Homestead_ThompsonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
.; State Form 5473 (R2 / 5 -92)
au
INSTRUCTIONS: See reverse side for filing instructions.
/-\ - , CERTIFICATION STATEM
r�
WT ,
��
F. a�� . ' AWDIFi�3R_M
certify.that on the 1st
occupied as our principal place of residence the following described real propert four wohich a Homestead Property Tax Credit is hereby claimed:
I (We) 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 under contract.
- CONTRACT RECORDED
It buying on contract, Fee Simple owner's name - - -
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township ,
Taxin ictt (city ttown. township)
Parcel number
Legal `N1
(1)
II any ponion of the residential structure or 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.
Otherland
i�
ASSESSOR USE ONLY
TRUE TAX
.VALUE
ASSESSED
VALUE.
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I 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 plus line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
-
t9 action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
-
5
Signature of Auditor—
��1 r
• SIVE FORM'3,1••11C/trot IRFASOR[n w101 73-IA
nlPROCEO BY MATE BOARD OF VYrRNR wr nnn3RIBm BY THE DE/ARMENT OF I cu CAn2R.VMtsT FIANCE IC 4-I.I-ra.1
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 excr for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify-that they are eligible to rrcene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Leta confidential and can only be accessed by authorized county officials.The Department 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 Pr_ • F t r•
_ Thompson, Tina M
POHoxl3 re
Francisco IN 47639
4532
Tina M Thompson
108 N Third St State Parcel Number Legal Description
Francisco IN 47649-9767
ItIttlltttltlltttlttlltlttltlFtltttltllttltttllitrtlttltttlltl 26-13-19-202-000.246-005 012-00246-00 OLD PLAN 17PT
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
771/0 Mari - 1-) Otto oa
Address(number and
g Addm street,city,state,and ZIP code) �'Samc as property ad
/O / J —
Spouse First Middle Last
Mailing Address(Number and street,city.state.and ZDP cock) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sue 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 Signature Date
Telephone
ic /i4 .I Q.. L/ ^/ O ( ) /V/Q N 'c
Spouse Signature
Date Telephone
( )
PART 4:ADDITIONAL INFORMATION
.i