Homestead_Patel STATE I ORM!!!.IR_I WI TRFASUA[R PORN 5-IA
APFRA'm BY AVE arum OF YrT Rm'IC.q•x PRlARInm BY THE orrAwn rr(F LOCAL GWERNMFNT FINANCE IC 4-1.1-22-11
Gibson County Auditor
107 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limbed to one homestead aandard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
/Ilk-
MP HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to cerifv that they are eligible to recene the
benefit and to provide additional identifying infomiation rece'sary to allow county government to better monitor homestead
filings.This information will be kept con6detuinl and can only he accessed by authorized county officials.The Depannent of
Local Government Finance will use this information to create tools that will help comity officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name - ---
Patel, Ritchie C/Senora Gayle Ca?37s o E So S
Princeton IN 47670
3447
Ritchie C/Senora Gayle Patel
Rersa -27-7- 3 ice a SD 5('P State Parcel Number Legal Description
Princeton IN 47670-8876
I I I I IIII III III I I III IIII I 26-12-11-300-001.418-004 002-01418-00 PT SW SW 11 2 10.75 AC
re. ue t ia ur nr ., r u r ur r nr r r PT NW NW 14-2-10 C-1
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
____ _ _
ig Address(number and street.city,state,tina ZIP code) Ei Same as property address
-150 E. 505 Pt/A/eE :0 )/ --N 41 &10 •
Spouse First Middle Last
6E_A/0 RA a E P4 &L
Mailing Address(Number and street.city.state,and ZIP code) ElzSame as property address
2)-7-so F, So c Pz,AJe,E.i 0 J - ,.5 Li-7670
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
s� CREDIT /STANDARD DEDUCTION
State Form 5473 (132 / 5 -92)
uu
INSTRUCTIONS: See reverse side for filino instructions.
n €G 31199
YEAR
1 nNe) l.: - p ify. that on the 1st day of March, 19 --
6) occupied as our principal place of residence the following 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 property and that owns the property or is buying under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
'` PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
Parcel number
i 8 coo
Legal description
P-E S W 4- P7,L tk,,j 114-)44 -a 7s tic.
ova-0
r
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
Signature of Auditor
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
®eby certify the above statements are true, correct and complete.
S natur ` Cl
Address )number and street, city, slate, ZIP code)
RA Z A90A 277 'A
8
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or S2,000
Signature of Auditor
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 jobs line 7)
(S)
1 hereby c dy the above is true, correct, and
complete .
Signature of Assessor
Date signed
tying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 Pay 19_
Lesser of 1/2 Homestead
S
Valuation or S2,000
Signature of Auditor
Date signed