Homestead_Lee (6) S1Art FORM53M IR:r S-•■ TREASURER FORM SIA
A/MOVED nT•TATE BOVtDIN srn*ISTC.!vrr PEE_KNnPDaY TIM DEPARneJrif LOCAL GOVERNMENT FINANCE IC 1.I.1-2:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limbed to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than excr for homestead fraud.Itome:read fraud causes higher tax bills for all:therefore.
0 HEA 13442009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive a the
benefit and to provide additional identifying information necessary to allow counts.government to better monitor homestead
filings.this information will he kept confidential and can only ix 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 Property Address
Lee, Robbie A/Karen
RI Box 181
Oakland City IN 47660
1852 •
Robbie A/ Karen Lee
R1 Box 181 State Parcel Number Legal Description
Oakland City IN 47660-8401
�t�n��ut�t��nt��u��ut�u�n�II��� ��r�u���.. ��ur� 26-1 34-400-000.500-006/ 0073-00500-00 PT NW SE 34-2-91.0193 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I 4 First Middle Last
66ie e...--- A i et--
able Address(number and street.city,state,and ZIP code) E1-4me as property address
yo yo s f ao C ,0g,C 144vo 6 r_t J2(/ V7‘'0 -
Spouse First Middle Last
Mailing Address(Number and sweet,city,stale.and ZIP code) g 1 '+ e as property address
Z70 yo S 2 d o r d 4K AND °AI __ --/✓ Vie 6 0
_ - —- -
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 cure Date
•
•
'f
eE °a CLAIM FOR HOMESTEAD PROPERTY TAX -
CREDIT /STANDARD DEDUCTION
State Form 54731R215 -92)
Vu
INSTRUCTIONS: See reverse side for filing instructions.
- FORM EAR
HC10 3
I t a �_O V V'111� -I I ) WUl/ R (/\ certify that on the 1 st day of March, 19_L
®e) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
l(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 o ujgj,0bn
MAY 1 01QO;
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name _
Recorders office where Contract is recorded Record office where is recorded number
PROPERTY DESCRIPTION
County
Township
Taxing svi (d ,town, (own56 )
Parcel number
Legal description
(1)
00--3- oo-
=�- �. 0 9 ac
If any portion 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES '
County
Township
County
Township
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
reby certify the above statements are true, correct and complete.
Sgnatur f daimant ,
t
' 'rep(number and street, dry, state, Z/P mde)
.2. I (r, 'O'kiltmid C. 0
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)
Other land
(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 plrs line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Wing action - Signature of Auditor
Date signed
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
STANDARD DEDUCTION ALLOWANCE
S
Date sig p� /o' /]