Homestead_BridgesCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
J Slate Form 5473 (R5110-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
I (We) -Vb Naldl A- A- k i g— S gjr
I (We) occupied as our principal place of residence the following
❑ 1 (We) owned ❑ Are buying under contract
IN,
MAY 2 2002
certify that on
real property for which a Homestead Property Tax Credit is hereby claimed:
a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
>r_
r�CONTRACT .�RECORDED?��.:�,,,�. ,r: ,s: gK�";�k',,� , -'�"' ',�1, , a•kTr-'�v tom' ��-,
If buying on contract. Fee Sunple owners name
Recorders office where contract is recorded Record number Page
i f'v',,-`.�' ;?" cis". not :r#' 1 z5s•.t,•''rs'0a)i - -'r`:y PERTY DESCRI .TIONs�`•;?.', A
Coun
County Twvnship
Tormship
Taxing M (city, coin, awnalhip)
Valuation or $6,000
dress (number and street, city state, ZIP code)
AT. 100 %OF TTV
VALUES
Parcel number
Land not exceeding 1 (one) acre immediately
Legal de3cdpdon
c
Is the ro q
p perty in uesdon:
B'D S
LC FC' N
1 7
Raal property ❑ Mobile Home (I.C. 61.1 -7)
If any portion of the residenda"
cture- orthe'land not exceAling one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to oduw income.
Total land (line 1 plus line 2)
(3)
- - -- A C -
�= PROP .ERTY:OWNED��BYCIAIMANT;IN_ OTHER' COUNTIESv�' '.,.3,��rvTi3s"'�',��.�'?4���,'
County Township
County Twvnship
I hereby certify the above statements are true, correct and complete.
SignaIT laimant
Valuation or $6,000
dress (number and street, city state, ZIP code)
.- ra.- f�h.•SSe
ASSESSOR USE ONLY -? `y"
.`j�. —R�
'TRUE TAXI-
ASSESSED VALUE
HOMESTe`rt�4NON2E51DENTIAI�h
.�
Valuation or $6,000
�JVA.. E-
AT. 100 %OF TTV
VALUES
x VALUE'
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
(2)
{f
Total land (line 1 plus line 2)
(3)
Dwelling
(4)>a-
5 y'»
' — L mp
.^
Residential improvements
2 d r'sj t i'i o;
Garage
(5)
1r
Other improvements
(6)
a r'i9
,yrt O-1;
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STAN6ARD'. DEDUCTION' ALLOWANCE,_ -'?' iris..}, a`.'.z.�L'r.'.'+- .'ri;'g..'e: -: �=
20 _ Pay 20 _
Lesser of 112 Homestead
Valuation or $6,000
5
Signature of Auditor
Date signed
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SIAME FORM,J.'1+,jR_/,+MI T FASUUUR FORM TS-IA
.Arnt,vt°UT STATE BOARD Of MYnR.15.:UM FtrstIRm BY TUT orrARrM:n(rtt. AL°OVER:NWT ra:ANCEIc.-Itr+I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net for homestead fraud.homestead fraud causes higher tat bills for all therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
S benefit and to provide additional identifying, information necroan'to allow county government to better monitor homestead
filings.This information will he kepi conlidauial and can only h.accessed by authorized county officials.The Depannrent of
1,1 Local Govcnanent Finance v.ill use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
APR 2 6 Zulu Taxpayer Name Property.Address
Bridges, Donald A/Nita S
508 2nd S'1'
GIBSON COUNTY li AUDITOR 11a-ileum IN 47640
149
Donald A Bridges
508 E 2nd State Parcel Number Legal Description
Hazleton IN 47640-8831
�rr���rtr�tt�t�rt�ttr��t tut����rt t�rr�rt tr��� 26-02-49-10\11--00/0.151-019 014-00151-00 E ENLG 59PT
I tlrtllrrrlrllrtr
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
atn tld'gitgiftett A c-1 d ses
-- re Address(number and sfiuet,city,state;andZIP code)- — - - --- - ®-Same as property nd s— - —-- -
50 G`adE SeCorct/ /4a(e, Tc/ 4,7avo
Spouse First Middle Last
N,Ja S• gr1dg65
Mailing Address(Number and street,city,state,and ZIP code) n Same as perty address
506 gas! Jkeond S$ / ilskin Ito. Lt7ip c'o
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
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