Homestead_BugherCLAIM FOR HOMESTEAD PROPERTY TAX
sa CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC70
I (We) L(JJV lA\, T certify that on the 1 st day of March, 19
0 +Ne) occupied as ou rincipal place of residence the following described I property for which a Homestead Property Tax Creditlis herehy'daimed:
n +' flR
l(We)owned ❑ Are buying under contract
❑ 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 RECORDED -
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
PROPERTY DESCRIPTION -
County_
Township
Taxin district (city, town, Township)
Parcel number
oa(i;b
Legal description
?h C
o 1 -10 a ac—
It 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.
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
Township
County
Township
�reby certify the above statements are true, correct and complete.
Sig ature of Gatmant
C.
Address ( numbe and scree dry, state, ZlP code)
- ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
IA J
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of
Date signed
U
siATE FORM'JN IR[rs:rvl TREPSUR RFOR431A
AFrRovEO BY AnlEBLARnnr MYYRmTR_YN PAL2RMEDBYMDEPARTNECOFLOCALGOVERNNFATHNANCEK'64.14241
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 ever for homestead fraud.I lonsestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2000 requires tazpasers who receive the homestead standard deduction to verily.that they are eligible to receive the
benefit and to provide additional identifying iofonnatwn necessary to allow county government to better monitor homestead
filing..This information will be kept conlidemial and ran only be accessed by authorized county officials.The Ikpann,ent of
Local Government Finance will use this information to create 1.01.1ls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name PropertN Address
_ Bugher, Robert C/Julie E
9438 N Salem Lane
Hazleton IN 47640
24
Robert C/Julie E Bugher
9438 N Salem Lane State Parcel Number Legal Description
Hazleton IN 47640-9313
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PART 2: TAXPAYER INFORMATION
Owner I f First Middle Last
RO eLt C fa r g�9 4 e r
c o d e)(n u m b e r street, , /'
(?L13 3 ! eV P 5i l eivx G- e
Spouse First l Middle Last
.IuI; c Lliz4heih 8utyhcr
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
T ss lJg l(/, Sq /ekl-1 Len
- -
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 I Si more Date
PART 4:ADDITIONAL INFORMATION
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