Homestead_Martin (2) 11 ATE I00..M!Mt. '/fwl MAULER FORM 711A
ArrRre'rn BY ST Mt wtaO Or•('314\Tl. •n rtI9(WBwD BYnICDr>ARTEYrcw LOAtrovrRYMrNr FINANCE MN.I-r•I
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individuals and married couples arc 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 Ia'bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information Il Cesvry to allow count''government to better monitor homestead
filings. this information will be kepi confidential and can only he accessed by authorized county officials.The Depanmmn 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 Properh'Address
Martin, Robert K/Alana L
4255 S SR 57
Oakland City IN 47660
4908
Robert K Martin
4285 S SR 57 State Parcel Number Legal Description
OAKLAND CITY IN 47660
26-13-35-400-000.535-006 003-00535-00 PT W SW 35-2-91 AC
•
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
R - a PA-, +
1g Address(number and street,city,state,and ZIP code) -- - - — �y'Sung as property eddiess - — - - - --- --
42 $5 S. S tad 4-p,c O
Spouse First Middle Last
Al AAA L44_ Ldcir /KACh
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
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 ignature Date
�• p, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
r )
INSTRUCTIONS: See reverse side for filing instructions.
It
CERTIFICATION STATEMENT
I (We)\ \_ -1 1 I -certify that on the 1 st day of March , 19 9*0
,!We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: C�-rWe) owned ❑ Are buying under contract
El property 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
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
Townships (1 r Taxing DistriA (C6y, tovyn, township)
Parcel Number I I De cri tion� W 5 - a ^ i • �c C
_Q0535
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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES K , IL ""A gill'
I County Township County Tow
�- APR 9 7 1990
certify the above statements are true, correct and
Address (Street, number, city, state and ZIP code)
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)
1991 Pay 1992
19 — Pay 19—
Lesser of 112 Homestead
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Sig
(5)
Da Signed
-a 7 -9Q
(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
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 — Pay 19—
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Sig
re of Au or
.
Da Signed
-a 7 -9Q
9