HomeMy WebLinkAboutHomestead_RaineyCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R21 5 -92)
ie e
INSTRUCTIONS: See
APR 15 1993
❑ 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
If buying on contract. Fee Simple owner's name
Record number I Page
It any portioioon of the residential structure or the land not exceeding one (1) acre that immediately, surrounds that structure is used to produce irmme, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
�eby certify the above statements are true, correct and complete. Signature of claimant
Apes (number and street, dty stale. ZIP code)
eze, el
ASSESSOR USE ONLY TRUE TAX ASSESSED - HOMESTEAD NON - RESIDENTIAL.
VALUE VALUE.. VALUE VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. (1)
Otherland (2)
Total land (line I plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (g)
I hereby certify the above is true, correct, and Signature of Assessor Date signed
complete.
ing action - Signature IA d Date signed
STANDARD
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
5
Signature of Auditor uaie si e
PROPERTY DESCRIPTION
County T
Township T
Taxing district (dry, to , township)
M6Legaldescdptio
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
�eby certify the above statements are true, correct and complete. Signature of claimant
Apes (number and street, dty stale. ZIP code)
eze, el
ASSESSOR USE ONLY TRUE TAX ASSESSED - HOMESTEAD NON - RESIDENTIAL.
VALUE VALUE.. VALUE VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. (1)
Otherland (2)
Total land (line I plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (g)
I hereby certify the above is true, correct, and Signature of Assessor Date signed
complete.
ing action - Signature IA d Date signed
STANDARD
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
5
Signature of Auditor uaie si e
ASSESSOR USE ONLY TRUE TAX ASSESSED - HOMESTEAD NON - RESIDENTIAL.
VALUE VALUE.. VALUE VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. (1)
Otherland (2)
Total land (line I plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (g)
I hereby certify the above is true, correct, and Signature of Assessor Date signed
complete.
ing action - Signature IA d Date signed
STANDARD
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
5
Signature of Auditor uaie si e
STANDARD
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
5
Signature of Auditor uaie si e
ctAr Eo5st',W IR-I N1,1 IRE NR[R FORM 73-IA
.VYROVED BY STATEwUROOY Arn.srs z,o. PRrgWaID BY THE DEPARnTner OF LOCAL 4nERNMENT IFIP WCE IC 4-1.1-224.1
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 riser for homestead fraud.I lomesteal fraud causes higher tax bills for all:therefore.
s REA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to incise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling..This information will he kept rontidential and ran only be area:sad by authorized county officials.The lkpanment of
Local Government Finance will we this information to create mds that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Rainey, Russell W/Janice C II
R3 Box 100-2 V
._ _ __ _ __ _ ___ __ �— _ _ _ ._ . . .Oakland City IN 47660 _ _ _ _ .
8475 e.
Russell W/Janice C Rainey
10398E Main St State Parcel Number Legal Description
Oakland City IN 47660-7702
26-20-02-404-000.154-003 020-00154-00 PT SE SE 2-3-9.81 AC
Itinllnrltllu Llinllrnir ulltnill Iltknlnlnirl ll
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PART 2:TAXPAYER INFORMATION .
Spouse - First '. . Middle Last
aanyl!10 L - ttafne('
Mailing Address(Number and street,city,stale,and ZIP cede) - Same as property addn s
g1I&j��s-SOakk-g/6 ,z4/ c/7i�o Cn h� 4.--/ere �j
Other(please specify in Part 4 below)
�
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 1 Signature Date
y PART 4:ADDITIONAL INFORMATION
0/e'::i tr . 7 v7 6)-/ (J2Kj9�/-t 51 -L/j/ (71660 I S _
mu' �T// /'arf-pa c:, '�� - r.5 ¢�sn goicer 44,6,zu fins 4:7 air-es-