Homestead_May (9)YEAR
CLAIM FOR HOMESTEAD PROPERTY TAX FORMJ _ -
CREDIT /STANDARD DEDUCTION / �Cto 1 c 4
State Form 5473 (R215 -92) 95 /
INSTRUCTIONS: See reverse side for filing instructions. �y,
.q-k . . r1 6 U6 -, � certify. that on the 1st day of March, 19
place of resid a the follow g described eat property for which a Homestead Property Tax Credit is hereby 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 property or is buying under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
Ta,.iqg
district fckq, town, township)
Parcel number
_p 0 -a
Legal description
W
Address ( m �. r and street,Qary state, ZIP code)
i 800 58a flubs d+ Tti Lf -)0
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds 15t 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
County
Township
reby certify the above statements are true, correct and complete.
Signature of ea ant
Address ( m �. r and street,Qary state, ZIP code)
i 800 58a flubs d+ Tti Lf -)0
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
1 (1)
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pl s line 7)
(g)
-
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
"ying action - Signature of Auditor
1 _
Date signed
19 _Pay 19_
Lesser of 112 Homestead
5
Valuation or $2,000
Signature of Auditor
ALLOWANCE
STATE 0551 M5I IR_/.+w, ThEASIIRER FORM:SIA
APPROVED BYSISTE B(MRD Or Mr(RNI C,'YN PRIYAIBED BY THE INPARMENTw LOCAL r RYNrnT FNASCE Ie I.I-r-t,l
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 incentive than e'er for homestead fraud.homestead fraud causes higher tar bills for all:therefore.
HEA 1:;44-2009 requires taspaycrs who receive the homestead standard deduction to scrity that they are eligible to remise the
benefit and to provide additional identifying infomlation necessary to allow county government to better monitor homestead
filings.This information will be Lea confidential and can only be accessed by authorized county officials.The Depannlent 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
_ May, Rodney J/Marilyn R
• • 1004 Sarah CT O\
I laubstadt IN 47639-8165
7287
Rodney J/Marilyn R May
1004 Sarah Ct State Parcel Number Legal Description
Haubstadt IN 47639-8165
I tlt tiltt tlrllrllrilrirlrr�tl lttrtiltllttrlt ltlltrt t�tr lirrril 26-18-366/-401-000.660-009 013-00660-00 WEST HGTS 4TH ADD 8•
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
- ROO(n py Jorseph MW
- — �g Address(numbEr and stray,city,state,and ZIP code) - 0 Satre pr —i address— — — -- -- -— -
/do 2/ a 94,ra.h I'it /ii It bs-tad I /4v y76e •P�-
.
Spouse First Middle Last
/14.ii /un -Vose- _ Pahlin
Mailing Address(dumber and street,city,state.and ZIP code) r R-Same as propeny add
/4641 `_Car. ) 7 K,/ /-4a.zcbsb Al 2/743?
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 Sign Hire Date
PART 4:ADDITIONAL INFORMATION
III v I