Homestead_Fithian4
a Q CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
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HC10 � / ,
t0A 199 -
I (We) `�-� certify that on the 1st day of March , 19
1-(We) occupiod as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: I (We) owned 0 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
Count Township Taxing District (City; town, township)
l 1J�Ln I M /h+1a K�
564,- "b'Dq�-001 ✓�C` "l a-1 1- in g-So C-r..
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
County 1, Township County I Township
I hereby certify the above statements are true. correct and
number, city, state
ASSESSOR USE ONLY
TRUE TAX VALUE • ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements
Otherland
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 1/2 Homestead
(2)
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)- -
- -
- -- - -
- - -
(5)
Date Signed.
(6)
'
(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
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 — Pay 19—
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Date Signed.
STATEIORM Tirt•IR_'/f+rvl raf suhrR FOKN'Y-IA
APPROVEDBY MATE aoVtOOr Ac xUOTS._nw PREAAIBmBY MT OFPARTMET OF LOCAL CASRR.YMENT FINANCE IC VI.I-!}ef
Gibson County Auditor r
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
%,
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than es'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to retebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings. this information will be Lett confidential and can only he accessed by authorized county officials.The Depanmcnt 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
Fithian, John E �f
R 113ox 257 y
Hazleton IN 47640 di
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2063 '
John E Fithian
5145 E Dead Level Rd State Parcel Number Legal Description
Hazleton IN 47640-9366
ltlullutltllur�u111ur1r1nnllnllutfiurinlrirlrrIltr� 26-02-57-127-000.246-017 009-00246-00 PT MD 127 1-10 8.50 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
._r� //t/ E / C Fi7gi749N
- mg Address Mumbo and street,city;state,and ZIP code) — . r!]-Snme as property adfiros'-- '— — - - --- -
5/ ys E ze,w z EvEL Rel //4.2LE7oN .7N 4'717o
Spouse First Middle Last
Mailing Address(Number and sweet,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drive's License/State ID Number (last 5 digits) Other(please spaa.ify in Pan 4 below)
sus
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
Spouse Signature Date Telephone
( )
PART 4: ADDITIONAL INFORMATION
IIPI