Homestead_Meade (3)11
CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
6 State Form 5473 (R12 / 609)
i Prescribed by the Department of Lap] Govemment Finance
INSTRUCTIONS: See reverse sire for filing instructions.
F YEAR
NOV 9 ZULU
CERTIFICATION
pp����rl�TnR
I (We) G lrzrmytihartY'(ive) dcetlR 25111 y (our) principal
place of residence or am (are) buying the folio g descirbea7gal property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (dare of filing):
[:11 (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
INFORMATION
CONTRACT RECORDED
It buying on pntra0. Fee Simple owners name
Recorder's office where centred is recorded
Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town ice)
4�
Legal description Is the property in question:
DA-1 property ❑ Annual assesuId mndle home (IC 6-1.1 -7)
if any portion of the residential siructWre or the land not exceeding one (1) acre that hnmedlately surmunds that suudure it 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 complete.
Signs re of claimant
,rress(numberandstreet, dty,stale, and LPcode) /; I ,,
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE I HOMESTEAD NON-RESIDENTIA
AT 1100% OF TTV I VALUE VALUE
Land not exceeding 1 (one) acre Immediately
surrounding residential improvements. (1)
Other land
(2)
- s'
r".`~,
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
h S= F7'l+?Yi
yryy��
,' ?44
Residential Improvements or Annualty
ytES ��'k,+cry- r
Garage
Assessed Mobile I Manufactured Home
Other improvements
(6)
Total Improvements (line 4 through line 6)
(7)
Total value (line 3PI1s line 7)
(8)
1 hereby certify the above is true, correct,
Signature of Assessor
Date signed (month, day, year)
and complete.
Verifying action - Signawre of Auditor
Date signed (mm1h, day, year)
STANDARD DEDUCTION
20 _ pay 20 _ Lesser of 60% of the assessed value of the homestead or $45,000
Notwithstanding any olherprovision, ft sum of the deductions provided in IC 6-1.1 -12 to a mobile horns that is
$
not assessed as real pmperly or to a manufactured home that is not assessed as real property may not exceed
orehaff(114 of P1 assossadvalue of are de tome or manufactured hone.
o
Date sg (month,
%7 9 -7cr
•
•
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STATE FORM 53560(R3/8.10) TREASURER FORM TS-1A
APPROVED BY STATE BEARD OF ACCOUNTS.2009 PRESCRIBED BY TEE DEPARWMEIT OF LOCAL GOYIM%MEVT FINANCE IC 61.1332.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
FILED
• 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 Deparunent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
•
MAY 1 O 2011 PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address
Meade, Grant F
GIBSON COUNTY AUDITOR 5832 N SR 65
PATOKA IN 47666
936 •
Grant.F Meade I 1
11010111B01101111001111101101110110111Imo 11101. 1111101011]HI[[011 ll
5832 N SR 65
Patoka IN 47666
State Parcel Number Legal Description
26-05-47-124-000.481-017/PT LOC 124 1 10 1.00 AC C-1
5
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
_ 'A T'':TAXPAYER INFORMATION
- ....r 1
First Middle _ Last --
,2f1N ! FowLc.c ME
Mailing Address(number and street,city,state,and ZIP code) Same as property address
Sp. 3 z M. sT ,eo. (S , ,lrO is 4c) L176( '
Spouse First Middle Last
ate—11r A (��r �n `1 1 \ QGZAjz___
Mailing Address(Number and street,city,state,and ZIP code) )3G]Same as property address
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.
Owner I Signature Date
-{