Homestead_CatesCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (RS 14-03)
Prescribed by the Dsparbnem of Local Ciouernrrent Felanoe
INSTRUCTIONS: See reveres Nile forfift kistsurdons.
RI(We)owned �� �J W�''� -� ce rtify that on the 1st day of March, 20 �n re ✓ -upied as principal place of residence the folio described real property far which a Homestead Propertyc7�Credit'is hereby daimed:
❑ Are buying under contract GIBSON COUNT )' AUDITOR
1 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.
NTRACT;REC_OR_DED�°�
If buying on contrail, Fee Simple owners name
Recorders office where contract is recorded Record number Page
ROP, ERTY, OWNEDSBYCL -AIMANT,INOTHER'COUN'IIES'.r.,�
1-* _ _ _ _ _
� ,.- �P .ROP,ERT,Y�DESCRIP,TION'1`r.�>
County
Township
Taxing district (dry, u
, t wn hip)
dr/"s (number and street. C7,, state, ZIP
LVl-
Ll I
Leg a s n n
\I Y Is the property in question:
Q.R" property ❑ Mob(./Homo (LC. 1:1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that imnrediat s that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
ROP, ERTY, OWNEDSBYCL -AIMANT,INOTHER'COUN'IIES'.r.,�
rTR ETAI( #�5r:
County Township
County Township
hereby certify the above statements are true, correct and complete.
Sig atur of claimant \ l/x. L/ ^ 0
dr/"s (number and street. C7,, state, ZIP
LVl-
`SAT 100 %'OFTTVz
k
c`�",y ; :.
ASSESSORIUSE ONLY
rTR ETAI( #�5r:
ASSESSED VALUE
'` HOMESTEAD=''
NON- RESIDENTIAL
:Rh �°S[G'L!r.: +ie�_..i`4Ci..'�'3...
VALUE,.
-._
`SAT 100 %'OFTTVz
k
'T.VALUEy'
os``.i!?_. n.r`Y,�`�-
<.:
ar�`So. VALUEsi.`}''yu s.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
A
Total land (line 1 plus line 2)
(3)
Dwelling
(4)�;Y.
.3C
•o- %ids,..
'Residential improvements or Annually
Assessed Moblie / Ma u iscoirred Home
Garage
-� r'r' °s':.l.
Other improvements
(6)-
''
'..a'
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(S)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
verifying action - Signature of Auditor
Date signed
sR> 5L-_ .`Sri?eum�t' ys 5oo,.�.* zcvw�.`STANDARD;DE_DUCTION "ALLOWANCE
20_Pay 20_
Lesser of 112 Homestead $
Valuation or E35.000
Signature of Auditor Date signed
a
SNlE FORM:9 W IR./• •I MLA-WILE FORM TS-1A
'tram ED By SLUE MIARD Or ACCOUNTC.211N PRss(AIBm BY Ttr DFPMflEIT W LUAL GOVERYS1TNT FINANCE IC H.1-1-&I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couple.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.Homestead fraud causes higher tax bills for all:therefore.
HE.\ 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to recehe the
benefit and to provide additional identifying inform:fiun necessary to allow county government to better monitor homestead
filings.lllis information will he kept conidrntial and can only be accessed by authorized county officials.The De annrent of
Local Government Finance will use this information to create a 1s that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Cat‘, John R/Ka e L
/ O\ ^I R 1 Box 476
///(1���� 1`f {fa9ldibir'1NU76-to
1009 11\ �(�
John R/Kaye L Cates S \ ` `l/ /
-Hazleton IN 4 47640-9340 x1101 N 5R \\State Parcel Number Legal Description
Hazleton IN 47640-9340
Ill nllu.IIIIutlnll'utltln u'Ill In IIInnIInuu III II,Itl 2fr�06-100-000.093-017 00900093-00 PT SE NW 6-1-920.88 AC
5
. PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
jail N PoISER.�- • C',i�ES
�ig Addiess lnumber andstrctt,City,stifle.and ZIP code)— __ . ___`_— -fx7.t-Same as pryer.}'aL'wc-s_ -- — —
Spouse First - Middle Last
X AY 6 LVQIJ e47'E-,S
Mailing Address(Number and street,city,stale,and ZIP code) Same as property address
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 t ignj li Date
°
PART 4:ADDITIONAL INFORMATION
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