Homestead_Shaw SI5TE FORN!)'M nl'I YP TREAS ilnt tORN 3!.S
♦EENfn'Ell BY STATE BOARD Of•CMU Tv Zion ERf9(WBWD BY THE DEPARTMENT O FLOCAL GOVtt=.rNT FIANCE MVI.I-tra.i
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 becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1 34-1-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Shaw, Clyde A/Marcia E l�x/
R3 Box 262 13
Oakland City IN 47660
166
Clyde A/Marcia E Shaw
11916E 150 S State Parcel Number Legal Description
Oakland City IN 47660-7851
I' ' II II II I II I I I II II 'I I I I 26-14-18-404-000.196-006 003-00196-00 PT SE SE 18-2-81.085 AC
t o nt t ut n ur to tt it r nn ru r I. r lr C-1
I
5
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
C �• de A . SVlai, )
•ts Address(nu ber and street,city,state,and ZIP Eode) - -- ' ® Sartre m property Dddnti- — — •
Spouse First • Middle Last
rfthRC\A l S Y-\k a ; , 1
Mailing Address(Number and street,city,state,and ZIP code) IXy 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 elieible 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
E
CLAIM FOR HOMESTEAD PROPERTY TAX _EQRM YEAR
CREDIT /STANDARD DEDUCTION, - 1
State Form 5473 (R2/1 -90) -
INSTRUCTIONS: See reverse side for filing instructions.
'
/1 n CE TWICATION STATEMENT NOV 31992
I (We) ( 0 11CL °L certify that on the 1st da 0 �
(We) occupil as our principal place of residence the following described real property for which a Homestead
roperty Tax Credit is hereby claimed: e) 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
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
�.i�l1�.t1',L�1�Yy.111lNL`
County To phi Taxing District ty, wn, t wr hip)
Parcel Number Legal Description
_ o S� `T '02 -8 1.e85��
If any portion oft 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
County County Township
hereby certify the above statements are true. correct and Signature
complete.
ddress (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
Lesser of 112 Homestead
Valuation or $1.500
19 — Pay 19—
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature of Auditor
�_
(3)
Date Signed
11-9-9 -�,
(4)
-
-
(5)
(6)
(7)
(8)
I 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
Lesser of 1/2 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1.500
19 — Pay 19—
Lesser of 112 Homestead
Valuation or $1,500
Signature of Auditor
�_
Date Signed
11-9-9 -�,
,f