Homestead_Low 1 STATE I ORM 53!...1W2 t•-tn• TP 11r
1ASLR FORM 73-IA
.ArrRtn'rn BY MATE B'RD OF..rtTRM3.`IN lrr-Y[FIamm nY n1E DEPAREMCIT F INAL GOVERNMENT/NA\CE M 6-1.1:_4,1
Gibson Country Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
0 more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud cause.higher tax bills for all:therefore.
HEA 1344--2109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit anti 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 authori,ed county officials.The Ikpanmcm 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
__ _ Low, Douglas A/ Emily F �1}, Q 5 (p 4
- - - ----- —— - -RLIA,x-2brR-
__- - —�_ Francisco IN-47649 '-- -- _ --
4628
Douglas A/Emily F Low
7420 E SR 64 State Parcel Number Legal Description
Francisco IN 47649
26-13-20-200-000.013-004 002-00013-00 LAKEWOOD HILLS LOT
24/25 C-1-D-7
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle Loki
Last
_ :I0(lGla 4I Ck_ ✓l- -- - - -
ng Address(number and street.city,state,and ZIP code) —, Same us property address-
12Iac0 . S LP -1;;Ct fc-i-sib tIJ y7& 9
Spouse First Middle Last
EfflIluj cy Lot -3
Mailing Address-{Number and sweet,city,stale,and ZIP code) I I—I 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
L..,
CLAIM FOR HOMESTEAD PROPERTY TAX- 1 _ YEAR
d^ -
i CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse, side for filing instructions.
CERTIFICATION STATEMENT
,I (We certify that on the 1 st day of March , 19 a
I (We) occupied a r principal plac residence the foil ing described real property for which a Homestead
Property Tax Credit is hereby claimed: I (We) owned . . ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the Frr ns the
property or is buying it under a contract. 1�r.J��
jj
CONTRACT RECORDED MAT U 1 1991
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Rec r ft e
PROPERTY DESCRIPTION
Cl" I Towpship^ I Taxing District (City town, taip)
(7 n
OParrcceTL rnb,5,,D 13 LegaI Desc t t\'I� �.
If anyopoortionUUof the residential structure or the land not exceeding one (1) acre that immediately surround that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
r
ASSESSOR USE ONLY _ TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land riot exceeding I (orie) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements - - Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19— Pay 19—
—
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4) —
-
-
- - -
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
StWature of Auditor
Date Signed