HomeMy WebLinkAboutHomestead_Whitehead (3) MATE F ORM!!!MDR:(NNI 1RWASURIR FORM:11A
.APPROVED BY STSIL b AKO OF AQ1R'NTS,evN PE1 t1aW BY IDL DEPARTMENT Of LQTL CAVERNWAl FIANCE ics-u-U-P.I
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
more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher lac bills for all:therefore.
• HE.\ 1344-20M requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Thic information will he kept 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 feud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Whitehead, Mildred M
R6 Box 233
Evansville IN 47711
3474
Mildred M Whitehead
5222E 1300 S State Parcel Number Legal Description
EVANSVILLE IN 47725-7829
- L 26-23,13-400-001.087-024_004-01087-0o PT S SE 13 4 10.69 AC AC
IiIE IIIIDIIIlIIIIIJILIuIIIIIIlIIIIIIIIIlIIIIuIIIItIIGIiI �/ - - - -- - -=
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.
I PART 2: TAXPAYER INFORMATION
Owner I First )11t. Middle Last
on g Address(number and street,city,state,and ZIP code) g.Same as property address
c7/ 2 22 161 3-ots C, rc co 2,Lae. ,o/1/no (1772-s-1-71729
Spouse First Middle Last
- Mailing Address(Number and street gay,stair,and Z.1P.co e)_ — _-_ _ [].Same as pmpenv.address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
slag
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
•
�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� Sta�e Fwm 5473 (R614-03)
Prescribed by Ihe Department of Lacal Govemment Finance
INSTRUCTIONS: See �everse side !or lilinq inslructions.
0 ��
1�. �
FORM
HC10
YEAR
I(VJe) I 1 `�, Yl � O 0'� 1_ J I 1J�A �,,IIQ ��. �( certify ihat on the I st day of March, 20_
I(We) occupied as our principal place of residence the follovnng described real property for which a Homestead Property T�c Credit is hereby daimed:
❑ 1(VJe) owned ❑ Are buying under wntract •
' Have a benefidal interest in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a wnVacl.
I( buying om m�Vad, Fee Simple ownefs name
Remrders oifice where contraU is remrded
�"�'2��v'.�'�..+t. T.i`P'r�y„�Br-+i^,�"'g .
�.t.s..itA: x*+4M�k' ✓v:'+'rt^`�,'_�i�,
County . Township
district �iry, town, township)
Record number � Page
Parcel number Legal description /\ Is �he pfoperty in question:
Oo y- o i og �-� u ❑ Real propefty ❑ Mobiie Homo (/ C 67.7-n
If any portion ot the residenllal sW dura w Ne land no� exceeUing one (1 j aae thal immediately surrounds �hat shucWre is used b DrOduce income, describe Ne usa antl portion
of Ihe properry uWized tn produce income.
-�3 �/3-�so-0�/.oX%0�?5�
?�`.�',.x-�'a"�_.-_-_�--�F�'� .'�'�.`?..---`�4�.�'.�!?�-$r.�..'-?.�TP,ROPERTY.OWNEU�BYCIAIMANT�IN��:OTFIER'COUNTIES{�.`,`�.'0�2°,���„,�;�y-�i?:'�+,�ic,.��,.�,'�".'6�.�'
Counly Toxnship County Tavnship
I hereby certify the above statements are We, coved and complete. Signamre otclaimant
Address (number arM stree4 �+1Y, stafe, ZIP cade)
a a�4�.-��'�?'.r�L?F i�s"�..��; '�i�'�h'i'?�2 "' ,r� _ . ,u,.. . . �,a...�-� . � .�
` �=h ASSESSOR�USEONLY�`� � '""3�,"'",�+TRUEeTAX��-s"* ASSESSED�VALUE �+HOMESTEAD ` NON�tESfOENTIAL�
� _ `� . ��'...�� -�;".��v�-�`.�'�`.��.�"�.,'�,� �'t`.�.�.VALUE..'i� �AT.�100%�:OFTTV� �:-:_VALUEnY� ���`}�VALUEtxs��'��'a.'�ttar�
Land not exceeding t(one) aue immediatety � �3x'fs,,, z�p�;��•���4'':����
surrounding residential improvemenis. ( � ,-�,�y'�'; ���.�a�,s���j;,����k,
?�""t:3ti-:3r�.rp�{;,' .
Other land (Z� -� ..��.�5 Y
"��� '
Sa-��..Y� LCi
Tdal land (line 1 plus line 2) (3�
Dwellin 4 �' r i'� ?� �� �'�'� �
9 ( ) a� �� e
Residentlal improvemenh or Mnuaily �`����°"�'��-�
Pssessed MobOe / Manufattured Home Garage 5 ���`r�.��$���,��L�.�%'���
( ) ea 1
�x s.swN.4 a` ''��Yi{�.
Other improvements (6) ��-����"� 3��c
x
� -t �s
Tdal improvements (line 4 thmugh line 6) (��
Tttal value (line 3 phs line n (8)
I hereby certify the above is true, corred, and Signature otwsussor oate signed
complete.
Vrfilying action - Signature oflwtlimr . Date signed
x�..���. �J��i��`�.,:5.,� s�",�7�1?��+an:STAN�ARD:DEDUCTIONAL'COWANCE,'�.y.'.`�'s,�',z°s'�`.,`r...��''�+�'�s.".���as,``N^��^.'',.��<'��'�.;"s+�+..4`.�a`'�"�;�
20 _ Pay 20 _
�esser of 1/2 Homestead 5
vauauon or E35,00p
Sgnature of Auditw � Date signed .