HomeMy WebLinkAboutHomestead_WhitehouseCLAIM FOR HOMESTEAD X FORM YEAR
y CREDIT /STANDARD "DEDUCTION Hc10 ��d
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for tiling instructions. Q Q
CERTIFICATION STATEMENT
I (We)
on the 1 st day of March , 19 o
We) occupied as our principal 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 �a`'cz;3 �
If buying on contract. Fee Simple Owner's Name
County Township
®nereby certify the above statements are true, correct and
gnature
0
complete. ' - - -
Recorder's office where contract is recorded
Record Number
Mad
Page
2 1 iggo
PROPERTY DESCRIPTION
County T wnship _ Taxing District (City, town, townsffrr)"" 14' "
AUDITOR
Par el N mbe ,DO I Legal Descri n „, aO_'
Ii 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
®nereby certify the above statements are true, correct and
gnature
0
complete. ' - - -
(2)
ddress (Street, number, city. state and ZIP code)
G
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 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of A or
(5)
a
(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 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of A or
DaI Signed
a
N
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St.ME FORM'! Adal u)n TREASURES FORM 711A
nrPRIWED BY STATE BONN CIF ACCFRUNTS.DrM PEE9rmnED BY THE DEPART WT OF LOCAL COVER-WENT FINANCE le•-I.1-2'4 FI.
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuate and married couples are limited to Are homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than ner for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
I HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will sec this information to create tat that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Whitehouse, Oscar/Thelma Irene ‘G2oE 35oN
RI
Francisco IN 4764
965
Oscar/Thelma Irene Whitehouse
6620 E 350 N State Parcel Number Levi Description
Francisco IN 47649-9274
26-06-20-300-000.897-017 009-00897-00 PT SW 20-1-9 2.437 AC
PART 2:TAXPAYER INFORMATION
Owmet I First' Middle Last
OSCAR Wbf Te house
•g.AAdies(number and street,city.state,and ZIP cddej — —_ - --.Q•Same as property address—__ ___. -
tCZOE c3,50/V F ERN c lsco LW 4.7 tip?
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
DE-&SOX" FxAwe/sCO, X/✓ 474f?
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 hack taxes and substantial financial penalties.
Owner I Signature Date
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PART 4:ADDITIONAL INFORMATION
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