Homestead_Sloan •
STATE FORM W-de I,-,PI TNrATUrLA10551 TSSA
AP/ROVED BYSr4r MNRDnFAfl r:YR:nv PArsLEBIm BYntr DEPARTMINTOF LOCAL GOVERNMENT FINANCE MHLZ4.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 sandatd deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tar bills for all:therefore.
•) HEA 1344--21109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to niche the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filingt This information will he kept confidential and on only he arcessed by authorized county officials.The Depanntem 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
_ Sloan, Robert E/Fay
P O Box 184
Francisco IN 47649
4424
Robert E/Fay Sloan
P O Box 184 State Parcel Number Legal Description
Francisco IN 47649-0184
(tlnllutlEiltnlulitlnil Illnlnlnllniulnlrititl 26-13-17-303-000.256-005 012-00256-00 SHOP ADD 34/35PT
X
• . PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
F
BIJt? h I 5:6))11
•g Address(number and street.city,state,and ZIP code) i — — - - -0 Same as property address - — --'— —- - —__
pe. g3 /� Y %�9,vc i see, 2-A7 yXgig t /o‘. Os i cJ S---
Spouse First r Middle / Last
Mailing.Ad ress(Number and street,city,sate,and ZIP code) Same as property address /0 / b0 d
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 I S. toe Date
PART 4:ADDITIONAL INFORMATION
7
CLNMK 'FOi HOMESTEAD PROPERTY TA;
e, CREDIT /STANDARD DEDUCTION
a` State Form 5473 (R2/1 -90)
INSTRUCTIONS:.See reverse side for (fling instructions.
CERTIFICg4TION STFITEMENT
I 1 n
FORM
HC10
the 1 st day of March , 19
I (We) occupied as our principal - o residence thing described real property for which a Homestead
Forty Tax Credit is hereby claimed: I (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.
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name
MAY r } n
Recorder's office where contract is recorded Record Number age
PROPERTY DESCRIPT ON ^
County : Township Taxi istr -cI (City, town,•township
P c um r ;'Legal D cri on - o sG -o If any portion of the residentitru lure or the la d 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.
619 - 13 - 1-7- 303_6'26o.4J� -06'� -
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County aship
certify the above statements are true, correct and ignatur d
G
(Street, number, city, state and ZJP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL
VALU
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)
1989 Pay 1990 -
1990 Pay 1991
e,sser of 1/2 Homestead
(2)
Valuation or $2,500
J Valuation or $2,000
(3)
Si�r)g111r ,. AVOW
(4)
(5)
(6)
(7)
(B)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Signed
Verifying Action - Signature of Auditor
Date
r. I n
- JIMn v�v v
1989 Pay 1990 -
1990 Pay 1991
e,sser of 1/2 Homestead
l Lesser of 1/2 Homesteac
Valuation or $2,500
J Valuation or $2,000
Si�r)g111r ,. AVOW