Homestead_Lamar (2)CLAIM FOR HOMESTEAD PROPERTY TAXI] FORM YEAR
} CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R6 / 403)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for tiling instructions.
I (We)
I (We) occupied as our principal place of residen&
❑ I (We) owned ❑ Are buying under contract
' Have a beneficial interest in the entity that is liable for the pr
If buying on contract, Fee Simple owners name
Recorders office where contract is
certitj4hat aMthe*'Rfday of March, 20
real prope or which a Homestead Prop gd IF etit eby claimed:
taxes on the property and that owns the6loperty or is
Record number I Page
�2WItv,?'
e- MR- MT'�''�s �.PROP,ERT,Y:dESCRIPTION
Co n
7ovnship
Taring district (city
, tow ip)
the prop
?j-% /h ` 3�
in tion:
R� p ope M ❑ Mobile HOmo(LC. 6f. f -n
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that sbt&re
of the property utilized to produce income.
is used to produce income, describe the use and potion
`PROPERTYAWNEDiBY,CL llil : W15TFiER'COUNTIES
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Signan of claims
v
JC'ldress (number aM street, state, ZIP code)
® 1
�-
_,,.- ASSESSOR�USE ONLY',
TRUE TAX
ASSESSED VALUE
HOIdESTEAD
� NON- RESIDENTIAL 5
�.#.`ycks:,..-
yALUE'� y
....
AT.v700 %'OF TTVyVA_
LUE�' +
- ..rM�sa".
*'( :'` `� -"`�'
VALUE ;w.."'
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)�
`.
NEW
�'t +Ht FSi
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
tfg"�� }..
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
5
}ter
Other improvements
(6)
; WE-
Total improvements (line 4 through line 5)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
SMU FORM:W.I IC I YYI ERE SIALII PORN i}IA
VFRm'ED BY WOE BOARD Of MTTLATA 9■ nIffi1BamaT OIL DErARMEYHW LOCAL rWVTICOIDL rn:ACE IC 6-1.1-^-1 t
Gibson County Auditor t
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 ever for homestead hausL homestead fraud causes higher tax bills fur all:therefore.
• HEA 1344-21109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing._This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance Mill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lamar, Carla
413 li 2nd ST
-
Hazleton IN 47640
272
Carla Lamar
413 E 2nd St State Parcel Number Legal Description
HAZLETON IN 47640-8830
hilt'I r r r l t l l t r r l t r l l l l l l l l l l l l l l l l l l l l l l l 1111111111111 PT MD 33-1-10 .38 AC.
y
PART 2:TAXPAYER INFORMATION /
Ow, r I First Middle Last
r
1
'---J
Other(please specify in Part 4 below)
Spouse First Middle Last 2(9j6r(At
1/4s Cla Mal' .Address(Number and street,city,state.and LIP code) to:a praprny 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.
Ow r I Signature Date
PART 4:ADDITIONAL INFORMATION
••