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Home My WebLink AboutHomestead_Bryant (2)Al d•, CLAIM FOR HOMESTEAD PROPERTY TAX y ' CREDIT /STANDARD DEDUCTION State Form 5473 (R2/1 -90) ° • INSTRUCTIONS: See reverse side for filing instructions. (We) CERTIFICATION STATEMENT that FORM YEAR HC10 �' 19 l D, r(We) occupied as our principal place of re Bence the f lowing described real p�AF';rt�D& 1 h a Homestead Property Tax Credit is hereby claimed: Er I (We) owned ❑ Are buyj(�?!ggunnjer contract ❑ Have a beneficial interest in the entity that is liable for the property taxes � A 2 d that owns the property or -is buying it under a contract. CONTRACT RECORDED If buying on contract. Fee Simple Owner's Name Recorder's office where contract is recorded Record Number Page Township PROPERTY DESCRIPTION Taxing District (City, town, township) It e{Nu er 3V-00 Legal Description q9 tL9 If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds 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 County Township County Township hereby certify the above statements are true. correct and complete. Signature - AA 6oxnnj Address (Street. number. city, state and ZIP code) ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL VALUE Land not exceeding 1 (one) 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— Lesser of 1/2 Homestead (2) Lesser of 112 Homestead Lesser of 112 Homestead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 (4)- - - Signature of Auditor (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 1/2 Homestead Lesser of 112 Homestead Lesser of 112 Homestead Valuation or $2,500 Valuation or $2.000 Valuation or $1,500 Valuation or $1,500 Signature of Auditor Date Si n SIDE FORM 3tA 1Ru wet TREASURER FORM i}IA AT/ROVED BY<TnOE DO/WOOF ACCOUNTS,R.v pnf4RIBm BY 711f DFRARIWNT OF LO(At['AVER-NWT"ro:Acrrebl.l-u-t.l Gibson County Auditor 1G1 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 IndividuaLs and tarried couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes • more beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tat bills for all:therefore. HEA 1341-2009 requires tatpacers who receive the homestead standard deduction to verify that they are eligible to remise the benefit and to provide additional identifying information necessary to allow county government to beuer monitor homestead filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Bryant, Robert M/Mary E 105 S 3rd Francisco IN 47649 82 Robert M/Mary E Bryant PO Box 268 State Parcel Number Legal Description Francisco IN 47649-0268 �t�tt��tTr�F��rtt�tt rrrt r1r1r11rr 1rtirr lllrlr tlt llrtrl 26-13-19-202-000.034-005 012-00034-00 OLD PLAN 48PT/49PT X This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2:TAXPAYER INFORMATION n I First Middle Last E void •dm Address(number and street,city,state,node) D$a a as property Lddress IDS Fran cfseaTel 4-7(0 41'7 Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) El Sane as property address Social Security Number(last 5 digits) DriTds License/State ID Number (last 5 digits) Other(please specify in Part 4 below) Sntr • 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 Own 1 star Date \Airy 1,5 de cNlic_