HomeMy WebLinkAboutHomestead_Rigsby SIMS FORM•!'MIR_l,a•1 TREASURER FORM fl-IA
Aflfl tf by statt aMRD OE.VU PUNTS._UN PILIrtiliM by THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE n'il.l-r-,.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 •andani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tat bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identininu information necessary to allow county gocemment to better monitor homestead
filings.This information will be Led confidential and can only be accessed by authorized county officials.The Depanment 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
Rigsby, Kenneth B/Melissa E •
4177 F VALLEY PASS
11AUI3S1'AD I IN 47639
3462
Kenneth B Rigsby
4177E VALLEY PASS State Parcel Number Legal Description
HAUBSTADT IN 47639-7854
Iiliilitttitiittttiitititt�tttiirr�nt�n�tn�nn��nnn�ittt�nt��n� 26-23-11-200-002.438-024 WHISPERING WINDS SEC 316
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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
Mira 4 y ft\ Brod l-e-u Ki\gGhu
ng Addr h(nu.• and street,city,state,and ZIP code) �J Same asp pcM
Spouse First Middle Last
•
m-e,Ussa G gat nv 1� s b y
Mailing Address(Numt:r and street.city,sure and ZIP code) ! `Same 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 I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` ' State Form 5673 (R8/7-07)
Prescribed by Ihe Dapariment af local Govemment Finance
WS7RUCTlONS: See raosrse side for fiiing insWc6ons.
� ,^p� FORM
�^ \ r�� HC10
\ � � � � I
YEAR
��e� �� certiiy that on N'e� srt df/y ai tWbF�M, 20_
I(We) oxupied as our prindpal place of residence Uie fdlowing described real property for ich a estead Pmperry Tac Gedit is hereby daimed:
i'� I(VJe) owned ❑ Are buying under contraG �%� ,Q �
Have a benefidal interest in fhe entiry that is liable fw Ue property taxes on the property and that owns Me pro�3��pnJrgppdpq�i G.
If buymg on wntraq, Fae Simpe ownefs name
Recortlefa olfica where mrNaG is
Caunry
to•.m.
Record number � Page
Paicd number Legal descriplion �� ✓f'' y�i /- Is �he praperty in queslqn:
� uen�AL�Jt.�eC� p1 `° I ❑ R�� rovem- ❑ Moaia t+o� oc c-i �-n
If arry portion of lhe residerrtial strucWre or Ue land not exc rig one (7 ) aae Ihat immediately wrtounds ihat svucture is used lo produce inoome, descnDe the use arW portbn
of Ne property uliliz� tn produce income.
a�-a3-�/- �oo-ooa-�-o��!
���-
co��ry
Tavnship
I hereby certify the above shatements a2 We, cortect and complete.
Land not ex�rg 1(orre) ave immediatety
surtoundina residential immovements.
ONierlard
Tdal IarM (line 1 plusline 2)
Residential improvements or Mnualty �elling
Assessed Mobile I ManuFactured Home
Garage
Other improvements
TUaI improvements (line 4 Mrough Gne 6)
T�al value (line 3 plts Gire n
1 hereby certify the above is true, correct, and
complete.
veifyirg action - siprmwre of Pudita
n)
(2)
(3)
(4)
(5)
(6)
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ie)
Signatura ofAssessw
County
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Date signeC (rtanth. daY. Y��
Date signed (monfh. daY• Yea�
� �.•� � � • •
`° �Y 2� — 45.000 for 2007 pay 2008 42.000 for 2070 pay 2011
Lesser of 12 qq.ppp for 2008 pay 2009 47.000 tor 2071
Homestead Valuation paY 2012 $
a 43,000 for 2009 pay 2010 40,000 payable after 2012
Signatura ot Auditw Date sq7ned (rtronN, daY. Yea�
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