Homestead_Stence ir
SLVL DORM 135e.q Ct...) TREASURER/OR.M 73-IA
A PPROCED BY ST ATE RMPD M'Nntsrc 2ov ?UStIBW BY 111E orrsanetr OF LOCAL COVEWMn.Y FD:ASCE tr.".1-1:4. -
101 Nn County Auditor IMPORTANT-NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
FIEF : Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
,F more beneficial.there rs tax iners w'h me e.erher homestead fraud.d o durcad fto v ri y th higher tae Mils far all:therefore.
HEA 1341-31N19 rcquim uxpacen who rccoc the hwnencaJ sundard drdunion m verify rfut they arc cliciNe[o rrecnc the benefit and to pta'idc additional identifying information necessary to allow county government to better monitor honrsraiT
filin�w.This information will be Lepi confidential and can only le accessed by authorized county officials: he Depanment of'
APR2 1 ZULU Local Government Finance will use this information to create awls that will help county officials eliminate homencal fraud.
PART I: PROPERTY INFORMATION -?' a t< ',,,4-f,:;:-,4' a
/(
' 4 Taxpayer Name Property Address
� • Stence, Reuben F Sr/Grade R
— GIBSON COUNTY AUDITOR
317 S Main
Ilaubstadt IN 47639-8154
8209
Reuben F/Grade R Stence Sr
317 S Main State Parcel Number Leal Description
Haubstadt IN 47639-8154
III uIIII I I IIII I ii I tiIII II 26-19-31-303-000.243-009 013-00243-00 ORIGINAL PLAN
t o tit a u t t 11 11 nu t t ie t nr I r t II 01\ 309/310/311 PT
PART 2:TAXPAYER INFORMATION
NI/Owner I First Middle Last
--- ,g Add --c(number and street,city,state,and ZIP code) - — - , /--i Same as prope rioddrss — - — — - - -- -- --
Po. Box S3 - 3/7 C. /YJ ,) £t, IS A J4-1 17&)'?
Spouse First Middle . / 6'//� Last
J
Mailing Address(Number and street,city,stale,and ZIP code) ,. Same as property address
CPO. BoC 5'3 — /7 IS—. MCI-4-s! ) - -0 l I e. / x , >&3S
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.
Dorn 1 Signature \ Date
:a CLAIM FOR HOMESTEAD PROPERTY TAX
a� CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
'sJ
INSTRUCTIONS: See reverse side for filing instructions.
. _ . . ... _ ^..:. •i er- RTIMATI
I (We) — 119),0 I >&j �= .0 1A b CAL 0
I (We) occupied as our principal place of residence the following described real property for which a Homestea
❑ I (We) owned ❑ Are buying under contract
IL Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
FORM YEAR
HC70
- ; -vzrsr -I-:v
at on tlle� day "bfN 19
Homestead Prope Tax Credit is hereby claimed::
property,or..ie,buying under a &littiact.
-c .CONTRACT RECORDED
�.y -�c. ,;J��•.. i.,a;k...._
It buying on contract. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
I, PROPERTY DESCRIPTION .. - -. - e
County Township
Taxing district (city; town, township)
Parcel number Legal descdptior
- —
6
It any portion of the residential structure or the land not exceeding one (1) a e that immediately surrounds that structure is used to produce income, describelthe use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signar "e of claimant
w s and streetary, st , ZIP e)
J
ASSESSOR USE ONLY '- ..
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL`.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
:e
Total land (line 1 plus line Z)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plrs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Ven yirg action - Signature of Auditor
Date signed
19 _Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
$