Homestead_MarionCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION
HIC110
State Form 5473 (R6 14-03)
Prescnbed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions
CERTIFICATION WiE.T� -7
c nty th2t on't66 Ist day of March, 20
1 (We)
I (We) occupied as our principal place o r sidence the foil wing de ribed real prope for which a Homestead Property Tax Credit is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract
f
Have a beneficial interest in the entity that is liable for the property taxes on the Property and s uying under a wntract.
It buying on contract. Fee Simple owners name
Recorders offloa where contract is
Record number I Page
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W4 FRO PE RTY— DEs c We.mdk
County Township
P�.'W
14-00/(�
Si tu re of unapt
ToAmship
Taxing district (City, 717
Par
X
Legal descri
na2 0'1�ww
pertVin question:
7U
U .TAX;�, uilvc
X�ealpropsrty ❑ Mobile Home (I.C. &1.1 -7)
It my portion of the residential structure or the land not exceeding one (i) acre that immadiat0y surrounds that elfucture is used to produce income, describe the use and portion
of the property ut'Um to produce income.
vm
County Township
County Township
I hereby certify the above statements are true. correct and complete.
Si tu re of unapt
Pod%ks(n leer and;s7c*,sZfate Pqpe)
J
AL Q&/
U .TAX;�, uilvc
S SSE�l
0 1
Elm
0,
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (fine I plus line 2)
(3)
Dwelling
(4)
Residential Improvements or Annually
Assessed Mobile I MwKdkWred Home
Garage,
(5)
Other improvements
(6)
Total improvements (line 4 through fine 6)
(7)
Total value (fine 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 1r2 Homestead
vaustorl or
Signature
Sl\TE FOAM e!w+JL/54M. MASIFER IORN TS IA
AIMD.'EO afar SIE B I Onf AcCoUNI._2WM PFIStlUBED BY THE DEIARMEYT OF LOCAL r VERIMrXT FINANCE If 1.I.I-2_-I.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 standard deduction.As the receipt of this deduction becomes
more beneficial,three is more incentive than ester for homestead fraud.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 receive a the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information Mill he kept canfdemial and can only be accessed by authorized county officials.The Depanntenl of
Local Government Finance will Inc this information to create tools that will help county officials eliminate homeacad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Marion, Billy R/Margaret A
213 S 3rd AVE
Ilaubstadt IN 47639-8223
76
Billy R Marion
213 S 3rd Ave State Parcel Number Legal Description
HAUBSTADT IN 47639-8223
26-19-31-304-000.140-009 013-00140-00 E PARK ADD 404
l•lutllii•lulluuuullu ltl,,ltl'IIIIIl.tli Bill rlrrllr ill iu it III
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
111 usse 11 m14-re�v ,�
g Address(number and street,city,state,and ZIP code) Rams m property address
o a� 3 , ra A OU 105itd__A- N 47to39
Spouse First Middle Last
/ tlA G 4 re-f---/- 4- (/.c) /y1 4-t/D AJ
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Same_
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 Signature Date
• /
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM
steal Farts 5473(R1711-16) H010 ,
RawIbed M the Deparlment err local Government er w
INSTRUCTIONS See trireme side tor Ong instructions.
NOTE Tebphom,Socia/Seruffx Met kens.,stab ilernDSra5oo and rederelleagr :on members are coaftlential under IC 6-1.1-12 7.
r CERTIFICATION STATEMENT
I( e) Altair'<1.- 1/ Zv7 " f(40 N
certify that I(we)occupied as my
place of residence a am(are)buying the .•.: ..dr satbed mai property under contract for which a Homestead Property Tax
Deduction is hereby claimed on the date this application is signed, (date of signature. 1(We): 4 u/l
❑ Own. ❑ Am(are)biying under recorded contract G/QS
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. �N Co//��.,����
❑ Have a beneficial interest in the trust a the right too occupy the property under the terms of a qualified personal res 4(I& tst.
❑ Am(are)the shareholder,partner,or member of the entity that owns the property. . HH(/D/TAR
Remdees aka urea anima is receded Rend romper Page
D • � Toemt y e Tav� ysvrr .
Pare der legs desoYeen seta n@ASffirc
PlWey ❑Arraady massed meeae bane(IC 6-1.1-7)
It an/canon ate ran !cal mucus or tlq yid not=seams one(t)me U, Inawiately that sees is used to pecan tame,desa0e the use and ono
of en prtperlyy utted to floe imm,
a'&&9-J/--.5o/l COO. /i/6-od?
_ _,r -: . . . -_
- - PROPERTY OWNED ELSEWHERE BY CLAIMANT'''. ,., ;. _
Sae,Crony,and Tone:hip Is claimant vacating 8 honest a07
i2terr/g/ttnk)❑ yyea 0 tin I hereby certify the above sffiemcu5 are tine,correct and complete. 7/ .Amrtss araeea(nrmmer abewGa:state,coda'mR) / .end ZwmE.)
,2 i3 : 3rd -, 41.; I4 ..! .
, - - -ASSESSOR USE ONLY. ....I. ASSESSED VALUE- HOMESTEAD VALUE
Land not exceeding one(I)acre Immediately i z. .-t- ' Y a ("-W'
z
sounding residentlaf improvements ( ) 3 < " u ?,^ _. .j r.I NO J_ DENTIAL_ _
Other lad (2) -b k 4 r'?c
Total land(line 1 plus line 2) (3)
- .} s v4-1.
Residential al mprov ments a Dwelling (4) 1..+-, , ..._'5
annually assessed mobile I
manutacbrred home Garage (5) '? f �.. _ Y te.
Y i
Other improvements (6) __, . _`°1- ti1,
Total hnprovetents(line 4 through line 6) (7)
Total value(line 3 phs line 7) (8)
I hereby certify the above is tore,correct, 5"ynarve aAssassa Dab signed(rrortA day War)
and complete.
Vesting mien-Signature of Audta Gate signed(set',,day.few)
,r--,--a._„_r..-'-'r' . AN E
STANDARD DEDUCTION ALLOWANCE-�"_-
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000.
NoiwiUUtand g ety other provision,the sum of the deductions provided in IC 6-1.1-12 b a rroMe home $
Mat is not assessed as real property or to a manufactured home that Is not assessed as real property may
not exceed one-hal(1/2)el the assessed value of the mobile home or man fachaed home.
Sgtffire aA alb . One aped(axrtA misemh
DISTRIBUTOR:diaN-Cosh Acts,ria6Tatped Cosy-Temaier I
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