HomeMy WebLinkAboutHomestead_GoebelarA 4 CLAIM FOR HOMESTEAD PROPERTY TAX_ FORM YEAR
w CREDIT /STANDARD DEDUCTION HC10 p
State Form 5473 (R2/1 -90) ' '
INSTRUCTIONS: See reverse side for filing instructions.
JI: CERTIFICATION STATEMENT
I (We) XnJvS certify that on the 1st day of March , 19
We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: ej owned El 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. t Q
CONTRACT RECORDED _
If buying on contract. Fee Simple- Owner's Name
Recorder's office where contract is recorded
Record Number
Page
PRAPFRTY nFRCRIPTIAN
I County- Town Is4 .. Taxing Mistrict (City, town, township)
JkA(A� AA tc",cn
Parcel Number Legal D lion I/ f
35-0. S ?, �y /.03AC::
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 he use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES T;
Vgereby certify the above statements are true. correct and Sign , r% • j MAY 1 1 1990
complete. -
Address (Street. number. city, state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE' - ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
.. - VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements
Otherland
Total land - fine (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 112 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
I --
.(4)
_
Signature of Auditor
(5)
(6)
(7)
1 (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 112 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1.500
Valuation or $1,500
I --
Signature of Auditor
Date Signed
M
SlAIE FOAM!1K11C-/W+1 'NACU RA FORMSIA
APPROVED BY STALE BOARD OIFMRI NM.IaN PAPgtmm DY 111E DEPARTMENT"OF LOCAL GM[LNMFNT FINANCE IC.I.Nr4I
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 fraud.Homestead fraud causes higher tax bills for all:therefore.
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lluu u bcy rti ooaun un tro thoo rvgiozeverid rfy mc otmhuaent n ty f t hteo y bearet eer l imgiobl toto r receive stad he
n0icials.'red Iklunmrnl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
LULU PART 1:PROPERTY INFORMATION
APR 1 2 Taxpayer Name Property Address
Goebel, Ronald G/Lucille
a RI fl I
wy 64 fast
GIBSON COUNTY AUDITOR
Francisco IN 47649 0
4444
Ronald G/Lucille Goebel
6100ESR64
Francisco IN 47649 State Parcel Number Legal Description
26-13-18-403-000.135-005 012-00135-00 PT S SE 18 2 9.923 AC
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• PART 2: TAXPAYER INFORMATIQN
Owner I First Middle Last
RoA/frt;O CSO/2G€ G-l°AFL
g.Address(number and street,city,state,and ZIP code) - — - - ❑ Same as pr:rperty address — — ---- — ' ' "
Gloo ,g .-'oe 6 f F/z1h✓ Dtsca /A/ X76 V9
'
Spouse /�jJ First Middle Last
4/4/
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Diced 4u/14 fl 06 Oa
Social Security Number(last S digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sot
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 y be liable for back taxes and substantial financial penalties.
Owner I Signa�" �714� 3��1 Date
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PART 4: ADDITIONAL INFORMATION
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