Homestead_LawsonD D� -0061
CLAIM FOR HOMESTEAD PROPERTY TAX
"- CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FILED _
�t YEAR
AY F,�991 91
AUDITOR
I (We) Vl 0 �11- `- AA.IaA d .1� certify that on the 1 st day of March , 19 9L
(We) occupied as our prince al place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: ❑ 1 (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
El 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
County Township Taxing Di s 'c (City, town township)
Parcel Number Legal Descriptio
009 Al
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 Township County Township
I'hereby certify the above statements are true. correct and Signature
complete.
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 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
-
- -
- - -
(5)
Date Signed
S-)0-
(6)
(7)
(B)
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 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor 11 /1��' .(�
%f
Date Signed
S-)0-
8
HATE FORM!3t I IL'r....I TREASURER FORM Ta-IA
ArrRm'Et 1I5£TATS BOARnof Ant Rmt S.]'• PAL-KARIn by Mr orPARTC4T(W LOCAL IX1rRNMrnT rs.NcE IC 41.1r1.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 's
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
iik more beneficial,there is more incentive than eser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
NIP HEA 1344-2009 requires taxpayers who receise the homestead standard deduction to verify that they are eligible to rrcene the
benefit and to provide additional identifying information necessary to allow county gocemment to better monitor homestead
filing-.This information will he Lena confidamial and can only he attrx ed by authorized county official,.The Depanntent of
Local Government Finance will we this information to create tools that will help county official,eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lawson, Randall W/Judith A
RI Box 65 W
Francisco IN 47649
1061
Randall W/Judith A Lawson
4554 N 575 E State Parcel Number Lethal Description
Francisco IN 47649-9227
Illttllattltllttaltt��tlatlr�ttttltttt'tl It ttitlllrtlt tl tat 111 26-06-18-300-000.671-017 009-00671-00 PT SW 16194.00 AC
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PART 2:TAXPAYER INFORMATION
Owner I ff First Middle Last
R2neta.il kr1lay71.2 L-a. cOSon
•g Address(numhT and>tnxt.city.state,and ZIP cocodej— - - - -- _❑.Some as property address—'-- — —-- -— — --
1-1,5-5y A/ s7L5 /- Kano/5cO j r/U '766 '/ 9
Spouse First Middle Last
Jar/I f-A fr/✓n/ G f1-uIS6
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
5 MY)9 .
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.
Owne�ignature Date
PART 4:ADDITIONAL INFORMATION