Homestead_Anglexf ^R
CLAIM FOR HOMESTEAD PROPERTY TAX
i
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 15-92)
r16
INSTRUCTIONS: See reverse side for filing instructions.
[I ?FO"* YEAR
FEB -19 1991
occupied as our principal place of residence the follovnng described real property for which a Homestead Proberty 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 under a contract.
CONTRACT RECORDED -
If buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
` PROPERTY DESCRIPTION
Coun/��, ''NN
Township
Taxing district (ty townA,,township)
lJ ' l b O n
Township
ltuxl CI
Parcel number
Legal description ,^ /` 1
Atltlress (number and stre t, city, st e. ZIP code)
5 31. ,�2veix ✓
,,
V a A,
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure 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
HOMESTEAD
VALUE
County
Township
-Geby certify the above statements are true, correct and complete.
-
Signature of mant
Atltlress (number and stre t, city, st e. ZIP code)
5 31. ,�2veix ✓
u �s�¢d �- �y��
ASSESSOR USE ONLY -
TRUE TAX
.VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements-
(1)
-
-
Other land
(2)
'
Total land (line t 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 pits line 7)
(g)
1 hereby Certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
VV -ruing action - Signature of Auditor
Date signed
19 _Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
of
S
ALLOWANCE
HATE FORM!WIt""l.wl tAtitERk*M 73-1A
.Arr Kt.EDel"515TE WWI)Or AmnuNT.c.w.v PAE_SAISFD BY TIM DEFARTME T OF LOCAL rAWRVMrNI FINANCE M 6-I.I-24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead svandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than tel for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1374-2007 requires tatpawen who receive the homestead standard deduction to serif that they are eligible to recene the
benefit and to provide additional identifying information reccs r'to allow county government to better monitor homestead
flings.This infornulinn will he kepi confidential and can only he accessed by authorized county officials.The Ikpanntent 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
Angle, John W Jr/Beth A (5'C
105 S Haven DR
Haubsmdt IN 47639-81 II
7389
John W/Beth A Angle Jr
105 S Haven Dr State Parcel Number Legal Description
HaubstadtIN 47639-8111
I r1u 11ur1A11nn11r 1r1nlnlnnilnrlln tllIlnnItitt lr lri 26-18-36-404-000.134-009 013-00134-00 WEST HAVEN 4
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
3-okn IA/
g Address(number and street,city,state,and ZIP code) -- _ 01 Same ns props oddres. -- -- - - — -
105 S. br
AL Spo First Middle (/pct Last
Mailing Address(Number and street,city,sta c,and Z11'code) ❑ Same as property dress
105 S t Je
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
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PART 4:ADDITIONAL INFORNIATION
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