Homestead_BanetCLAIM FOR HOMESTEAD PROPERTY TAX
VCREDIT/STANDARD DEDUCTION
Stale Form 5473 (R614-03)
W Prescribed by the Department of Local Gwemment Finance
INSTRUCTIONS: See reverse side for hfing instructinti,
FORM \I YEAR
THC10
'82 V�l ZI ULKI]VICATION STATEMENT
I (We)
certify that on Ire 1st day of March, 20_
1 (We) occupied as our principf place of residence the fallowing described real property for which a Homestead Property Tax Credit 1 ; ¢Vreby claimed:
❑ l(We)owned ❑ Are buying under contract X,
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the p OR
08GON ic4mTUR'lontract.
—CONTRACT RECORDED
It buying on contract. Fee Simple owner's name
Recorder's offics where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN'OTHERCOUNTIES
PROPERTY DESCRIPTION'
Township
No =T
Township
own
I hereby certify the above statements are true, correct and complete.
Taxing district (dtMownshrp)
I
mi
Parcel umber
_00-sis -8 -co
. . - '. i"t, zV---VALUE!
at escri 6
0 Air—
the propq'rinAbastion:
(P--/
RYPIbal
surrounding residential improvements-
(1)
property Mobile Horrie (I.C. 61.1-7)
If any portion of the residential structure or the
land not exceeding on
(1) acre that
4aura is used to produce income. describe the use and portion
of the property utilized to produce income.
Total land (line I plus line 2)
PROPERTY OWNED BY CLAIMANT IN'OTHERCOUNTIES
County
Township
I County
Township
I hereby certify the above statements are true, correct and complete.
Signature of
lat I
(number and street, city, state. ZIP code
67 & z v PO f 14 L,4T d A/ Z A/ 4A-Z'to
An
OR'UgE�61SJLY
TRUE TAX
ASSESSED
-.---HOMESTEAD'
N6N!RliSIDiNTIAL_
%�.J�I,AS
Syr. 'zi -f
VALUE
AT 1,000% OF-TTV. -
:-; —
VALUE
. . - '. i"t, zV---VALUE!
Land not exceeding I (one) acre immediately
surrounding residential improvements-
(1)
Otherland
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct. and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20_
Lesser of 112 Homestead
valuation or $35.000
Signature
-STANDARD DEDUCTION ALLOWANCE
S
SLUE FORM'3,0,1/<2/ww, lnrASURIR FORM 31A
APPROVED BY S[STE NMRD Of-MrvtmTS.!.. Par][AIBEm BY 11W DEPARne4T{r LOCAL GH4LYMEAl FINANCE IC LI.I-r-lI •
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction Homes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
r® ILEA 1344-2009 requires taxpascrs who receive the homestead standard deduction to verify that they are eligil *to teethe the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filings.This information will he Lev confidential and ran 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 Property Address
_ Benet, John E
RI Box 181
Ilazleton IN 47640
1016
John E Benet
7285 N SR 65
HAZLETON IN 4764 State Parcel Number Legal Description
26-06-06-200-000.558-017 009-00558-00 PT W NE 6-1-9 1 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
- 06/bV ,b�1�A/FT
®ig Aadfcsdtnuinlidr and street;city:sate.and ziPcode)-- - — - — Seine as pzeprn eddy¢; — — ---
7079,s 1V._pt' is * d722A/ A/ -47 .17)
Spouse First Middle Last
^� � 34NF7—
Mailim_Address(Number and sweet city,s R, . ••- P code) ❑ Same as property address
7trb5Al. Si 61/45- ! : , n /n/ �741c)