Homestead_Anthis •• STATE FORM•)K,V t seen MEASURER FORA T1 IA
.APPROVED BY RUE BMAO OP AmWNtS air, PFIwmsrD BY THE DEPARUfCIr OF soL:LLGM2R'aEr.T FB:AGCE IC 6-1.1-12-8.1
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
0 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept 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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Anthis, Patricia Weaver Trust
P O Box 333
Patoka IN 47666
•
1670
Patricia Weaver Anthis
312 E Spring St State Parcel Number Legal Description
PATOKA IN 47666-9525
26-04-24-300-000.471-020 WOODS ENLG LOTS 41-50&66-70
1111111011111101111;11811clooldeteltIlltleol1111111111111
X
PART 2: TAXPAYER INFORMATION
Owner I First Middle /u,�,,�// Last
PgTl«/A WERVtag 7--
-- — — ---- -----
ag Address tnumtxr nob sues-nty,stale,arm ZIP code) - - --�- - '�Same as prupem adders— -' -—
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.
Ownc he amc �'� Date
III
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT -
FORM YEAR
HC10
I (We) ___/ / �l.Titicc w • G�Z�cce certify that'on the 1st day of March', 19 90
I (We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is herebyclaimed: ® I (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 it under a contract!
CONTRACT.RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office.where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County ,Lf y
town,
PaFFyyeI Number 1\ Legal Descripqtio.n
Q/d GU t7r-Ai 39 & 0 S/ S.1 6 -V I-16 i'
If any portion of the residential structure or the land not exceFking 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.-
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
!A ✓O 93o K - �i� P,' 9930 K d tl� d
ASSESSOR USE ONLY � /Oa N�UE TAX VALUE' ASSESSED VALUE H S N- RESIDENTIAL
%D 04 - VALUE
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 vatue - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 112 Homestead
JUL L 5
Valuation or $2,500
(2)
Valuation or $1,500
Valuation or $1,500
(3)
.`;mature of Auditor
% ,t1--. s
(4)
(5)
(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
i 1989 Pay 1990
ser of 112 Homestead
1990 Pay 1991
Lesser of 112 Homestead
1991 Pay 1992
Lesser of 112 Homestead
19 — Pay 19 -
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or $1,500
.`;mature of Auditor
% ,t1--. s
Dal Signed
9 ( 90,.
r/ j7 - -