Homestead_Market 1✓
MATE I ORN!Mb,OC'/'00 1REASUI[A FORM S:A
.APPROVED BY St(TE BMRM OF ACM NYC.ry,.v rtotounrn BY fir DrrA TVENT F LOCAL OOVERNMEAi FINANCE try -_AI
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETf 1 6, Individuals and there couples are limited to one homestead standard eduction.As the receipt of this bills for aon become:
$®®�, 1,,1
more beneficial,there is more incentive than ecer for homestead fraud.Holstead fraud causes higher tax bills for all:therefore.
• lHgL-�. HET 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifyine infumlanon necessary.to allow county government to better monitor homestead)
fling:..This information will be kept cmdidetuial and ran only be accessed by authorized county officials.The Ikpanmean of
MAY 3 Zulu Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
_ Taxpayer Name Property Address
'2 /?1e Market, Phillip E/Lisa K
GIBSON COUNTY AUDITOR 507 W Church
Haubstadt IN 47639
7302
Phillip E/Lisa K Market
507 W Church State Parcel Number Legal Description
Haubstadt IN 47639-8116
I tfnllu rItIIn nllrlllnl..lrrullntlitllnllntlarr llrrlR� 26-18-36-402-000.244-009 013-00244-00 WEST HGTS 6/5 PT
k
PART 2: TAXPAYER INFORMATION
Owns I First Middle Last
g Address(number and street.city,state,and ZIP code) - - -- — --- 1-9-Same as property address— - '— - —' - - -
01 U,&-f- CIMINO/1 41 /tl 'iIY Znfi V 7637
Spouse
First Middle Last
4-1,SG (( Y1110 rci
Mailing Address(Number and street,ciy,state,and ZIP code) pe I�Same as property address
-
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 elieible 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.
OwPh &-U4v'Signature Date
PART 4:ADDITIONAL INFORMATION
•R CLAIM FOR HOMESTEAD PROPERTY.TAX
4 -� = CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
HC10 / I �0
h(We) C!%t ,<2P � Gl�ert%,(thalt on t 1st day of March , 19 7o
Ple) occupied as our principal place of residence the follo n desc7ibed al p perty for which a Homestead
roperty Tax Credit is hereby claimed I (We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
rnr.rTCnrT oc('noncn
If buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
.,
Township . ..
VIJ- UU-%17 1 v._)1241A IN,
If any portion of the residential structure or the land r
lure is used to produce income describe the use and
Taxing
°f- 5 mot.
=ding one (1) acre that immediately surrounds that struc-
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County TfWF{itii 1 1990
*ereby certify the above statements are true, correct and - tur
'mplete.
Address (Street. number, city, state and ZIP code)
- - ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
_
(1)
1991 Pay 1992
19 —Pay 19—
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Audit
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
_-� 1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 —Pay 19—
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or $1,500
Signature of Audit
Dat igne
J