Homestead_Nixon �. _ CLAIM FOR HOMESTEAD PROPERTY TAX I YEAR
ipr"i STANDARD I SUPPLEMENTAL DEDUCTION FORM
-'� _ - State Form 5473(R15/5-14) HC10
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS:See reverse side for Slog instructions
NOTE:Telephone.Social Security,drivers license,state Identification and federal identification numbers are confidential under IC 6-1.1-12-37.
n r. CERTIFICATION STATEMENT '>:-' j rig"if J a
I(We) I t- • . - I certify that I(we)occupied as my(our)p..•• '
place of residen -or am(are)buying the following described real property under contrail for which a Homestead Property Tax •
Deduction is hereby claimed on the date this application is signed, (date of signature). I'"yi y O
�1 Ovm- ❑ Am(are)buying under recorded contract 4 20
❑ Pull (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified p6yl r--1F>y�- trus4 .
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. ''')ON`.. 'ir,,,.,v
-'
If burg on contact Fee Simple ownefs name I
Recorders office where contact is recorded Record number Page
I
r '_- '`'� ?,Ta`_;,(:aRROPERTY,DESCRIP-TICN•�•-°' '�'sr s
Cauy
Township Taxig dstict(dry�le/m,for ')
Parcel numbs Legal desoip5m �2 Is the properly in question:
/• �]�Q--C. .XtSeal property ❑Amuaty assessed noble Mme(IC 61.1-7)
If any porbn of the resider.iel rvctse or the land not exceedsg one(1)acre that immediately=rounds that ouc e 6 used to produce unmet describe the use and pot
of the property Vdbed to produce income.
a6 - / 3 - 13 -,3Oc ao 1. 3 8' 5 co
PROPERTY OWNED ELSEWHERE BY CLAIMANT' - _ _ - .
Sala,Catty.and Tomssip 1 Is claimant vacating a homestead?
. ' ❑ Yes ❑ No
Signature of dam
I hereby certify the above statements are true,correct,and complete. _le-`
Address soofcornact(mum.be-and greet cgy,Sete,and ZIP code) ,1 L.�l�r/(,Q Address of va hoestad,E any Number and meet rsy,sate,end ZIP rode)
l` i o to(' G I oo 560-11A.O�l,�(,1(,L tt rA r II" ,I'
ASSESSOR USE ONLY ' I. I ASSESSED VALUE.: I HOMESTEAD VALUE,:`;I._, NON VEASLIUENTIAL•
Land not exceeding one(1)acre Immediately 1 x - . -
surrounding residential improvements (1)
Omer land (2) -:-&' ._
Total land(line 1 plus line 2) (3) _- s _ — _ _ -
Residendal es Mobil or —Dv eliing --- (4)
Annually Assessed MObilel
Manufactured H om e -
Garage I(5) r-7,�
c.,1-4,
i z
Other improvements (6)
Total Improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above Is true,correct,
Signature ofA<•«•a Date signed(month,day,year)
and complete.
Vaiying eaten-,Signature ofAudbr Date signed(cna day,)ear)
-1 2-s13- N,r-rr = °-�STANDARODEOt1CT10NALLOWANCE - '` `�� y. r
20 pay 20 Lesser of 60%of the aeancsnd value of the homestead or$45,000
Notnithsanthng any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-half(12)of the assessed value of the mobile home ormanufacured home.
Signature of Auudior Date signed(month,day,year)
DISTRIBUTION:OngiW-Corey Aa6bt,Fie-Stamped Copy•Taxpayer F1L Ag
1g
STATE FORM!3w ill/wn TRELSnRER FOAM 73-IA
.APPROVED BY STATE IXKROOFAIRR:\1t.:Px PREXIIIBET BY TUE DEPARTMENT OF LOCAL GOVERNMENT FINANCE K'VI.1`•-..I
Gibson County Auditor
' 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married coupb arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than goer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filings. Ibis information will he kept cnnlldaaial and can only be acce.Med by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
=-- - _ - - -- , _-. - . .- Nixon, Billy S --- — -- - --.. ._ -
RI Box 86 F
(Aland - ,'47660
4334
Billy S Nixon
10611E 100 S State Parcel Number Lezal Description
OAKLAND CITY IN 47660-8655
26-13-13-300-001.385-006 003-01385-00 PT NW SW 13 2 91.377 AC
I n ur I t I I m(I I I t(tiI n I I nt I t I ttI t I I I nt I I t III
C-1
X
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
I
III e — — —
g Address(number and street.city,state,and ZIP code) afome as property address
U0 ICE /00 0, -b, O \LL- On CI }- - rJ 976L--O
.-
SpSase_ First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) r Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sate
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 Signature /� Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R614 -031
Prescribed by the Department of Local Government Financ_
INSTRUCTIONS: See reverse side for filing insirtictions
l?"I". CERTIFICATION STATEMENT
FORM YEAR
I(We) certify that on thiFELPoMA9520
I (We) occup6d as o principdplace of residen 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 propare3ok
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
Taxing di5 ct city, town. township)
Parcel number
Legal description Is the property in question:
hN S — C) 0C
� 1 2'?' ❑ Mobile Homo (I.C. 6.1.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that sU4vt. is us'.'detr. produce income, describe the use and portion
of the property utilized to produce income.
a/ —/3 /2— — X / j Fs-- e06
PROPERTY OWNED BY CLAIMANT IN OTHER-'dOUkTIES
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and sheet. ci• state, ZIP code) 1
rz fkI 4s F_
ONLY.
TRUE TAX
VALUE
ASSESSED VALUE
AT 100 /e OF..TTV -
---HOMESTEAD
VALUE
NON-RESIDENTIAL..
-_'�VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Date sign5
Other land
(2)
I
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile /Manufactured Home
Dwelling
Garage
(4)
(5)
Other improvements
(6)
Total improvements (fine 4 through line 6)
Total value (line 3 plus line 7)
I hereby certify the above is (we, correct. and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD.DEDUCTION ALLOWANCE
20 Pay 20
Lesser of 112 Homestead
$
vatuation or 535.000
Signature of Audio
Date sign5
LlL�
I