Homestead_Jarboe (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5673 (R8 17-07)
•� ` Prescribed
b1' the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
FORM
YEAR
UG HFV 2008
';� xz
I (1^/e) certify that on the tat day of March, 20_
1 (We) pied as our principal place of resdy& the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I 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.
If burying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number I Page
Caunry Tomship Taring district (city, town, tvwnship)
Parcel number L cnpdon I Is the property in question:
❑ Real property ❑ Mobile Home (IC 6- 1.1 -7)
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.
3- o�- aoo -000,
c� pay 20
Lesser of 1/2
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2017
44.000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signed (month, day, year)
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
-
nually
Residential improvements or Annually
(4)
d
Assessed Mobile / Manufactured Home
Garage
(8)
Other improvements
(6)
- -
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
I hereby certify the above is We, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day. year)
c� pay 20
Lesser of 1/2
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2017
44.000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signed (month, day, year)
•
%LATE FOAM En,*IA_I NYI IIFASIALR FORM—1A
Arrlan'Ef BY SI SIr MSAO or Arent I.(2 RIfltlrO BY THE OEPARTIEMT(fLOCAL GOVERNMENT FRN.CE MLI.I-L'-l.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eta for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
• _ $ i 1344-2004 requires mxparer.who rmive the homestead standard deduction to verily that they arc eligible to receive the
®Ng i and w provide additional identifying infomlanon necran to allow county gtnemment to betrcr monitor homestead
information will be kept enntidemial and can only le accescd by autharired count'officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 7 LOW PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—yam 19" Jarboe, Richard
-PTA?'
P o Box zas
OID80N COUNTY AUDITOR
Ilaubstadt IN 47639
10812
Richard Jarboe �rSS ?
1201 Jarboe Lane CileNCr /11-P O
EVANSVILLE IN 47720 State Parcel Number Leoal Description
26-23-06-200-000.783-009 ALTE DEUTSCHE STADT 9PT UNIT4
� Saare/ ?7H 6 '
tie
Atl6S'i�oT�N ' Si7e3�
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Ciii 2D %J <7-174-e6 a 6
Eg Address(number and street city,state,and ZIP code) - _ — -_— U Some as property address - —- -
.5'66 - 3 o ci rH fS'1H ,4- ynao cTR-p i y`/tl S` 713?
Spouse First Middle Last
Mailing Address(Number and street,city,slate,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License State ID Number (last 5 digits) Other(please sµtifv in Part 4 below)
Sate
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 I Si nature Date
( )
PART 4:ADDITIONAL INFORMATION
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