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Home My WebLink AboutHomestead_Marvell (2)p.4 CLAIM FOR HOMESTEAD PROPERTY T a� CREDIT /STANDARD DEDUCTION State Form 5473 (R2/1 -90) i INSTRUCTIONS- See reverse side for filing instructions. \Ii c�. CERTIFICATION STATEMENT FILES R JUIt dRw991 YEAR HC10 AUDITOR s (We) certify.that on the 1 st day of March 19 �' -(We) occupied as our principal place of residence the, following described real property for which a Homestead Property Tax Credit is hereby claimed: 52 1 (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 ❑ -property or is buying it under a contract. CONTRACT RECORD_ ED If buying on contract. Fee Simple Owner's Name Recorder's office where contract is recorded Record Number Page PROPERTY DESCRIPTION County Township Taxing District (Ci own, t nship)' Parcel Numbe Legal Description o - I -00 IJSc�r 1y -3 - i If any portion of 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 Township County - .. Township I hereby certify the above statements are true. correct and Signature - G complete. Address (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 19 —Pay 19— Lesser of 1/2 Homestead (2) Lesser of 112 Homestead Lesser of 112 Homestead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 (4) - - Signature of Auditor (5) (6) (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 1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 —Pay 19— Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 112 Homestead Lesser of 112 Homestead Valuation or $2,500 Valuation or $2.000 Valuation or $1,500 Valuation or $1,500 Signature of Auditor Date Signed -�l L • R\R FORM ef•-,R`/5,0 THE s%ant FORM 75-1A ',MOVED BY MATE BOARD(*WI a4.T'bra PRESCRIBED BY THE DEPARTMENT1W IccAE CA ERVMAl FIANCE IC I.1-^11 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and lnarried 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.I lomesleat fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to teethe the benefit and to provide additional identifvine information necessary to allow county government to better monitor homestead filings.This infommmnn will he kepi confidential and can only he acersed by authariecd county officials.The Depannaent of Local Government Finance will use this information to create tots that will help county officials eliminate homestead Baud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Marvell, Georgia Ann P O Box 32 Mackey IN 47654 8631 Georgia Ann Marvell WI P O Box-32r State Parcel Number Legal Description Mackey IN 47654 54-0032 IIIIII IIIIIIII III�II Irl rr'lllrrll IIIIII III III111IIIIIIII 26-20-14-301-000.021-002 015-00021-00 PT NW SW 14-3-9.31 AC X PART 2:TAXPAYER INFORMATION Owner I First Middle • �� Last (seor9.;k f} iN %Al A R g Address(number and sweet,city,sate,and ZIP code) Q O pD},. 7/ - — -—-- arise as property address - - -- - 955di t. 41) f✓sr /4fCMo>/ Xi , g745V Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) set 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 Spouse Signature Date Telephone ( ) PART 4:ADDITIONAL INFORMATION •