HomeMy WebLinkAboutHomestead_Vincent Sear I OR",'w,Mi l v_p., 1R SCRrR IOWA IS-1A
AltROVE.n ON C A M DMRnn1!J.I a dlSb.M PRISOLIBLIthrlite.DU'ARIMEYI OE LOCLLCOVIA 111-ST ILW-CE If e-!.1-22-1•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.AN it receipt of tltix deduction becomes
Princeton. IN 47670 more beneficial.these is more ircentiw than ner for homasuad fraud.ilotnevcad fraud causes higher Ias bill,for all:therefore.
• HE\ 1344-2004 renuirvs taxpayers who reeri\e the homestead standard deduction to verify that they are eligible to receive the
benefit and In pnside additional identifying inter utmn necessary to allow county government to better monitor homeacad
filings.This information will be kept confidential and can only be accessed by authorized county official..The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead d bud.
PART 1:PROPERTY INFORMATION -
Taxpayer Name Location Address
Vincent, Ricky L/ Brenda S c.
155E 1025SS
HAUBSTADT IN 47639
8348 _ _
Ricky L/ Brenda S Vincent III 1111.111111111111111 11111111111111111111111111111111-II IIIII6IIIi I 11111—
155E 1025 S
Haubstadt IN 47639-8043
"11"1111 1"1111"11111i 1111111'11'11'111111'1'1111111111'I'11'I State Parcel Number Legal Description
26-19-31-400-001.054-024 PT 5 31 310 .5865 AC D-9
FILED
MAY 092017
c.o.
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax paymenPf 4hFebUMIT easurer.
"-, N. I •I s-•
r I First Middle - - - Last — , -
Mailing Address(rlmtbcr and street.city,stare and ZIP code) 4Same as property address
•
Spouse , First Middle Last
fl(t -I-
Mailing Address(Number and street,city,state.and ZIP code) LJ I . < m
ae as property address
-- --- - -
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 1
.
��
4=
. �i'
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Foim 54�3 (Fi2 / S92)
FORM
HC10
YEAR
'��
INSTRUCTIONS: See reverse side lor lling inshuctions. j
��d I;t ± a �<�
CERTIFICATION STATEMENT i� �' -
I(We) �'�- ceAify that on the L�d'a,y of,Marcil�Y9
I(VJe) ccupied as our principal place of residence the following descnbed real property for which a Homestead Property Tax Credii is hereby,claimed:
❑ 1(VJe) owned ❑ Are buying under contract � �
�-:,:V� �iTQ�
❑ Have a beneficial interest in the entiry that is liable for the property taxes on the property and that owns the property or isbuying urtdera�.contract.
/[ C���a
CONTRACT RECORDED
If buying on conVact, Fee Simple owners name
Recorders offrce where contract is recorded - Flemrd number Paqe
PROPERTY DESCRIPTION
Co �_ / T sh" � / Ta<ing di iri (ci own, lownship)
C� , � % 1'�./
Parcei mber I tlescription
—v/O� ��
If any ponion of the residential siructure or ihe land not exceetling one (1) acre that immediatety sunounds that strucWre is usetl to protluce income, describe the use and portion of
the.property utilaetl to protluce income.
�� - 9- 03/- � -a0/. Q�� O�
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Si natu f Gaimant _ � , I
�ereby certify the above statements are We, correct and complete. «� ����G
dress (n ber antl sfreet, ciry, � te, ZlP code �� S
a � � � -�°
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(oneJ acre immediately (�� �
surrounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwellinq (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7) �
Total value (line 3 plus line 7) (8) Y
I hereby certify the above is true, c rtect and Signamre o( Assesor Dace signed
complete.
Veritying action - Signature ot Autlitor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Less of 1/2 Homestead S � �
al ation r S2,000 '
SignaNre o� Autlitor �� - Dat� gned
� r �