No preview available
Homestead_Hall (2) , STATE FORM Srkfl(R31 RUD TREASURER EO&M TS-IA APPROVED BV STATE BOARD OF ACCOUNTS.EIW PRF3.AIBrD BY THE DEPARTMENT OF LOCAL GOVERNMENT FOMANCE IC 61.1-224.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes 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 FILED 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. PART 1: PROPERTY INFORMATION APR 2 s 2011 Taxpayer Name Location Address C. .n` Hall, Donald J/Jeanie L �V\ 0 0 CR 200 N GIBSON COUNTY AUDITOR PRINCETON IN 47670 194 ^ Donald JHall iiiftillfll]1111_DIIII_1 min itemI�iniiiin _iiifllflOtt]IFmillim 4131 E200N ° PRINCETON IN 47670-8932 11 1111I 1-1- State Parcel Number Legal Description — f 26-05-35-400-000.428-004 /�IW SE 35-1-10.70 AC c-t S . • 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 Ow.._. I First Middle Last.. - Dr)Y\4 (-, 1• 5 ,T Q Ili i°s h 1a / Mailing Address(number and street,city.state,and ZIP code) 121 Same as property address `/ / A.)1131E 20o , -Pr tnrech IA) `/ 7co7o Spouse Firstl Middle Last — Mailing Addresi(NumtCi and sveei,city,state,and ZIP code) — -- — — -0 Same as property address- — - -- Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) I I I I I I I I I Suae 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 Signet Date \1 CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Form 5473 IRS 14-03) Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for riling insfnxtions. FORM YEAR _ HC10 G D TIF.ICATION STATEM_EN_T_`- s.-- ._.a•r;.s -.R -. I (We) U.(- certify that on the 1st day of March, .20_ I (We) occupied as our principal place f idence the following described real property for which a Homestead Properlyzedieby daimed: ❑ I (We) owned ❑ Are buyi under contract GIBSON COUNTY AUDITOR 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 under a contract. ��[ ��r.' �Wi '#.a�'r.sf�i'.r'_— .>�aueT.�s'F ��3"r�e ::i yiss' a-eCONTRACTr'RECORDED?.'. ='w.'K t fz "• e �Y' �n� w..'Lv`� a �.+d.; ?ar ' If buying on contract, Fee Semple owner's name Recorders office where contract is recorded Record number Page - County Township Taxing di 6 (city, to n, tcwnshi County Township I hereby certify the above statements are true, correct and complete. Pa 1 nu�m�/pr L I escriplio [ p Is the property i question: IV surrounding residential improvements. Real property ❑ Mobile Homo (I.C. 61.1 -7) If any portion of the residential structure or the Lind not exceeding one (1) acre tha ediately surrounds that structure is used to produce income. describe the use and portion of the property util¢ed to produce income. Other land �' .- OA ��'Xr�,�y�P,ROP.ERTY:OWNEDBY j jrRUE TAX PVALUE y'! County Township County Township I hereby certify the above statements are true, correct and complete. SigQature of claimant I fddress (number and street, city, slate, ZIP code) ® h r r,-4o �z 't! 417 7 0 �-u � §ASSESSOR USE ONLY?`'x'' ' cu- j jrRUE TAX PVALUE y'! A5SESSED'VALUE. AT.100 %OFiTTV -HOMESTEAD c �YVALUEt -.- -f. NOON- RESIDENTIAL u ^�"- �rd'VALUE.v.':R� Land not exceeding 1 (one) acre immediately S Signature of Auditor Date signed surrounding residential improvements. Other land y7r_ (2)Kw Total land (line 1 plus line 2) (3) Dwelling (4) E r ' � !•..tjzm,QS (Residential impro vements or Annually°�.6a.E:�„,;twtas Gara a g (5) act-, Assessed Mobile I Manufactured Home Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) 1 hereby certify the above is We, toured, and Signature of Assessor Date signed complete. Vedtying action - Signature of Auditor Date signed STANDARD '.DEDUCTION'ALCOWANCE 20 _ Pay 20 Lesser of 112 Homestead valuation or 535.000 S Signature of Auditor Date signed