Homestead_Blanton (2)CLAIM FOR HOMESTEAD PROPERTY. TAX FORM
CREDIT /STANDARD DEDUCTION Hc10
' State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
certify that on the 1 st day of March 19
(We) occupied Ad our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: [ 11((We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the plrt air i s the
property or is buying it under a contract. ���,,,ddd
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name 6e � 49-,
WINT
R
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing Disjtric (Cit •town, t wnship)
Legal Descriptio �JJ _ 6 SQ2
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
certify the above statements are true, correct and \ �I Signature
Address (Street, number, city. state
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
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19— Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Signature of uditoi
(3)
(4)
-
-
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19— Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of uditoi
Dot igned
Fil
sIATE/ORM SR*qr/YY1 T AS:act?FORM TS-IA
.APPROVED BY 51515 Bm\RDOFKtT%L\TL 9v - PRISRMED BY THE DE/Mt—WOE LOGSI GOVERNMENT EB:A\CE MLI.1 1_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead wandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling.This information will be kept confidential and can only be accessed by authorized county officials.The Ikpanmrent of
Local Government Finance will tic this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Blanton, Jerry E/Claudia L
RI Box 161
Patoka IN 47666
Jerry E/Claudia L Blanco
4039 N SR 65 State Parcel Number Legal Description
Patoka IN 47666
26-02-21-300-002.639-017 009-02639-00 PT FR 21 1 10 4.7465 AC
C-1-0-12
PART 2:TAXPAYER INFORMATION
Owner I First ' Middle ,U la it)
Last
g Address(number dot itmet.city.sore,andZIP code)_._._—__ _ _-_ _Eta°ai property adscs_ - _- — __ - _
•-yCJ9 ed-
Spouse 1/9 v�AT First Middle ^� / 1 Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
'V ,/'C�/�'//
yo 3 p Al St. Pd. 66
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
PART 4:ADDITIONAL INFORMATION
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