Homestead_Phillips (2) %MAME FORM 53ft Mr/5.M0 MAMA=FORM 75-1A
.ArrRm'EO BT CIITE I%MRDOt MNYUNI,.Y.0 PACAWPW BY MC DEPAKIVESI OF LOCAL GOVERNMENT FINANCE MH.I sr;t
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become,
more beneficial.there is more incentive than ewer for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed 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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Phillips, Eddie/Rita
RI Box 15 ot--#.1
Oakland City IN 47660
1669
Eddie/Rita Phillips
R1 Box 15 State Parcel Number Legal Description
Oakland City IN 47660-8609
26-13-12-200-000.075-006 003-00075-00 PT SE NE 12-2-9 7.25 AC
Ir�u��nt�t��nr��u��ur�n�n��n��nr�t�n�� ��nn��l C-1
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
Omer I First Middle 1\ 1 ( Last
E.�-&\L D n^ `1I l,`�
eg.Address(number and street city,state,and ZIP code) a ame as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) (-1 yarn as property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is toe 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
_
0
•
Y CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5673 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
d-j
I (We) _(ma x JWl_, � �_ _ _ 414-� certify hai on the'1'st day oT March, 19n
I (We) o as our principal place of residence the following described real property for which a Homestead Property Tax Cred t:is hereby ci fr ed:
I (We) owned ❑ Are buying under contract
G!ES0"' "
Have a beneficial interest in the entity that is liable for the properly 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
" PROPERTY DESC ON - _ - x 11 - -
County
Township
T di
- , town, fownship)�
ce in r _
al description
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.
,r! -/3- 14 -
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County I Township
County Township
HOMESTEAD
VALUE
NON - RESIDENTIAL.
VALUE
I hereby certify the above statements are true, correct and complete.
r
Signre of claimant
(num nd street, city, state, ZIP code)
I O ¢ CE j rl
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 plus line �)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE" . ,
19 Pay 19_
Lesser of 1/2 Ho estead
Valuation $2,000
LS
Signature of Auditor
Date �ed - �j