Homestead_Thompson_y
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for.filing instructions.
W 1d14IV.%dr.11w 1&I%d 4,1.1 y \Yd
• t S� R
OCT 3 0.1992
I (We) aL� 1— Q> certify that on the 1stNX Orch,v19
'•(We) occupied as our principal place of reside ce 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
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 Tax' i nct ( ity, town ownship)
�rccel umber Legal Description
If any port on 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
Township I County I. Township
I hereby certify the above statements are true, correct and I Sig u l
complete.,,
Address (Street. number. city state and ZIP code) 1
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 112 Homestead
Valuation or $1,500
19 —Pay 19 —
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Signature of Auditor
(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 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19 —
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of Auditor
Die Signed
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•
S tin lost 53!4.0t:/5,7•1 TREAS1:tn FORM'--IA
APPROVED BY STATE BARD OF MAYik\IA`W. PAM-MEBY air DEPARTWVTOF LOAF GwanVSttwr FINANCE IC 4-1.1.r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and hurried couples are limited to one homestead•andard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than tier for homestead fraud.Homestead fraud causes higher tai 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.ibis 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 toots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Thompson, David M/Melissa
WELL#09-035 009-01229-00
Patoka IN 47666
227 - _ _ __ _
David M Thompson
6777E 500 N State Parcel Number Legal Description
Patoka IN 47666-9142
26-06-17-300-000.173-017 009-00173-00 PT NE SW 17-1-919.50 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
c,\An.
�tg Address(number and stree city,state,and ZIP code) -- — -— Same as property uddrns -- ' — --—---
(�7 OQ /C /
Spouse First Middle Last
Meat-t- S4. NIA—ta —0,t0-r-D ROX-)
Mailing Address(Number and street,city,state,and ZIP code) E'Sante as property aress
6 gocD o1c - J 4666
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
• PART 4:ADDITIONAL INFORMATION
•