Homestead_Feagley (2)E „rE CLAIM FOR HOMESTEAD PROPERTY TAX
a CREDIT /STANDARD DEDUCTION
State Form 5473 (R215-92)
INSTRUCTIONS_ See reverse side for filing instructions.
FEB 9 2001
MMME
CE FICATIO TATEMENT
1(We) ertity thatP��liyfiNldhj)pl
I (We) occupied as our principal place of residence the following d&1bed real property for ch a H estead Property Tax Credit is hereby claimed:
❑ 1 (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
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded -
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (dry, town, township) -
r
u q_n
Legal description
��
...
It any portion o ntial sl u 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 pr ,
O
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County -
Township
ereby certify the above statements are true, correct and complete.
Signatur claimant
Add umber and street, dry, state, ZIP 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)
Other land
(2)
Total land (line 1 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)
(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
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
S
Signature of Auditor `
Li
Date ned
SINE I nest 5e•OC/YNI TREASURIR FOAM 75-IA
.TPMm'EO BY SIAM awDOUAFRal5TS.mu Phnom BY lair DEPARTNIEVrcF LOCAL IXHcRW.rr.r F*A CE ICH.IS}AI
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 134-1--2009 requires taxpayers who receive the homestead standard deduction to sully that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Pointy.This information will be kept confidential and can only be accessed by authorised county officials.The Depanntent 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
_ Feagley, Russell A/Lisa Jo
Well f 09-119 009-02674-00
Francisco IN 47649
1618
Russell A/Lisa Jo Feagley
6053 E 390 N State Parcel Number Legal Description
Francisco IN 47649-8902
III I III I III I I I I I I I I III 26-06-19-300-000.782-017 009-00782-00 PT SW SE&PT E SW 19-1-9
t o sett set u t i, ,, t t .t ,nu r t t nt nt r 24 AC C-1
x
PART.2:TAXPAYER INFORMATION
Owner I First Middle Last
1/ ,CI Ait
pr) FQ. Qg} Q—y
tg Address(number and iuccL city,state,aril ZlP code) ' i xme as property alde.e. -- -- - — - -
- 6o53 £ aRo kl Fro,ne fl TO 47cDLIq
Spouse First Middle Last
j U
SA `Th Re4g1 Q�j
Mailing Address(Number and street,city,state,and ZIP code) a as pro y add
(vnr3E-' �clo A) P►q nc� Q I TIJ YiApti-
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 Thure Dare