Homestead_Orr VtATt I(1RM!Mt.IC r MMI EREW:rfD FORM 73-IA
APPROVED BY STATE.WARD(F MYR:NT,._✓v PREYRIBm BY n1E DEPARTeEVT(w LOCALr{wELYMrTn FINANCE M 161.1-e2-1.I
Gibson County Auditor
191 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
FfRINCETON 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 ncr 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 divide to rrcchc the
benefit and to provide additional identifying information necesn.T'to allow county government to better monitor homestead
flings.This information will he Lept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tolls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Orr, Fonda G
RI Box 60e
Oakland City IN 47660
4316
Fonda G Orr
10874E 125 S State Parcel Number Legal Description
Oakland City IN 47660-8642
26-13-13-300-000.327-006 003-00327-00 PT NE SW 13-2-93AC
X
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
FD G LL Orr
ag Address(n u m b e r—a n d street,city,state,and ZIP code) —u Same as property address
D87� E j 251s 0a—ltLetiI CJ , lw' 47660
(
Spouse First Last
Ir (�
Mailing Address(Number and street,Lily,state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
SOS
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
receivedhe homestead standard deduction on this property..Each undersigned also understands that,byclaiming 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
i'
CREDIT /STANDARD DEDUCTION
. y - State Form 5473 (R215 -92)
tau
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC70
'I (We) __/✓�/Y- ��� certify that o the 1 st day of March, 19
�e) occupied as our principal place of residence the following described real property for which a Homestead Prop =r d&.h�#%* med:
" � I (We) owned ❑ Are buying under contract AUDITOR as
❑ 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 a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
ASSESSOR USE ONLY
TRUE TAX
VALUE
PROPERTY DESCRIPTION
County
Township
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Taxing ict (cif Town, township)
Valuation or $$2,000
Signature of Auditor -
o7:,;
Parcel number
Legal clescriplidp
.3 %- 0O
Total land (line I plus line 2)
/-S
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
Residential improvements
Dwelling
(4)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $$2,000
Signature of Auditor -
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 plis line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
,it ng action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE '
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or $$2,000
Signature of Auditor -
Date signed