HomeMy WebLinkAboutHomestead_Rexing (17) STATE FORM 53569 OVA-09J TREASURER FORM TS.I Al
APPROVED BY STATE BOARD OF ACCOUNTS,2809 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOYFRNME\T FIN, ME IC6-.I-22-8.I
OR AN NO I D 'u HOMM 6 A D ' ' O ' V OWN "S
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
-duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
auses higher tax bills for all; therefore, 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 filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
IAMB 9 `�..[O U l 1 1` TION
Taxpayer Name Property Address State Parcel Number Legal Description:
Michael L Rexing 457E 1200 S J 26-23-18-200-000.146-024/ PT NE NE 18 4 10.76 AC
HAUBSTADT IN 47639 ✓ R9
Complete and return to: tflhI11®m®®®'li mmm®®timmmmmm®
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART g134A\PAS'1I1 INFORMATION
Owner I First ddle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ED Number (last 5 digits) Other(please specify in Part 4 below)
f I I I I I-1-1 I —i st.
PART 3: CERTIFICATION
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 1 Signature p p Date it - )l F
d�; , CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
;r"-� � CREDIT/STANDARD DEDUCTION Hc�o 0
•.,��� State Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side for liling instructions.
CERTIFICATION STATEMENT� D r ��/� O�
I(We) ���" - - !� certify that on the 1 st day of March , 19 �
�(We) occupied as our principal place o esidence th fpllowing described real property for which a Homestead
--,/
roperty Tax Credit is hereby claimed: rQ 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 the
property or is buying it under a contract. _��
CONTRACT RECORDED
on contract. Fee Simple Owner's Name
's office where contract is recorded
.� . :l
Record Number Page
„ CL `r' . '�S
...- �: �. ;:
PROPERTY DESCRIPTION "
County Tow ip Taxing District (City, town, township)
Par el Number _D � Legal escription
If any portion of the residential siructure or the land not excee i g one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion o the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
� hereby certify ihe above statements are irue. correci and Signature . ,
complete.
Address (Street. number, city. state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
� VALUE
Land noi ezceeding 1(one) acre immediately
surrounding residential improvements (�)
Otherland (2)
Total Iand - line (1) plus line (2) (3)
Resideniial improvemenis Dwelling (4)
Garage (5)
Oiher improvemenis (6)
Total improvements - line (a) through line (6) (7)
Total value - line (3) plus line (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
Lesser of 1/2 Homestead
Valuation or $2,500
SignaWre of Auditor
STANDARD DEDUCTION ALLOWANCE
7 990 Pay 1997 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �2.000 Valuation or $1,500 Valuation or $1,500
Date Siqn
-�__�.