Homestead_May (8)PERTY TAX
OINSTRUCTIONS LAIM FOR HOMESTEAD PRO
CREDIT /STANDARD DEDUCTION
State Fo5473 (R2/1 -90)
: See reverse side for filing instructions.
CERTIFICATION STATEMENI
I (We) �,CI QJ� 1 1 �t . Q)Jrb( -" y certify that on the 1 st a
I (We) occupied as o principal place of sidence the to described real property for u9fAlt estead
Property Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is lia le for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
CountQ> Township Taxing Dfs>,ict (City, town, townsh'p)
Parcel Number Legal e cnptio _n S �j I
l - 6blfll(e —OO b(
If any portion of the residential structure or the land not ceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE•ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1 (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 112 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4) -
- - -
- -
(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 112 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor n
(i(ivvwL
D t Signe
3 a
STAFF FORM 111'1.1Ra'PO TPrAS1:rrx FORM rS1A
'MOVED BYMIL BOMID cw M(yweec_I,n PITS Oam BY in-OEpARThIriTi LOCAL GOVERYMrnT r V:ANCEM41.1- 01.1
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,there is more incenti'r than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 13+1-2009 requires taxpayers who retch e the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings. Ibis information will he Lett confidential and can only he accessed by authorized county official,.The Department of
Local Government ['inane<'sill use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
May, Gary A/Mary L
1001 Adam Cf
llaubstadt IN 47639-8164
7272
Gary A/Mary L May
1001 Adam Ct State Parcel Number Legal Description
Haubstadt IN 47639-8164
1r1trIlttt ltIlttttllaItlttlttltrtF IIFIItt t1rt 111 1111 1111 26-18-36-401-000.616-009 013-00616-00 WEST HGTS 4TH ADD1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
filIg Address(number And street,city,state,and ZIP code) ..'Same as property address
Spouse First Middle Last
/Y1a r L. P174
Mailing Address(Nurhber and street,city,stale,and ZIP code) E' i me 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' a re Date
• lor