Homestead_Ice (5)" CLAIM FOR HOMESTEAD PROPERTY TAX R YEAR
} CREDIT /STANDARD DEDUCTION
Slate Form 5473 (8817 -07) HC 10
Prescribed by the Department of Loral Government Finance ,It 9
INSTRUCTIONS: See reverse side for filing instructions. 1`1 \ ` -
I (We) `'Q rriO�J/ `Y' certify that on the 1st day of March, 20_
1 (We) occupied as our principal plat f resid ce the following cribed real property for which a Homestead Property Tax Credit is hereby claimed:
' I (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 awns the property or is buying under a contract.
CONTRACT •'. .
IT buying on contract Fee Simple owner's name C.�. /
Recorder's office where contract is recorded '•C /Q`�_ J Record number Page
ASSESSOR U SE ONLY
TRUE TAX VALUE
ASSESSED VALUE
I HOMESTEAD
NON-RESIDENTIAL
PROPERTY
County
Township
Taxing di (city, town: townstvp)
Parcel number
L al description
aZ
I Is the property' uestion:
- � O 1.38.4 C ❑Real property ❑ Mobile Home (IC 6- 1.1 -7)
If any portion of the residential structure or the Land not exceeding one (1)
of the property utilized to produce income.
acre that immediately sumxmds that structure is used to produce income, describe the use and portion
ol& -o 7
9 -o1 7
ASSESSOR U SE ONLY
TRUE TAX VALUE
ASSESSED VALUE
I HOMESTEAD
NON-RESIDENTIAL
AT 100% OF TTV .1
VALUE
VALUE
Land not exceeding 1 (one) acre immediatety
surrounding residential improvements.
`-
K,
Other land
(2)
Total land (line 1 plus fine 2)
(3)
Residenfial improvements cr Annually
Dwelling
(4)
Assessed Mobile I Manufactured Home
Garage
v�
(5)
"r:>
Other improvements
(6)
--
Trial improvements (line 4 through fine 6)
(7)
Total value (line 3 plus fine 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Valtying edion - Signature of motor
Date signed (month, day, year)
STANDARD DEDUCTION
20 _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestete ad d Valuati on
S
43,000 for 2009 pay 2010 40,000 payable after 2012
or
Signature of Aud[Ux
to signed (month, day. year)
STATE FORM}Jwllef n+nl TREASURER PORN 73-1A
♦erRrw'EO BY STATE KURD M✓ye YmTS.Now rurRtDm BY TIE DEPARTMENT(w LOCAL 4n2LYMrNT FINANCE IC1-1.1-U-tI
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead wandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than causes ever for homestead fraud.Homestead fraud caes higher tax bills for all:therefore.
•
HEA 1347-2019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identin'im_ information nemsary to allow county government to better monitor homestead
tiling',This information will he kept confidential and can only be 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
Ice, Michael/Ann 111 $3 E 7 5o N
r Cif'
Hazleton IN 47640 c„
980 1l�
Michael Ice
8839 N Nixon Rd State Parcel Number Legal Description
HAZLETON IN 47640-9320
26-05-57-124-003.079-017 009-03079-00 PT MD 1241101.38 AC
1t1u11ur1t11ur1n111ntlriuullutit��� Oddment'
C-1
PART 2:TAXPAYER INFORMATION .
Owner I First Middle Last
T homas Jain42s 4.---1—e e--
-- - tg Address(number and sum,city.state,mild ZIP code) _ - - - - —_ `lam Satre as property address -- _ _ _ __ __
W7g3 E 75°M 1 A-ki ?/i0 /Eon ,- .,(/ ii&-10
Spouse First Middle Last
Mailing Address(Number and steel city,state.and ZIP code) rA Same as property address
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is Inc 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 maybe liable for back taxes and substantial financial penalties.
Owner I Signature /- ` Date
PART 4: ADDITIONAL INFORMATION
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