Homestead_Longabaugh (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 /1-90)
INSTRUCTIONS; See reverse side for filing instructions.
CERTIFICATION STATEMEI
FORM EAR
HC10
lit
I (We) O )L4 Q %7 Cr�i ert that on the 1st day of March , 19
P Ive) occupie as ()Sr principal place of residence the f te) described real property for which a Homestead
toperty Tax Credit is hereby claimed: I wned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on th�rq� ty wns the
property or is buying it under a contract. ��11,,
CONTRACT RECORDED I11t >' l`iyU
If buying on contract, Fee Simple Owner's Name �s
Recorder's office where contract is recorded Record Page
it -
I's PROPERTY DESCRIPTION
I County ^ iTownship Taxi g i trict ( ' y, ownship)
ll try k P%Y`
f? Iroel Numb er 00.' 17 i iLegal Description (/
UU Ott W. 0 S �i
If 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.
it
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County I :,Township I cQualy I Township
:reby certify the above statements are true, correct and
(Street, number, city, state, and ZIP
l1 �
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE Y70NnR.ES}
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
0
esser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Q
(4)
Signature of r
(5)
O
(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 -
esser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of r
Date Signed
-96
m
i
SLATE FORM ary•IR_r!..0•1 TES&ORIR FORM SIA
AtPRIWEO BY STATE WPM)OF.A(tTW TS!IIN PtEARIBED BY nit DEPART NT(FLOCAL CAS?AVY.neT MANCE tCt-l.l---il
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive a the
benefit and to provide additional identifying information necesthty to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depannrern of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Longabaugh, Gregory A/Linda K /a G E J 54. 54 .
I a,lcton IN 47&44(
7
Gregory A/Linda K Longabaugh
P O Box 106 State Parcel Number Legal Description
Hazleton IN 47640-0106
�rlrriirrrlrlirrriiilll111 11 liii.rtt11tt11rr 1111111111 t1 26-02-29-200-000.017-019 014-00017-00 PT LOC 7-1-10.544 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
regorY Ar u,r Loki 6,9�¢L(6
ng Addr'ga(number and street,city,state,and ZIP code) ❑ Same as property address
O o) /06 /-/A-zLETV AI /n/ 4/76'/o-0/O6
Spouse First Middle Last
1-/ATh4- K4y Loti/6.+ea-ei6,
Mailing Address(Number and street,city.state,and ZIP code) 9 Same as property address
IUD B0 x. /06 1/q-a/cr-a,c-/ /Ai V76 it o/06
CERTIFICATION
--• Eachundersigned certifies;under penalty of perjury;that-the above-and.foregoing information.is.trtreand 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 Datc
PART 4:ADDITIONAL INFORMATION
Dit✓ f)rtper address iS ion C /5t- Sr /fitr1aO'J /N '1-76Vl1
nu)/ S7o 1< eons;cfrrxP /Jr Si. aCcordl-P1? to £oar,1-y records