Homestead_Robeson •
STATE FORM535MI R'I uni mama FORN173-IA
APPROVED BY STATE MNnnf∎CCOUSTS.big PU R1BrrI BY THE DEPARTHE47 Or LOCAL rovaNNIEM FINANCE MHI-r-tI
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
a more beneficial.there is more incentive than ever us
fur 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 the
benefit and to provide additional identifyine information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials_The Depanmenl 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
Robeson, Thomas K/Linda K
414 Bradley DR
Ilaubstadt IN 47639
10805
Thomas K/Linda K Robeson
414 Bradley Dr -- State Parcel Number Legal Description
Haubstadt IN 47639-8157
III tt IIt lrlrllrtatlllltll.I,.iii..IIt Itltl tttltrll lt'II IIItI.I 26-23-06-103-000.537-009 013-00537-00 SUNRISE ACRES 24
D-9
K
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
-" . A — . b �sd 4--
_ ig Address(number and street,city,state,and ZIP code) _ - ❑ Same as property addrzss -- — - —— ---- `
4, 9- e r a_d 1 Q..t -0 R et- u 5 ,—Qu1-- N/, 4'24;37
Spouse First Middle Last
X ) &de_ Xa-l-i- !----d b`42 so✓%
Mailing Address(Number and steel city,state,and ZIP code) n Same as propeny address
4)
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
PART 4:ADDITIONAL INFORMATION
ate' a
CLAIM FOR HOMESTEAD PROPERTY TAX
County
CREDIT /STANDARD DEDUCTION
®eby certify the above statements are true, correct and complete.
State Form 5473 (R215 -92)
ru/
INSTRUCTIONS: See reverse side for filing instructions.
' FORM YEAR
HC70
"- CERTIFICATION STATEMENT
I r e) J i t 5 /� 1 ✓) Ro �x so certify. that on t st y M
rccupied as our principal place f residence the following described real property for which a Homestead Property ax Cr i is ere War
e) owned ❑ Are buying under contract NOV O 7 1996
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prWrty or is buying under a contract.
l.V1VIttNl.l ttCl.VttUCU - IIV y//v/�
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
®eby certify the above statements are true, correct and complete.
Taxing d' trio (Gry, rowq .t/Qw�nshiipf
/ d �.
Parcel number
description
-0 oa
'
Other land
(2)
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.
_
Total land (line I plus line 2)
(3)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County
Township
®eby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state, ZIP code)
ASSESSOR USE ONLY
TRUETAX
..VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE -
NON- RESIDENTIAL
- VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
.
Other land
(2)
Ir I,
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 pLs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
tying action - Signature of Auditor
Date signed
- STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature utlitor
Date sign
Ir I,