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Homestead_MalloryI VON[ 0 e;�'•° CLAIM FOR HOMESTEAD PROPERTY TAX; o��n YEAR y4 CREDIT /STANDARD DEDUCTION Hc�i� 27 9°j ° State Form 5473 (R2/1 -90) ° ° INSTRUCTIONS: See reverse side for filing instructions. fu frs AUDITOR 0 CERTIFICATION STATEMENT I (We) _ (1 /n� �hC���� rtify that on he 1 st day of March , 19 (We) occupied as ou rincipal place of residence th following described 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 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 Ut:b1,hll` I IUN Taxing District (City, town, township) 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. 1100 - �_bc) PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township_ County Township I hereby certify the above statements are true, correct and n re com ' te. ddre s (Street, number. city. state and ZIP code) 0 256 X192 /i° /a fV 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 1/2 Homestead (2) Lesser of 1/2 Homestead Lesser of 1/2 Homestead Valuation or $2,500 (3) Valuation or $1.500 Valuation or $1,500 (4) Signature of Auditor (5) (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 1/2 Homestead Lesser of 1/2 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 O / „ SIAlE FORM 53!4a tR2 I MP1 IRESCItER FORM TS-IA • 'PF10rnE0 BY 51 A11.MVt4 Or Acnt INls.5n. PRr ,lam BYn1E DEPARTMENT OF LOCAL G twMFt.TFP'AcEie H.1-u4.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to our homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than eser for homestead fraud.llomestead fraud causes higher tat bills for all:therefore. II HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the benefit and to provide additional identifying information nece.sary to allow county goverment to better monitor homestead filings'This information will he kept confidential and on only be accessed by authorized county officials_The Depanmem of Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address _ Mallory, Rodney D/Casandra R I Box 256 Hazleton IN 47640 178 Rodney D/Casandra Mallory R 1 Box 256 State Parcel Number Lena] Description Hazleton IN 47640-9319 F I I I I I I t I I r I I I r I I F I I I I r I I I1I1 r I I I I1I I I I I I I I I I I I I I I I I I I11 I I I 26-02-57-127-000.059-01/009-00059-00 PT MD 127 1 10 2.57 AC PART 2: TAXPAYER INFORMATION Owner I First Middle Last odhev - 9 — — Marla by — - 1^Address(tinier and street,city,state;and ZIP-code)— - - -ErSarae cs proper v eddrst S/Li l t sR 5-6 RRz/eton1 iii) 4 7640 Spouse n r7 /� First Middle Last /0/voecff0 Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propeny address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sun PART 3: CERTIFICATION Each undersibmed 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 1 Signature ,Date ( ) PART 4:ADDITIONAL INFORMATION •