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Home My WebLink AboutHomestead_McDanielCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR a CREDIT /STANDARD DEDUCTION Hc10 U State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEMENT (We) G certify that on the 1st day of March , 19 oWe) occupied as our principal place of residence the fol wing 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 ❑ oeisahi r o it under a contract. GUN I HAG I iHtGUiHUtU If buying,.gRcQn�*, #e Simple Owner's Name Re rpp der's office where contract is recorded Record Number Page PROPERTY DESCRIPTION County nshi Taxin District (City, town, township) Parcel Number Legal Descriptio I f I (4 &-1-9 SS a 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 ®hereby certify the above statements are true. correct and Signature <MOA4 � 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 Lesser of 1/2 Homestead Valuation or $1,500 19— Pay 19— Lesser of 112 Homestead Valuation or $1,500 (2) Signature of Auditor Date Signed (3) (4) (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 Lesser of 1/2 Homestead Valuation or $2,500 1990 Pay 1991 Lesser of 112 Homestead Valuation or $2.000 1991 Pay 1992 Lesser of 1/2 Homestead Valuation or $1,500 19— Pay 19— Lesser of 112 Homestead Valuation or $1,500 Signature of Auditor Date Signed STATE FORM 53569(R28-09) I1tEASURER FORM TS-1A1 APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1 lM 140 ' AN NO 1s. `1( 0 HONE •S A D ' ' 0 ' ' ' Y OWNS'•S Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud 'auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings. This information will be kept confidential and can only be accessed by authorized county officials. The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PARTI: PROPERTY INFORMATION Taapaver Name Property Address State Parcel Number Levi!Description: Doris McDaniel 4699 N 850 E 26-06-l6-400-W0.520-017 PT SE 16 1 9 52.518 AC FRANCISCO IN 47649 Complete and return to: i®iiumm MOM ii Ma IN®®®mmEMIm®® GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 PART$Q } INFORMATION Owner 1 TT Fvst D Middle / Last Mailing Address(nutter and street,city,SEl y Same as property address [j/ APR 2 7 2011 Social Searily Number(last 5 digits) Drivers License State ID Number(last 5 digits) sate Other(please speedy in Part 4 below) _ , ' , aw` ,, I J Owner I GIBSON COM Y AUDITOR Middle Iasi- , DoRI5 mae Mel4 . eL Mailing Address(number and street,city,state,and ZIP code) , ® Same as property address If 1099 /1/ g5 f;. F (gnlc Ise o >-16 Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) I I I I 11 1 I I Stet PART 3: CERTIFICATION r -. .- of pedury,thifthrabove -•.ing inft a t h-& receive the homestead standard deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions he or r may . ..ck taxes ar. substantial financial penalties. Owner I Signature Date c / PART 4: ADDITIONAL INFORMATION