HomeMy WebLinkAboutHomestead_BishopSIE RED
CLAIM FOR HOMESTEAD PROPERTY TAX
"s CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 15-9 2) -
reu
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
Nil
D 3
FEB 19 1991
CERTIFICATION STATEMENT er_�1 X'7�1�TT//1�pp
I (We) _ 1 certify that on ZEWWyrdP arch, 191
1 (We) 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 - -
—4 Have a beneficial interest in the entity that is liable for the property was 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 -
Recorders office where contract is recorded Record number Page
= PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County 7
I hereby certify the above statements are true, correct and complete. Signatur of claunant
Mtress ier and street, ciryAfate. ZIP code) in , ^
- ASSESSOR USE ONLY
PROPERTY DESCRIPTION -
County
Townshi
r
Taxin
h . -.
trict (city. flown, township).
I ltN Ill- �.K-ti1
Parcel number
Legal description
Otherland
in i
Valuation or $2.000
Signature of Auditor
It any portion of the residential structure or the land not exceeding
one (1) ac& that immediately surroundslhat studiure is ukbol to produce income, describe the use and portion
of the property utilized to produce income.
-13 =o?o -
o/ ate. /zi-m�
= PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County 7
I hereby certify the above statements are true, correct and complete. Signatur of claunant
Mtress ier and street, ciryAfate. ZIP code) in , ^
- ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE.
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Valuation or $2.000
Signature of Auditor
Total land (line I plus line 2)
(3)
Date ^signed p �
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
complete -
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
— -
STANDARD DEDUCTION ALLOWANCE
19 Pay 19_
Lesser of 1/2 Homestead
$
Valuation or $2.000
Signature of Auditor
\ ^1
Date ^signed p �
STATE FORM 535.aIRr10.1 IPEASUtEA FORM 73-IA
APFRtn'EO BY'TxTEIXwtD Of ACCO %T%.br ?FIARIDWDY Ale DEPMIMEYT OF LOCAL O[n2RNMa..FINANCE IC.-I.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and hurried couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than exer for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction in verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized courtly officials.The Depanntent 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
Bishop, Wilma D
P O Box 214
Francisco IN 47649
1763
Wilma D Bishop
P O Box 214 State Parcel Number Legal Description
Francisco IN 47649-0214
j— — 26-13-20-101-000.147-005 012-00147-00 SHOP ADD 13 PT/28 PT
t n toI t I I toI n IIt I u I I t I r I In IIrI I nt IIt I n I I n I I
—
_
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
Owner I First Middle Last
r
CO l, m >a D 8 5' No f
.mg Address(number and street,city,state,and ZIP code) ® Same as property address
I ( t 4J. tit( & 5±, PD (pie .FRAN c) s co ).T,v c1761/9
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as propene address
• • • ft_ = — .
- • • - - • • *
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Sear
• PART 3:CERTIFICATION —T--- ' -- -
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
PART 4:ADDITIONAL INFORMATION
•
•
•