Homestead_FarmerR
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i�
f R�
ea `, CLAIM FOR HOMESTEAD PROPERTY TAX
a� _CREDIT/STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92) -
Tau
INSTRUCTIONS: See reverse side for filing instructions.
• YEAR
L�111ii11 �� - ��i •
2 *"c •••
c ;r.
ERTIFICATION STATEMENT -
N a�a J • a►r r 9
certify.th , 19
�e) occupie as our principal place of residence the following described real property for which -a Homestead Property Ta� r dit Is ereby 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
I buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTIO
County Township
County
Towns h
Signatur of c imant
Atltlress um er an�1d street. G ,state, ZIP
02 X
Taxing d' ici
try, town Township)
Parcel number
oc l6 2;
Legal d ripe
S. 31 3 ..
`f 3A Q_
If any pomon 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
County -_ Township -_
lereby certify the above statements are true, correct and complete.
Signatur of c imant
Atltlress um er an�1d street. G ,state, ZIP
02 X
VALUE
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2))
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
-
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pl/s line 7)
(6)
1 hereby certify the above is true, correct, and Signature of Assessor
Date signed
r�mplete.
isling action - Signature of Auditor
Date signed
19_ Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
DEDUCTION ALLOWANCE
S
. t
SITE FORM a1RS Ip_r YMI TREASURER FORM 731A
.APPROVED BY MATE BOARD OF.Nrnt isTS.`AM PREAN7ED BY Till.DEPARnoeTOF LOALro%TrNsiucr FINANCE IC H.1-^i1
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 e'er for homestead fraud.I homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeehe the
benefit and to provide additional identifying infom:ton necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Departnwm of
Local Government Finance will use this information to create tools that will h;lp county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Farmer, RogerB/DanaW boo t
llaubsadt IN 47639
3147
Roger B/ Dana W Farmer
600 E Gibson State Parcel Number Legal Description
Haubstadt IN 47639-8206
IIIt 111111 1ll1rtrtllllIll I�ttlrttllllir tt 11111111111111111I1r1 26-19-31-400-000.462-009 013-00462-00 PTS 31-3-10.43 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
Owner I First Middle Last
F�oca=e atA�� cy F�QwtE�
• lor
1g Address(number and itrcct.city,stare,and ZIP code) IX Same as property address
Spouse s First Middle Last
D A 41 lnJ F A2v�t(;2
Mailing Address(Number and street,city,stale,and ZIP code) Same as property address
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 S." - e Date