Homestead_HartmanCLAIM FOR HOMESTEAD PROPERTY TAX' FORM YEAR
CREDIT /STANDARD DEDUCTION 17 '
•.,�� State Form 5473 (R2 15-92) -
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INSTRUCTIONS: See reverse side for filing instructions.
JUN 11996
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CERTIFICATION STATEMENT
"'Ne) cil(� _ U w e..� \� t'e Vl o n4 a..l YQy�y,, certify that on the 1 „c (y)=! 19 _
®e) occupied as our principal place of re ence the following describe eal property for which a Homestead Property Tax Gre i is�h�EtEtly claimed:
(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 owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Township
Taxing district (dr , town, township) -
Parcel number
Legal description
.
r
r
Otherland
(2)
It any portion of the residential structure or 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 produce income.
Signature of 'nor
Total land (line I plus line 2)
(3)
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
eby certify the above statements are true. correct and complete.
S ur f claimant
Address (number and strepet. city state ZIPCOde) ry // / /
RZ l X �� 77 (000
ASSESSOR USE ONLY
..
TRUE TAX
VALUE
ASSESSED
VALUE.
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
S
Otherland
(2)
Signature of 'nor
Total land (line I plus line 2)
(3)
- L
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
I hereby certify the above is true, Correct, and
complete.
Signature of Assessor
Date signed
ing action - Signature of Auditor
Date signed
- STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of 'nor
Date si
ed
- 11
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SIMTE FORM!!R M.IR-r YNI r[LsSntLR FORM 731A
APPROVED BY MATE BOARD OF MYYRNTS.!MN IEh[RIBm BY 111E DEPNt1MEYr OF LOCAL CAWRYMrgT FINANCE Mr-I.1-2:4.1
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 tat bills for all:therefore.
HE.\ 1344-200 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 confidential and ran only he accessed by authorized county officials.The Department 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
Hartman, Malcolm/Cynthia E
Rr l 6(.9
Francisco IN 47649
1068
Malcolm/Cynthia E Hartman
6451 E 500 N State Parcel Number Legal Description
Francisco IN 47649-9220
�r�rr��Frr�t��rrr�rt��t�It�r�rFl F�t�tt�F���rtlt�F�tttt��rtt��� 26-06-18-400-003.005-017 0009-03005-00 PT SE 1819 7.67 AC
DC
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
�co�!►1 L €o )0 A)
g Address(number andtsireet.city,state,and ZIP code) - Mr Same as property address
!� ys 4 6 5-0o / FE,Ne-zsao .,CA' y6 it?
Spouse s First .�/� Middle l ,last
E1171?be L- /711-<-697 Q Ail
Mailing Address(Number and street,city,state,and ZIP code) I I Same as property address
y l soolU
PART 3:CERTIFICATION
Each undersigned certifies,under penalty pf 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 INFOR3IATION