Homestead_Lamar (3) SIAIE(oRSI SlW IIL'/earl ThLASURIB FORM 73-1A
APFRlw'ED BY 51liE MOW OF ArCIAIs l._nn MINIUM DV Mt DFPARTQVror LOALr.ovtLIMETT FINANCE IC 41.1::41
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
' inure beneficial.there is more incentive than on for homestead fraud.Homestead(mud causes higher in bills for all:therefore.
® HEA 1343-2009 requires taxpayer who receive the homestead standard deduction to verily that they are eligible to receive the
benefit anti to provide additional identifying information neazsaly to allow county government to better monitor homestead
filings'Ibis information will be kept confidential and can only be areccsed by authorized county officials.The t)cpanment of
Local Government Finance will use this information to create tools that will hrlp county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lamar, Stanley R/
302 S Ohio
Ilazleton IN 47640
1205
Stanley R Lamar
302 S Ohio State Parcel Number Legal Description
HAZLETON IN 47640-8905
111htlltttl111httltt llltttlttl1111ttllttttl111111tttt111111111 26-02-59-033-000.062-019 014-00062-00 E ENLG 135/136
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
S -/C1 4.) ti e y Ric y h/9MAr-
tg.Address(number and stmt,sty,state,and ZIP code) - — — same as property addnss . •— .. '--_ —
? o 5. OA a fggz,L61:0 ,f.), 24.'V°
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 1 Signature Date
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2I 5-92) -
r
INSTRUCTIONS: See reverse side for riling instructions.
YEAR
CERTIFICATION STATEMENT -
I (We) STCi V L
the following described real property for which a Homestead Property Tax Credit is hereby claimed:
C —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 under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded R
Record number P
Page
PROPERTY DESCRIPTION
Coun T
Township T
Taxin district (city, town, township)
Parcel number L
Legal description
/35- 11 3�
If any pchon of the residential structure or the land not exceeding ne (1) acre that Immediately surrounds that structure is used to produce irffiib, ddscl and portion of
the property utilized to produce income.
/411"3SON COUNTY AUDITOR
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County T
Township - C
County Township
lereby certify the above statements are true, correct and complete.
Signature of aim
Address (number and street, city, state, ZIP code)
ASSESSOR USE ONLY T
TRUE TAX A
ASSESSED H
HOMESTEAD N
NON - RESIDENTIAL
Land not exceeding 1 (one) acre immediately (
(1)
Other land (
(2)
Total land (line 1 plus line 2). (
(3)
Residential improvements
Dwelling (
(4)
Garage (
(5)
Other improvements (
(6)
Total improvements (line 4 through line 6) (
(7)
Total value (line 3 plus line 7) (
(8)
I hereby certify the above is true, correct, and S
Signature of Assesor - D
Date signed
Verifying action - Signature of Auditor D
Date signed
STANDARD DEDUCTION ALLOWANCE