Homestead_ThorneCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
FORM PEAR
HC10
I (We) certify that on U1� t d. of ftd� 20_
I (We) occupied as our principal lace of residence the following described real property for which a Homestead Property ax r It Is hereby claimed:
❑
[(We) owned ❑ Are buying under contract l / ///� G
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pr fvetty.anis�buy,(rkg' undera`coa4'acE
e." u'''✓. �d1+'. a',. x''°-* z` xsm- i`_-''' ti' s'. SiCO_ N_ TRAC_ TRECORDEDSr.„sri•'T'S_`,a4"a_s' r- '<'u_"#°..�,,4�L,dr`F
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
L: 2;!•�'d`. iyr' .F'a.. 't44iar -
WO -Fr'� _ r '_ ..__ ..r
�"�. 2,-- �a.. �P, ROP ,ERTY.DESCRIP,TION�;�'';%?o-041. �m "€..a- �..??°f; u:"`- �`iS,,('��:fN
Cou
Township
Township
Testing district (dry, town, township
Parn be— �
/mil /"
L 9
$igaature of
�f1�J
alma
( //f_/�
s property in questi n:
Real property LJIMobile Homo (LC. 61.1 -7)
H any portion of the residential structure or the land not exceeding one (1) acre
of the property utilized to produce income.
tW is u nds�(it structure is used to produce income. describe the use and portion
o U
1�` P, ROP. ERTY, OWNEU`: BYCLAIMIANT;
INiOTHER "CUUtJTIESt'.sg?is�,- :.5..�'rt`f t"
County
Township
County
Township
I hereby certify the above statements are true, tarred and complete.
$igaature of
�f1�J
alma
( //f_/�
Address (num and street, city, state, ZIP code)
�c
Land not exceeding 1 (one) acre immediately
%t ye
) rR,n°r yi s L 1'4Jwr ZT-
5 L•r`ASSESSOR USE ONLY =r w�
S s� ° """.Z-
CTRUETAXASSESSEDVALUE
�^. -
HOtdESTEADi .'
i
NONRESIDENTULL
AN Ems- 4
.�ATx100Ya_:OFTTV
-t-' a"+VALUE <
Ott_. -... ...€a.
Land not exceeding 1 (one) acre immediately
'°y,�r- c?:�F`'.,s
surrounding residential improvements.
Otherland
(2)`"o
Total land (line 1 plus line 2)
(3)
Dwelling
(4)2�waa"zd+;+k_
K
Residential Improvements or Annually
Assessed Mobile I Manufactured Horne
Garage
(5)
_
251 2
••tLtS l
Vi=i -
Other improvements
(6)-
�'r
Trial improvements (line 4 through line 6)
(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
20 _ Pay 20 _
Lesser of 112 Homestead
vatuatwn or 535.000
S
0 7 -0,3
•
STATE FORM!J!MIR:/Sant TRFAtUIIA FOAM 73-IA
.V/ROVEDBY CITE BOARD OF YYYRry1R2Vx Ma-REBID BY TUE DEPARTMENT(FLOCAL CAVELMMFM rn:ANCE IC 4-1.1.-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc 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 tae bills for all:therefore.
• HEA 1374-200Q requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and Co provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi conlidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Thorne, John W
Ilwy 56
Ilazleton IN 47640
95
John W Thome •
R1 Box 186 State Parcel Number Legal Description
Hazleton IN 47640
26-02-29-200-000.286-019 014-00266-00 OLD PLAN 7PT BLK 7/8PT
BLK 8 E ENLG 33PT
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
-; 1.✓, r ri
•1g Address(number and street,city,state.and ZIP code) - - —' ._ — -- le rat property nddrees - --- -- — — — —
/ / 7 r/srsr' Go-Lp /R6 / z/t,7ez_& 9XYG
Spouse First Middle Last
Mailing Address(Number and Street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/Statc ID Number (last 5 digits) Other(please spvsify in Part 4 below)
Sus
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 fn Telephone
6 '
Spouse Signature Date Telephone r l
PART 4:ADDITIONAL INFORMATION