Homestead_Perryd CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
a w 4
-- CREDIT /STANDARD DEDUCTION Hcfo
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT' 1RTT / e `J
(We) U ¢ Ce.fi e K ertify that on the W10* 8f 109kh , 19 C�
I (We) occupied as our principal place of residence the follo g described real property for which assHomestead
Property Tax Credit is hereby claimed: (� I (We) owned (.C2Y><Rrf� der contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
El 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
PROPERTY DESCRIPTION
County Township Taxing Dis ict (City, town, township)
Parcel Number Lega Description
2- oaa27 -o0 r°
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.
' -
13--1 a6r0. as 7- 06.E
P_ HOPtH I Y UWNtU BY ULAIMAN I IN U I t1tH
Township County
I hereby certify the above_ statements are true, correct and k/8,ignature
number, city, state and ZIP code)
�2/�--
t5
Township
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE . HOMESTEAD VALUE NON -RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Otherland
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 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)'
- -
-
- — –
(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
C -11
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 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Date Signed
<i■lL FORM'!Mgtn,-e l WRW.WIIER FORM it-IA
APPRIA'EA BTST<TF MNRD M'MTTR'ST<.snr PREANBm BY 1SL DEPARTMENT OF LOCAL ramRYMFTT FINANCE If 11.1.1-224.1
Gibsor, y Auditor
Main
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 e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
-® HEA 1344-2009 reqderes ap who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit nd to provide adaal identifying information necessary to allow county government to beter monitor homestead' F
filings.This information will he Lept confidential and can only be accessed by authorized county officials_The Depanntent of
Local Government Finance will use this infoTnution to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 9 LULU Taxpayer Name Property Address
j
Perry, Rebecca A
_
°' ' 7. Po Box t?5 I I
GIBSON COUNTY AUDITOR Francisco IN 47649
4488
Rebecca A Pe
x 215 T" State Parcel Number Legal Description
FRANCISCO IN 47649-0215
26-13-19-201-000.227-005 012-00227-00 F&MC 23/24
I rlt tllt ttltlltttltrilrim rllmrr mrltlttt llthlmt triiritittllt tl
X.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Co) Last
zn
t r g Address—Mamba and street,city,state,and ZIP code) -- —/ - - — - — — -❑-Same as prime fl address— 1-- --
Pa �')��X // 6;O& Ck2'S7nJi(/_r/ IRAAleISae) .1 & 76g4
Spouse First Middle Last
N/A N/ A NIf)
Mailing Address(Number and street,city,stale,and ZIP code) El Same as property address
!v\\ if /1
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
0 / 1 sm DJ/ 7T 0 / A
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 1 Si nature �� Date
(/ (
PART 4:ADDITIONAL INFORMATION
•