Homestead_CornCLAIM FOR HOMESTEAD PROPERTY TAX.
ice. y CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
FICATION STATEMENT
r ,
- J AW,r
DEC '7 1992
I (We) CC olat -L —�- v _ (Svw_ certify that on the 1 st day o _, 4&00*o ' b
IIL (We) occupied as our principal place of residence the foil ing described real property for which a Homestead
r roperty Tax Credit is hereby claimed: I (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 it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded" Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District (City, town, township)
Parcel Number Legal Description �y
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
Township I County I Township
hereby certify the above statements are true, correct and I Signature
rAddress (Street, number. city,
state and ZIP code)
1991 Pay 1992
19 —Pay 19 —
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSED VALUE HOMESTEAD VALUE
NON - RESIDENTIAL
lk , Valuation or $2,500
(3)
Valuation or $1,500
VALUE
/ -r
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)
-
11)
1991 Pay 1992
19 —Pay 19 —
esser of 112 Homestead
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
lk , Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
- -
- -
(5)
(6)
(7)
-
(8)
I 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
1990 Pay 1991
1991 Pay 1992
19 —Pay 19 —
esser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
lk , Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor -
Date Signed
VW/FORM Dt,.,r I 1nrAsUtfl!OPM b-IA
APPROVE()BY RAIL BOARD nEMURNee.yen RIYWBW➢BY ntr DEPMT1EVr(IF LOCK"CAVELYMENT FN'ASCE1(' I.IL'A.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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
.• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept cord:dentin)and can only be accessed by authorized county officials.The Devon:non of
Local Govworrent Finance will use this information to create tools that will help county officials eliminate homestead traud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Corn, Scott A/Candace E
Rs I Box 68 13b
Francisco IN 476-49
1080
Scott A/Candace E Corn
6205 E 450 N State Parcel Number Legal Description
Francisco IN 47649-9234
Illttlltttlllltttlttllllttlllttttlllttllttlltlllttttllltitttll 26-06-19-200-000.236-017 0 9-00236-00 PTNWNE 19-1-9 7.76 AC
•
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
SCOTT %LA/i/ eaeAl
�ng Address(number end strm,city,state,and ZiP code) — - --- — 'jj Stunt us property uddresa _.——— - — - —
2O E 4/53N r/ZAgc/sco, /M LI7thV9
Spouse First Middle Last
e4JVDACE ELLE/J dok/i
Mailing Address(Number and street,city,stale,and ZIP code) El Same as property address
6205E/50/l/, F2ANC/5c0, /N 1/7(oV 9
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 I Signature Date
PART 4:ADDITIONAL INFORMATION