HomeMy WebLinkAboutHomestead_Reynolds I
STATE FORM,31t4l1er'-m ITFAnRnr MIN.73-1A
APPROVED BY MATE BOARD OFMf RpTi➢m PtIARIBED BY till DEPARTMENT OF LOCAL G vrtsMEM FDaSLE le 4-1.1'4.1
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
mutt beneficial.there is more incentive than eler for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA I344-2004)requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flings,This information will be kept confidential and can only be accessed by authorized county officials.The Defiantly=of
. Local Government Finance will use this information to cream amts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Reynolds, Charles A/Carol K
4000 W 13 ev' c New Harmony
Evans e IN 47720
9591
1
Charles A Reynolds
12814 S Sunset Drive • State Parcel Number Legal Description
Haubstadt IN 47639-8671 a
26-22-14-300-001.717-024 COUNTRY VIEW ESTATES 9 D-2
IIIIIIIIitlilleite1111111IIIIII11111Ineloollitilltiollion
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PART 2: TAXPAYER INFORMATION /
Owner I First Middle Last
e a r l e3 At.3 77A/A/ _Pe /r2 o/Js
• ig Address(number and street,city,state,and ZIP code) [ .'Sine property address
/fl/V -Ye c aAISet mr M wJs Q/71--/ Ii/ 97137
Spouse First Middle Last
eet re, L �7 CY n 6/A
Mailing Address(Number and street,city,state,:and ZIP code) ante astropeny address
/.2K/Y 3( ScNse7 er y u16-3 t € 2 .,r i Y7/s7
. -- -- "_
'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 I Signature Date
-.\;_.
0
�.} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� Staie Fortn 5473 (R6 / 403)
Prescribed by lhe Department of Locai Govemmenl Finance
INSTRUCTIONS: See revcrse side lor filing msliuc(ions
FORM
HC10
YEAR_
I(We) Y� �� � f° /�S - �//�-Ow'C�o K'` �/� • certiry that on the tst d�y ot Maroh. 20
� �) \ .—
I(We) oaupied as o principal place of residence lhe follmving descnbed real property for which a Homestea-pd�t o,peyrty Tac Credit is herepby d�a�med:
❑ I(We) owned ❑ fve buying under wntract �.-�{ a�ij ��)1�
q ii .l�
, Have a beneficial inlerest in the entity that is liable for the property taxes on the property and Nat owns lhe�properiy or is buying ypQ� a contract.
Counry
Parcel
OQi
I/ any �
o( Ne i
County
// Tamshi Tating disUicl (ri t�own °wnshiP)
�il �:�"""� �� ltisl �' O7r1 � '
iher Legal escription Is the property in question:
— O/ i/%—O O ,si p,o�m ❑ bbWle Homo (I.C. 61.1-7)
on af Ne residenllal sWCture or Ne land not exceeding one (1) aae that immediatety surrounds that swGUra is used b p`oduce income, describe Ne use and portion
e+1Y uti¢ed tn woduce income.
Tavnship
�/!1
I hereby certify the above statements are We, corted and comptete.
dry, sfate. ZlPcode)
�^ ��A ES O 'SEONY'�- �'�'�4�TRUETAX�-vk ASSESSED`"VALUE �HOMESTEAD�``b NO -RESfDENTULL��
{a�"�� y.�.�-�s.�., px�.,�-s��,.,,�5g��� � v�"�,`?� � VALUE„-+1� .^AT�100%a'OF�TN� ��;VALUE� ������VALUE-_, �,�.,�,� a��
Land not exceeding 1(one) acre immediately k.3�r,��'""�"� }5���`� 4�
surrounding residential improvements. ��� ��,r���"�„y� .��*���,3ti�� z,
Other land �`�`� � � � ~
=�� �.;'
(2) ts.�'8i �''F?��
Total land (line 1 plus line 2) (g�
:,�r �'��' �x �".: �1i:}{
Residential improvaments orMnuatly �elling (4) ��,������.-.��,�
0.45essed MohUe / ManufacTlred Hame c5� �5. '.��" `"`_� �
Garage (5) a ,y�, .; ,�„_`+� �;4�"�-T
s7Fi �e'�Lu�iS'�`*� $.�.���r` 3'
��.�'��y,�c�`•: `''�,- s
Otherimprovements (6) �-�.����;;,q, �£�
3�°�i��. _.ei:1'
Tdal imprwements (line 4 fhrough line 6) (7)
Tdal value (line 3 plts line n (g�
I hereby certify Ihe above is true, correct, and Sgnamre otossessor oate signed
complete.
Verifying action - Signature otAuditor Date signed
20 _ Pay 20 _
�esser oi tY2 Homestead
. vauaYon orE35.000
Signawre af Audiiw
$
Date syned
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