Homestead_Higginson (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
bie -
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
' "Ncertify that on the 1st day of March, 19
pe)
0) occupietead Prope Tax Credits iijjiss hereb 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 properf s
. .CONTRACT RECORDED - -
If buying on conirac6 Fee Simple owner's name r ...
Recorder's office where contract is remrtletl Record numberMLPLOI I V V1ge
' PROPERTY DESCRIPTION if
County
Township
Taxing distric la
tow , township)
J.
c91 n3ber
Legal description
It any portion of the residential structure ,.r 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 Cc Township
I,eby certify the above statements ere true, correct and complete. Sgna re of aiman
ress (number and street, city state. ZIP code)
&ri W. G x 1 4 O
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. -
(1) -
S
Other land
(2)
Signature of Auditor
�_
Total land (line 1 plus line 2)
(3)
I
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
1 hereby certify the above is true. correct, and
complete.
Signature of Assessor
Date signed
®ying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 112 Homestead
S
Valuation or $2,000
Signature of Auditor
�_
Date sgne
_
awl
MATE FORM!Mt.MN YYI lREASnarn FORM 73-IA
APPROVED BY AI.SIE BnaRoOr MTTeNTS.1,r, PLEVAfBQI'BY Mr DEPARTMENT Of LOCAL 00Vi0.VMrX'r FINANCE PC 4.1.1-124.1
Gibson County Auditor
101 N Main• O IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
FRS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become"
more beneficial,there is more incentive than eser for homestead fraud.Iomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receise the homestead standard deduction to verify that they are eligible to recci'a the
benefit and to provide additional identifying mformanon necessary to allow county gosemnent to better monitor homestead
tiling.This information will he kepi confidential and can only be accessed by aulhori,ed 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
Higginson, Mark A/Pamela G Trust
807 W Gibson
llaubstadt IN 47639-8133
7268
Mark A/Pamela G Higginson
807 W Gibson State Parcel Number Legal Description
Haubstadt IN 47639-8133
26-18-36-400-000.637-009 013-00637-00 PT NW SE 36 3 11 .52 AC
Iplitilutolilltiellitilltikiltitillitlitillielltelletslitlell
(7.e......7Z
PART 2:TAXPAYER INFORMATION
Owner I First A Middle ' I Last
'Mack A ,;Nx t t..str.
-- •g Address(number and street.city,state,and ZIP code) - - -- — - -- -- -—u SarnLC mperty oddrts;— - - -
$uri Wx G:bsaa-� 5-1-iea (�au-(os-65 - --,J Q7G39
/ /
Spo First Middle Last
Spoil G N t &sa"
Mailing Address(Number and street.city-state-and ZIP code) Sart� ropeny address
SQ7 W, Gs -tyy.<Met .11aut_6s (,f, ,.) 476 39
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 or back taxes and substantial financial penalties.
Owner . attire .... Date
;
e%aAiwa
. -iYU'IUL!
PART 4:ADDITIONAL INFORMATION
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