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Homestead_Bottomse CLAIM FOR HOMESTEAD PROPERTY-TAX YEAR y9 CREDIT /STANDARD DEDUCTION �� HC10 R ! 1 ' State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for filing instructions. UILKIIrfl:AfJYN 5IA (We) / that on the 1st day of March, 19 I (We) occupied as our rincipal place of residence th following described real property for which a Homestead Property Tax Credit is hereby claimed: I (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 RECORDED If buying on contract, Fee Simple Owner's Name Recorder's office where contract is recorded Record Number Page PROPERTY DESCRIPTION County Township Taxing Di i (City, own, to hip) Parcel Number Legal D ri tion C�� m ` U 0- 00 5a ov . �L - - fJ � xi 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 statemerits are true, correct and I re complete.' W , A ress (Street. number. city, state a9gd ZIP code) Ll J ASSESSOR USE ONLY - - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL VALUE Land not exceeding 1 (one)'acre immediately surrounding residential improvements Otherland 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 112 Homestead (2) Lesser of 1/2 Homestead Lesser of 112 Homestead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 (4) - -- - - - - - - (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 112 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 112 Homestead Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or $1,500 Signature of Au I r Dat n ur _M111111111 • SIAM FORM 5MA.12'/.-.rvl tarAsuPER FORM SIA APVNtw'En BY SIVE BOARDtw NYTMiVS Ya PRE2 IFIED BY TAW DEPARTMEn(Y'LOCAL Cd4ER.NMENT FP:ASCE M 0.1.132-!.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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 1344-200c requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Depanntent of Local Government Finance will use this information to create awls that will h:Ip county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Bottoms, Timothy W/Susan E 5 3 to $ L t uaoI IJ Somerville IN 47683 8474 Timothy W/Susan E Bottoms PO Box 264 State Parcel Number Legal Description Somerville IN 47683-0264 26-20-02-404-000.152-003 020-00152-00 PT SE 2391.47 AC rrr rr PART 2:TAXPAYER INFORMATION Owner I First Middle Last I morr+�! LC), 5o Tit m5 ig Address(number and street,city,state,and ZIP code) D.Same as property nddiec. OX 6// SOTna20 ►uEJ fM 4h65i 3 Spouse First Middle Last � _ t5 rJ �- Sot ivmS Mailing Address(Number and street,city,state,and ZIP code) Same as property address - Roc xy 5,IF-72( )1uF, 47b83 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. rte ature Date PART 4: ADDITIONAL INFORMATION