Homestead_MaierCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R817 -07)
,• Prascnbed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We)
as our
I(We)owned
R -4-
FORM YEAR
MAO 0 2 09
w -r IF / V vicertify that on the 1 st day of March, 20_
place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ 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 under a contract.
CONTRACTRECORDED
If buying on contract Fea Simple owners name
Recorders of5cs where contract is recorded Record number Page
ASSESSOR ONLY
TRUE TAX VALUE
HOMESTEAD I
NON-RESIDENTIAL
PROPERTY DESCRIPTION
County
Township
Taxing di fd (city, town. township)
Parcel number
L desc'ption
Homestead Valuat ion
or
Is the property in question:
40,000 payable after 2012
':>"•,.
surrounding residential improvements.
❑ Real property ❑ Mobile Home (IC 6- 1.1 -7)
o eh%portion of the residential structure w the land not exceeding one (1) acre that immediately surrounds that structure is used to produce Income, describe the use and portion
of the property utilized to produce income.
- �3 -i9- 000.
ASSESSOR ONLY
TRUE TAX VALUE
ASSESSED VALUE
HOMESTEAD I
NON-RESIDENTIAL
42,000 for 2010 pay 2011
AT 100% OF TTV
VALUE I
VALUE
mm
Land not exceeding 1 (one) acre iediately
Homestead Valuat ion
or
43,000 for 2009 pay 2010
40,000 payable after 2012
':>"•,.
surrounding residential improvements.
(1)
Date signed (month, day, year)
.
-
Other land
(2)
r.: - -
Y'!` .
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
-��•.
Residential improvements or Annually
- . ;.= ,:;.. - -�r: ,- �, v- .
-
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
y-�-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7) -
(8)
1 hereby cerfify the above is We, correct, and
Signature ofASSessor
Date signed (month, day, year)
complete.
Vetfying adion - Sgnature of Auditor
Date signed (aonth, day, year)
STANDARD • r
20 Pay 20 —
45,000 for 2007 pay 2008
42,000 for 2010 pay 2011
Lesser of 12
44,000 for 2008 pay 2009
41,000 for 2011 pay 2012
$
Homestead Valuat ion
or
43,000 for 2009 pay 2010
40,000 payable after 2012
Signature of Auditor
Date signed (month, day, year)
MATE I. v!t-,Ru W.1 TAr C4LER FORM eau
.VFRnvED nY ar•TE Ln,aD Of ArrnI4.Tt_ aN PRLflJBrn BY 111E BEP.1RTME4T 4L(MAL nmiR:NrMR ra<A.CE IC II-1.1-2:4.1
Gibson County Auditor
101 IN Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundanl deduction.As the receipt of this deduction becomes
L more beneficial,there is more incentive than e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
IP HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recd.,:the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing..This information will he kept madonna!and ran only he accessed by authorized county officials.The Depanniem of
Local Government Finance will use this information to create :oats that will help county officials eliminate homestead fraud.
PART I: PROPERTY LNFORMATION
Taxpayer Name Property Address
Maier, Gary W/Dena Ann 30 S F'est
.n y 1f>bo �..\
•
4491 r ,r) C/5 O/ lU
Gary W Maier QC
PO Box 276 State Parcel Number Legal Description
FRANCISCO IN 47649-0276
I r1ttl1rrn1r 11Ptt1ttl1tlttllllltllt llrrrlrllIi�t rt lrllLrr tltll 26-13-19-201-000.242-005 012-00242-00 PERKIN ADD 15/16
PART 2:TAXPAYER INFORMATION .
Owner I First Middle Last
CAli • kip 0.y NA tea. tr
to Address(number and street,city,state,and ZIP code) --- Same as property addict' -- ——
, a, �ofc alto rraNC;sco L) X1110`{4
S :e First Middle ,�^ Last
suta., (t NrJ ' ' ` 0.,¢t'
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
R, P. Rox D.- to rr&Nc:sco 1 ) Lk16Li CI.
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.
Owner Signature Date
_-' PART 4: ADDITIONAL INFORMATION