Homestead_Bane (3) STATE I OR,M.!!W OW Hn1 ThESULER FORM TS-IA
.VrMm'EnnYSIAM BOARD nFxrnaOTla.n REAAIaEn0Tr11r DEPARTH_`IT OFLOV.L GVPRNMEI.i FIANCE M 6-1.■-2:23.1
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 net for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
0 HEA 1344-2090 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recebe the
benefit and to provide additional identifying information ne ■sary to allow county government to better monitor homestead
filints.'Ibis information will he kept confidential and can only be accessed by authorized county officials_The Department 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 Prupertv Address
Bane, Gerald E/Cornelia E
3729 G McRoberts Rd
Patoka IN 47666
958
Gerald E/Comelia E Bane
3729E McRoberts Rd State Parcel Number Le2a1 Description
Patoka IN 47666-9157
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26-05-57-103-000.537-017 009-00537-00 PT MD 1031-103.75 AC
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Spouse C'oQ ive/f a First E. Middle —23rq,)e Last
t ? /7s/5 G Z4ASCo
Mailing Address(Number and street,city,state,and ZIP code) D-Same as property address
37,2 9 E, ertc Po be26 —RI. --gfa{A 14.1. 47666, .
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
PART 4:ADDITIONAL INFORMATION
•
51
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION
State Form 5473(R5/ 10-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I ,,a ,
Wave 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.
C 0 NTRACT! R EC 0 RD E D
If buying on contract. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
V;VX0:i
PROP. ERTY.DESCRIP.T1dNw
County
. _f� �-.
County
Township
Taring district (city, t , township)
I Zy
Parcel number
Legal desi;npfion
Is the property in questionk�
E>09
L
❑ Real property ❑ Mobile Homo (I.C. 6-1.1-7)
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.
Land not exceeding I (one) acre immediately
PROPER'TY.61NNEIYBY cEAimANT IN bTHEWCOUNTIESr ,a
t;�,JRUE-TAX�4;:
"
County
Township
:4"1"" NON-RESIDENTIAL -1
f
County
Township
I hereby certify the above statements are true, correct and complete.
VAL U E r
Signature f claimant
Wsspmler aV reet, citsfate, ZIP 7
L
�IASSESSOR,USEONCY?g,7.Fi�'p.i--
t;�,JRUE-TAX�4;:
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ASS ESiiE6 VA_L__UE
'AT
H_0EA'6
:4"1"" NON-RESIDENTIAL -1
f
10C i % 6 FTTv
VAL U E r
VALU E
F
Land not exceeding I (one) acre immediately
T
surrounding residential improvements.
Other land
(2)
Total land (fine 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
'``FY
(5)
u
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
I hereby certify the above is "a, connect, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
i 1 M I I
mu—m mr- DEDUCTION ALLOWANCE
20 _ Pay 20
Lesser of 1/2 Homestead
$
Valuation or $6,000
Signature of Auditor Date signed
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