Homestead_EadsCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
•`. State Form 5473 (R2(1 -90)
INSTRUCTIONS: See.reverse side for filing instructions.
•I
CERTIFICATION STATEMENT
FORM
HC10
J
YEAR
(
I�
'i
I (We) I' �Pj 6_Q:Y-q 1 IW i y that on the 1st day of March , 19
I (We) occupied as r principal place of residence ftkfollowing described real property for which a Homestead
Prey Tax Credit is hereby claimed: ❑ 1 (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 it under a contract. VIrT Vy
1.
CONTRACT RECORDED
It buying on contract, Fee Simple Owner's Name rain 1 5 toau
Recorder's office where contract is recorded Recd Numbe�, s
�i.Nu
PROPERTY DESCRIPTIqq
County Township Taxing rict (Q})y,.lQwn, t nsh' )marl
1f1� ._ J (p l
P cgl � mb O n Legal De=n,,
If any portion of the residential structuror or the land no 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
y 19w 6euntY
v certify the above statements are true, correct and Signatu -
'e.
5s (Street, number, city, s�e 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 -
-1989
er of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Sign ur of Auditor A A vd� D Sigged��
I �A m 0 r\
(5)
(6)
(7)
(8)
I hereby certify the above is true, Signature of Assesor
correct, and complete
Verifying Action - Signature of Auditor
Date Signed
Date Signed
cTeNnAPn nFntICTION ALLOWANCE
Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19 -
-1989
er of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
i 'Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Sign ur of Auditor A A vd� D Sigged��
I �A m 0 r\
• MAIL r1MM!3!MIR2;smnl ial.W:RER MAN—IA
ArrkovEn ay SLATE OMRUrX M?'.(R'•ia.9n PRFYRIBED BY TM:nEP.i0.1E2`tr(i LORAL&WEt 1FAT FINANCE K'6-1.t-r4.I
.Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fmaL Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and ro provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and ran only he accessed by authorized county officials.The Depanmcnt 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
Eads, Gary W/Rose Mary
Po Box 306 P--
Francisco IN 47649 Q
4421
Gary W/Rose Mary Eads
Po Box 306 State Parcel Number Legal Description
Francisco IN 47649-0306
IltlltnLllttllnttiltnitltl 26-13-17-303-000.082-005 012-00082-00 SHOP ADD 25
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
_ �Jgayr� e... as As
hg Addtas( tuber and street.city,state,and ZIP code)
e. 0 .66x 306
Spouse First Middle Last
RoSc Mary ttdS
Mailing Address(Number and street,city,state.and ZIP code) Same as properly address
ro .goy_ 30(e C, 1.3ood S-t. t F rah c s &o1 J it 7C419
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
�.�.o CI— /�—/o
PART 4:ADDITIONAL INFORMATION