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Home My WebLink AboutHomestead_Lovelessea °, CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Form 5473 (R2 / 5 -92) m INSTRUCTIONS: See reverse side for filing instructions. FORM YEAR Y L,t Hcio /g9� OCT - G 1993 I (We) O�Z�sr _ p - °�/Tz�ilf_ :_ : /rl �T/'1 D 0 certify that on the 1 st day of March, 19,;� occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: i u 1 (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 - If buying on contract, Fee Simple owner's name - Recorder's office where contract is recorded Record number Page PROPERTY DESCRIPTION County - Town shp Taxing distr t (city, town, township) - - Parcel number _ 0 —400413- 00 Legal description o? 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. _ PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township �reby certify the above statements are true, correct and complete. 'Signature of claimant Addres In ber and street, city, state, ZlP code) Valuation or S2,000 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 S2,000 - Other land (2) / ac' 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 plus line/) (6) I hereby certify the above is true, correct, and complete. Signature of Assessor Date signed Verifying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19 _Pay 19_ Lesser of 1/2 Homestead S Valuation or S2,000 Signature of i;or Date signed / ac' SIDE FORM rttt IR_l•-tn) TREIA:LEA FORM IS-IA .VFRtwED BY STATE BOARDnt Yr4$NIA,T.+ Rea-,mm BY 111E DEPARTMENT V LOCAL roVERMEtcr FINANCE w 41.1-r1,1 Gibson County Auditor 101 N Main u IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction Mound more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 134-4-2009 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 government to better monitor homestead filings.This information will be kept confidential and ran only be accessed by authorized county officials.The Depannrent of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART l: PROPERTY INFORMATION Taxpayer Name Property Address Loveless, Dannella D CY— P 0 Box 336 Somerville IN 47683 3226 Dannella D Loveless P O Box 336 State Parcel Number Legal Description SOMERVILLE IN 47683-0336 III I I I I I I lt I I at I I 11 I I 1111 I I I I III 26-20-02-404-000.213-003 020-00213-00 PT SE 2 3 9 .99 AC 1 o rat 1 et ie tat t tet t 11 SOMERVILLE 18 PT This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2: TAXPAYER INFORMATION Owner I First Middle Last — A4ticl ►� L. o J.4.Ic-S5 g Address(number and street,city,state,and ZIP code) I—I Same as property address 53.30 5 . l—: ,jcola S 1-.0AKItor( a ) te„ Spouse First Middle Last Mailing Address(Number and street,city,state,and"LIP code) Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sax 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 nn Date ° Spouse Signature Date Telephone r l PART 4:ADDITIONAL INFORMATION