Homestead_Ross (7) MATE foitm,m AIIt:fYNI nrsSUD ROAM 7.3-1A
Ai/ROVED BY ar(TE BOAPO Or YYS a:YTC.a N PPISRlBm BY tt1E DEPAFnec(FLOCAL CovrLYMrwr FI: srrw41.CL4.1
Gibson Crounty 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 becomes
_ more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud ousts higher tax hills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to recebe the
benefit and to provide additional identifying infomunwn necessary to allow county government to better monitor homestead
filings.ibis information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will we this information to create cols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ross, William M/ Kimberly J
. \ RI Ho. ' • C
I n. its tv�
4408
\
William M/Kimberly J Ross Lo0J2Eltr
10196E 125 S ° State Parcel Number Legal Description
Oakland City IN 47660-8637
26-13-14-400-001.375-006 003-01375-00 PT NW SE 14 2 9 10.0929
--I r I I I r IP II r I I II I I I IIr I oo IIr I t I I elIr I —
AC —D-6-C-1._.
• ..
PART 2: TAXPAYER INFORMATION
Owner I First Middle - Last
lOL(L( a fe.._ •A, /_- - 1 5
ig Address(number and stree city,state,and ZIP code) - - - _ -
t, O.Same as properly address — — -- — - - - -- —
1019(D E. gas s . 1 Oa/S ficJ1 )toly, -T & o97o(D U
Spouse First Middle Last
i�i rn6e2L� C-e n P055
Mailing Address(Number an street,city,state.and ZIP code) 0 Same as propeny address
1016 E Os S. D�g(A-nd 6}-Li) Xi7{v1d)
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 hack taxes and substantial financial penalties.
Owner 1 Signature , Telephone
Itk/1i4 4 57(0//0 (
•
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
r O
3,`a
r CERTIFICATION STATE^NT
/�� ,,,,,,```,,,//////���
'We) V v � certify that on the 1 st da6f Marc 19
We) occupied as our principal place of residence the following described I r pertly for which aHomestead /y +��r,�T��j��1r� r d:
❑ I (We) owned ❑ Are buying under contract GIBBON (:ri;UtJT Y AUDITOR
❑ 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 -
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (oily, town, township)
P rce nu r �
legal description
If any portion of the residential structure or the land not exceeding orfe (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income.
GV /J7.5 — God
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Signatu f a; ma t
9 (number street, city, state, ZIP code)
fi&8ta t /1F 7[cLvC�
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line 1 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 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
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or 52,000
$
Signature of Auditor `
D ign /1