Homestead_Fisher°• < CLAIM FOR HOMESTEAD PROPERTY TAX
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CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
HC10 I q1)
WI1l�V�
I (We) certify that on the 1st day of March , 19 Tb
We) occupied as our principal place of residence the folio ing described real property for which a Homestead
Property Tax Credit is hereby claimed: I (We) owned • ❑ Are buying under contract
L1 property 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
C n T wns ip Taxing District (City, town, township)
Parcel Number I Description
00 ' 00 (o- 0D E LD If any portion of the residential structure or the land not exceeding one (1) acre that imm t truc -_
lure is used to produce income describe the use and portion of the property utilized to produce income.
MAY i 1990
PROPERTY OWNED BY CLAIMANT IN OTHER COL ti.S' "Ut x _c
County
Township
County,
19 — Pay 19—
iereby certify the above statements are true. correct and
complete.
Si ai
Address (Street. number, city, state and 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
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
19 — Pay 19—
�Lesser of 112 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Sign of Auditor
(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—
�Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Sign of Auditor
gate Signed
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51 ATE MINI}MM,IC•wl TREASURER FORN 73-IA
.APPROVED BY STALE BOARD OF AMOUNTS.2ou PRF�."111D BY Tilt DEPARTHEIT(4 LOCAL GOVERNMFNF FINANCE IC 64.1424 I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 lndividuah 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.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 pnwide additional identifying information necessary to allow county government to better monitor homestead
filings This information will he kept confidential and can only be accessed by authorized county olFicials.The Department of
Local Government Finance will use this information to create tests that will help county officials eliminate homestead toed.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Fisher, Dale V/Cynthia J
' RI Box 91A
Francisco IN 47649
1098
Dale V/Cynthia J Fisher
6897 E 400 N State Parcel Number Legal Description
Francisco IN 47649-9213
ltltalltrlltillttlrtlltlrllritt�l�lrr��rr��r�t�rr�rrr��r�tl� 26-06-20-300-000:196-017 0 9-00196-00 PT NE SW 20-1-9-8.16AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle I Last
__La /e. l!I G-1-c)1- c/e5 her
&Address.A -ohd-snox,city,stare,and ZiP code) -- — - -— ' • '- EaSame as property Iddo,ss-- -
6857 .. Vo0 ,v.
•
Spouse usee First Middle Last
C Ceattse n
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify'in Pan 4 below)
sine
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 Si' ,2.6 16
Spouse Signature Date Telephone
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PART 4:ADDII'IONAL INFORMATION
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