Homestead_Allen (2)�7 CLAIM FOR HOMESTEAD PROPERTY TAX FORM_ YEAR
JF -- CREDIT /STANDARD DEDUCTION - Hcto (� a
State Form 5473 (R2/1 -90)
°° INSTRUCTIONS: See reverse side for filing instructions.
STATEMENT
i (We) � y l a^,Wo�,l\�o�X�ec.c certify that on the 1st day of March , 19
' AiL-
(we) occupied as our principal place of residence the f owing described real property for which a Homestead
Property Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes pe aad that owns the
property or is buying it under a contract. T1
CONTRACT RECORDED APR 2 319.°.1
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Page
I'll IT lJrW r1IV IIVry
Taxing District (C)t� town,
61r - u O b er Le IL
O a� ti
K�
If any portion of the residential structure or th Ind 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
®,hereby certify the above statements are true. correct and ignat r�
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 S1,500
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 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 S1,500
Valuation or $1,500
Si a of Auditor
Date Signed
4M
HATE FORM!IYn IL I S-M1 TIFASU[G FORM D3-1A
.VPRII EI BY S1 ATEIXARD OF Al ml l'R.9w RLYANED BY THE DEPM.IMEVHFUrsIr vpRNMRw FINANCE Ic t.r-r 4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1144-2009 requires taspa)crs who receive the homestead standard deduction to verily that they arc elicible to raceme the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and can only lv accessed by authorized county officials.The Department 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
Allen, Mark S/ Rebecca J
106 S Darnosa DR
Ilaubstadt IN 47639-8159
7331
Mark S/Rebecca J Allen
106 S Damosa Dr State Parcel Number Legal Description
Haubstadt IN 47639-8159
1110111011 111 n11r1t1u 1It1nn11tItlt�t�n��nn��nn�t�� 26-18-36-403-000.126-009 013-00126-00 WEST HGTS 2ND ADD 106
7(
PART 2:TAXPAYER INFORMATION
Owner First Middle / Last
ar cdGy
4//en
g Address(number and street.city,state.and ZIP code) ame as property address - -- — _. - -- —
/06 S beuvr7ost ear 445A, /-✓ $ 7639
w
Spoe First Middle /J/� Last
Mailing Address(Number and street,city,state,and ZIP code) -Sate as property address
— --
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 1 Signature Date
PART 4:ADDITIONAL INFORMATION
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