Homestead_Dunn (3)CLAIM FOR HOMESTEAD PROPERTY TAX
i CREDIT /STANDARD DEDUCTION
, State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC70
CERTIFICATION ATEMENT
®) certify that on the 1 st day of March, 19
Oat oc pied as our pri6lipal place of residence the following described real property for which a Homestead Prop Cr it is b cl ed:
I (We) owned ❑ , Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property orrj� ping Idq ntract.
. CONTRACT RECORDED - ..
It trying on contract, Fee Simple owners name - AUDITOR
Recorder's off where contract is recorded Record number 1 Page
WI
- PROPERTY DESCRIPTI
County Township County
County
Township Taxing dis
(dry ! n, wnship) - -
ice ter
Legal descri
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to pr6duce income, describe the use and portion
of the property utilized to produce income.
-
a'79- a
NON- RESIDENTIAL
VALUE
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County
Township
i
.., -reby certify the above statements are true, correct and complete. Signatu imam
Address (number and street, city. state, 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.
(1)
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 pUs line 7)
(6)
I hereby certify the above is true, correct, and
c-^tplete.
Signature of Assessor
Date signed
=��ing action - Signature of Auditor
I Date signed
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2.000
STANDARD DEDUCTION
E
Signature of Auditor Date
cart FonM!JN get west M VZUUR FOAM:3-IA
AtrRm'ED BY STrE WARD Of MTTPVNTS.`aw PUSAIUa BY air DEPARTMENT Cif LOCAL GOVERNMENT FINANCE M6-I.1 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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
IIII
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Depannient of
Local Govuna,rcnr Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
— Taxpayer Name Property Address
Dunn, Raymond E/Melinda J
— P O IIox 34
` Francisco IN 47649
1729
Raymond E/Melinda J Dunn
P O Box 34 State Parcel Number Legal Description
Francisco IN 47649-0034
It�ullnrltllutluilr�ullnrll ��ulnlnlluinlrllrtl 26-1319202-000.079-005 012-00079-00 OLD PLAN 33/50
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
tat MOM/ E . Jb,n
- g Address(number and�-trees,city,state,and ZIP code) Same as property address
. 1)- )- LI eca i5 I tAt 47640- boss
Spouse First Middle Last
MgLPL1d4 1 )'''///%/44
Mailing Address(Number and street.city',state,and ZIP code) a as property address
2O. 8X 3y . eSee, J 4' Z/7b4q OO5 4L
.
PART 3: CERTIFICATION r.
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is toe 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
unlawfidly,he or she may be liable for back taxes and substantial financial penalties.
Owne gnaturc Date
PART 4:ADDITIONAL INFORMATION
S