Homestead_JonesCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
r State Form 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side for filing instructions. "TN
I ' 1 I PCQTICV`ATI^m CTATCRAUkM I
l we) _ certify that on the 1st'day of-March, 19
.) occupied as our principal place of reside the following described real property for. which a Homestead h perty Tax CJedi(,�i 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 buyiriguhifer,aLOl1t ct.
-- - CONTRACT RECORDED
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
ASSESSOR USE ONLY
PROPERTY DESCRIPTION
County
Township
Township
Taxing distdci .town, township)
P cel naber O,
Legal tlescriptio
4- S-6 - � — 3- /. {//
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. _
ASSESSOR USE ONLY
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
HOMESTEAD
VALUE
Township
County
Township
*eby certify the above statements are true, correct and complete.
Signature I aiman
Addre
(numberand street, city, state, ZIP code)
0, a Sorri s�6
49
ASSESSOR USE ONLY
TRUE TAX_ _
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE -
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Signa
re uditor
Otherland
(2)
Total land (line i 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 pbs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor -
Date signed
tr^•itying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
'
Valuation or $2,000
S
Signa
re uditor
Date sig
�l�
s1 HE FOt5i 5 w D U s■•l TREASURER FORM 73-IA
APPR,w ED BY SIn1E 0411RDIIPMYT*WW1S.T1. PRuARIarD BY Mt DEPARTMENT Of LOCAL CAS-R.VMOCt EM:ANCE to ii-r-RI
Gibson County Auditor
01 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
11 N Main
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ewer for homestead fraud.I lomestead fraud causes higher tat bills for all:therefore-
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county go ernment to better monitor homestead
tiling,.This information will he kepi conlidemial and can only he accev ed by authorized county officials_The De anntent of
Local Govenunent Flounce will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Jones, Hubert R/Frankie L
Po Box 30010
Somerville IN 47683
8450
Hubert R/Frankie L Jones'
Po Box 300 State Parcel Number Legal Description
Somerville IN 47683-0300
(t�tt(�ttt(t��tt�rt�ttt(�t�� �(t�(ttt�(ttt�(ttr��rtt(t�tt� 26-20-02-403-000.023-003 020-00023-00 PT SE 2391.185 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle - Last
ri ere �_ SaN e-S
Song Address(number and street,city,state,and ZIP code) Snore as property address
Po. Pox 302 1_2I SJ'ATrt L/ NCei,ai 5/: 50 trui((e -FN, 44476 13
Spouse First Middle Last
`rna,l, C e _ N es-
Mailing Address(Number and street,city,stale.and ZIP code) [g'Sume as popery address
/20 6 )c 300 /P2 / SaArin L,.4, wt./, s' S1 5oenery //e T , , 117683
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 Signat Date
PART 4:ADDITIONAL INFORMATION
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