Homestead_Hume (2) % ME IORM 9M IR]/4P1 111rAsUttB FOELM SIB
MRCP.En BY cT.ATL[WPM)OF AMAINTt-y.,. PRFYAiBED BY nu.OEP.LLTYQ•tr OF LOCAL GOVERNMMT r0.:YCE IC -I.1i-l.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 yandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for at therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he Lept cantidential and can only he accessed by authorized county officials The Depannrent of
Local Liovermnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pro env Address
Hume, Alberta . ,,
1 1414,1--R2 Box 267
Oakland City IN 47660 Or 37
5146 -
Alberta A Hume
_ ______R2 Box.267 I °13?y E. /OA$• ---State-Parcel-Number - —Legal-Description------— --- —
Oakland City IN 47660-8137
I I I III I I I I I I I I III I I I I III I 26-14-18-204-000.421-006 003-00421-00 PT SE NE 18-2-8 1.75 AC
t o fit t ut n ut ii nu a tut ei n n t il ✓ C-1
t . ///
.
Spouse First Middle Last
Albert ct, Ron 11v..`Me'
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address .
•
- -I 2 38y E 10o S iela,eit n.d-C;tA ++.1/4t'1-660---813'7— - - - --
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.
•
6
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
rr nTIFIrATInH STATFMFNT
FORM YEAR
I HC10 9d-
I (We) A��certify that on the 1 st day of March, 19
I.(We) occupied as our principal place of residence the following described real property for which a Homestead
doperly Tax Credit is hereby claimed: 2-1 (We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on the prr� did "al(d the
property or is buying it under a contract.
y 81gC-;
Lois]e t4"8192Nit RAWGn" a.,
It buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Ni 911PITfOage
PROPERTY DESCRIPTION
jGounty Township Taxi slr City town o hip
rc uru _oQ Legal Descnplio _
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struucc-
ture is used to produce incorne describe the use and portion of the properly utilized to produce income.
nonocoTV nWMrn RV r:l AIMANT IN OTHER COUNTIES
County
Township
' hereby certify the above statements are true, correct and
Signature
mplele.
19 — Pay 19 -
Lesser of 112 Homestead
Address (Street, number, city, stale arid. ZIP code) u
k. 14-.2
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
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
Wesser of 1/2 Homestead
(2)
1991 Pay 1992
Lesser of 112 Homestead
19 — Pay 19 -
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of 11 r
(5)
(6)
(7)
(6)
I Hereby certify the above is true, Signature of Assesor
correct, and complete
Verilying Action - Signature of Auditor
Date Signed
Dale Signed
I A.rnwnn ncnnrTlnN At I r)WANCF
,
_- - -
1989 Pay 1990
Wesser of 1/2 Homestead
1990 Pay 1991
Lesser of 112 Homestead
1991 Pay 1992
Lesser of 112 Homestead
19 — Pay 19 -
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of 11 r
Date rgn