Homestead_CraneFORM YEAR
HC10
I (We) J�dAA/v ,, 11 eif, certify that on the 1st day of IRerZR-f§"- -
0e) occupied as ou_r0`rl'ncip I lace of residence the following described real property for which a Homestead Property Tax Credit ®C.'Ifel— dairnedl7
I (We) owned ❑. Are buying under contract - ,`1 I��/
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or irXuying under /coact.
GIBSON COUNTY AUDITO
CONTRACT RECORDED
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
CLAIM FOR HOMESTEAD PROPERTY TAX
County
i�
CREDIT /STANDARD DEDUCTION
. }
State Form 5473 (13215 -92)
uu
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
I (We) J�dAA/v ,, 11 eif, certify that on the 1st day of IRerZR-f§"- -
0e) occupied as ou_r0`rl'ncip I lace of residence the following described real property for which a Homestead Property Tax Credit ®C.'Ifel— dairnedl7
I (We) owned ❑. Are buying under contract - ,`1 I��/
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or irXuying under /coact.
GIBSON COUNTY AUDITO
CONTRACT RECORDED
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
-
County
Township
Taxing d�, to
ship)� .
Parcel number
Legal description
to
Address (number and street. city, state, ZIP code)
40l 5. 0
= �o
(2)
If any portion of the residential structure or the land not exceeding one t) acte that immedialety surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income. -
(3)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
TRUE TAX
VALUE
County
Township County
NON - RESIDENTIAL
VALUE
Township
�eby certify the above statements are true, correct and complete. Sign of claimant
I
Valuation or $2,000
Address (number and street. city, state, ZIP code)
40l 5. 0
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
-
Other land
(2)
Total land (line 1 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 plis line /
(g)
1 hereby certify the above is true. correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
l®
Date signed j
- STANDARD DEDUCTION ALLOWANCE
19 —Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed
HATE FOOM`)Y.W de/..wr nrrnsnrla FORM TS-IA
.APFflrD nY'TAT.B)Ban(B'AM1yr.y75.2-9 PRIYFlemD BY THE omART cflor L01E costa Nm.FINANCE MVEI-:_-AI
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 eser for homestead fraud.Ilomenead fraud causes higher tat bills for all:therefore.
• HEA 1344-2000 requires taxpayers who r reive the homestead standard deduction to verify that they are eligible to Tecehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings ibis information will be kepi cranlidaainl and can only he accessed by atuhnrized county officials.The Detainment of
Local Government Finance will use this information to create tools that will help counts officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Crane, Gregory R
401 S Vine
Haubstadt IN 47639
3415
Gregory R Crane
401 S Vine State Parcel Number Legal Description
HaubsladlIN 47639-8152
I111111111lrlllmmt IIuIraImr Imr ImntIllIraInaIraIII 11111111 26-23-06-101-000.472-009 013-00472-00 PT W 6-4-10.21 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.•
PART 2:TAXPAYER INFORMATION %' -m
•
•Owner I First Middle Last
. alp Address(number and t,city,stare,and ZIP code) me as property address
ilk)l Sotk lit\ U;At_ STET 1tl-E�,.,,,1,Siz41 T" J N ti7(03 07
Spouse JA First Middle Last
Mailing Address(Nfmber 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 Pan 4 below)
—
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, e or she may be liable for b ck taxes and substantial financial penalties.
Owner 1 Signal � Date
( )
PART 4:ADDITIONAL INFORMATION f
•