Homestead_Hunter�I
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i CLAIM FOR HOMESTEAD PROPERTY-TAX FORM
y" CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (132 / 5 -92)
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.INSTRUCTIONS: See reverse side for filing instructions.
YEAR
. I "Ne) YC�. y 9y,__,_s t�s•(� certify that on the 1 st day of Maa�.—T9' "
lb I 1
occupied as our principal place of residence the following described real property for which a Homestead Property Tax tZredilis�lereby�ipled:
L I (We) owned ❑ Are buying under contract // UU ll��'' c� II ybb
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the proldirQ'Dri� rig 4er a crVao-
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
' PROPERTY DESCRIPTION -
County
Township
Taxing district city, town, township)
Parcel number
� _oo
Legal description
m -
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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
Oeby certify the above statements are true, correct and complete.
SignatureA daigiffint
Address (number and street. city, stale. ZIP code)
v -
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED.
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of Auditor
Otherland
(2)
Total land (line i 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 pbs line 7)
(g)
Flhe,neby certify the above is true, correct. and
plete.
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 Auditor
Date signed
!r,A
SLATE FORM n,..nI r 5-Mt TRrASna1A FOAM TS-IA
APFROVED BY cfltL M•RD OFMntTTS.a/r. PR1ARIBFD BY Mr DEPARTKENITOF LOCAL CAWERNMETT iPANcEII'41.1 at
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to orn homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ern for homestead fraud.Homestead fraud causes higher Las 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 be rep confidential and can only be accessed by authorized county officials.The Deponent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY LNFORMATION
Taxpayer Name Property Address
Hunter, Rick D/Cynthia A
RI Box 262
Ilazleton IN 47640
1064 __
Rick D/Cynthia A Hunter
R1 Box 262 State Parcel Number Legal Description
Hazleton IN 47640-9370
�r�t t��rtt�t��tt t�t t���ttt�t�ttrt��t�ttl���trrr�tt���trtt��tt� 26-02-57-097-000.451-017 009-00451-00 PT MD 971-1O 1.88 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
e Address(humber and such,city;state,midZiP coded- -- - -— ' n Same to property addrev -- - - - -- - ---
va zf Q)C, D �6/c�, AZ), N 4-2 0,t), ,u ,giONO
S First Middle Last
ill iDt h i ft h n Putt-Er r i2
Mailin_Address(Number and street,city,state,and ZIP code) Same as property address
3Cflqu E. f -es -b Jtu-e I 1202 . AzIe-f-o . ,v. u`1 (94 O
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.
(tuner ignat / Date
PART 4:ADDITIONAL INFORMATION
•