ATI _.
First Middle - Last
�6 L C4 Ems-, Kit MA_(_,,D
Mailing Address(number and street,city,state,and ZIP code)- - . D Same as property address
% fI 6 , S/P-H1 i4cfrs \]F ]�1, c --7/3.
Spouse First - Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ' ame 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 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 ignature `� • Date
�.�•n
a� ° i CLAIM FOR HOMESTEAD PROPERTY TAX
;��'� CREDIT/STANDARD DEDUCTION
,�=��� State Form 5473 (R2 / 5-92)
yu .
INSTRUCTIONS: See �everse side for tiling instructions.
FORM
HC70
YEAR
f(W\^��✓_�J`^� i l-�/-CLv�/1-�-�-w—� certify that on e s a of M rcit
�_) gcsupied as our principal place of residence the following describ d real property for which a Homestead Property�C��s he�yryd im :
/ 1i. �.d �S
I(We) owned ❑ Are buying under coMract ,{jpp y p��
❑ Have a beneficial interest in the entity that is liable for ihe property taxes on the property and ihat owns the property or isGTyiA� ubdenr �eb7Mact.
CONTRACTflECORDED
tl huying on contrect, Fee Simple owner's name
Retorder's Oflite where Contract is recarded
Record number � Page
PROPERTY DESCHIPTI �
Couniy . Township . Ta�cing dis ic� (ciry, town w ip)
��c�'n;ryb�r j/� ,A�/� {�J /�c�Legaldescription
`( �`1(_1• I V 1' l/ X ( I
�•��l l \.J\./ � < <J U\ /�
If any portion ot the residential structure or fhe lantl not exceetling one (1 � acre ihai immediatety surrounds ihat sirucNre is used to produce income, describe the use and ponion
of �he pmperry utilized to protluce income.
Counry
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES
certity the above siatements are true, correct and complete.
numberaMSlreef,pry�5tat�ZlqcoQQ) � n
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surrounding resideniial improvemenis.
Oiherland
Total land (line 7 plus line �
Dwelling
Residential improvemenis
Garage
Other improvements
Total improvemenis (line 4 through line �
Total value (line 3 p�s line �
I hereby certify Ihe above is true, correct. and
complete.
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000
TRUETAX ' ASSESSED
VALUE VALUE
(�)
l21
(3)
(4)
(5)
(6)
l�1
le)
Signature o�A5se55or
STANDARD DEDUCTiON ALLOWANCE
S
HOMESTEAD
VALUE
Township
NON•RESIDENTIAL
VALUE
Date si9ned
Date signed
fie�