Homestead_BakerCLAIM FOR HOMESTEAD PROPERTY TAX Ij YEAR
=� CREDIT /STANDARD DEDUCTION State Form 5473 (R2 / 5 -92)
G9. 87
INSTRUCTIONS: See reverse side for Tiling instructions.
"We) 1 ) i-.L 1 "� certif that n ih ch, 19_
Y
�je) occupied as our principal pi a of residence the following described real property for which Homeste d P ;cry x re is hereby claimed:
'/� 1 (we) owned 0 Are buying under contract w10TOR
0 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 -
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number j Page
PROPERTY DESCRIPTION
County
Township - -
Taxi smet (ci4y town, township) -
V
Parcel number
l -GG 3 i0 -ti
Legal description
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
'Seby certify the above statements are true, correct and complete.
S. mre of claim
Address (number and street, city, state. ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I 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 pfrs line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
jng action - Signature of Auditor
Date signed
r
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
DEDUCTION ALLOWANCE
signed
-a"R-
S1MME FORM 53,4..R.7/4N1 LRFASLrFA FORV.73-IA
.VFRFw'EO BY StuLBnW)Or'MY,a[aS.&f ?IUSRIBED BY 111E BEMRMf`IIT OF LOCAL rOVERYMrTT FINANCEMr•L4"J.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 ever for homestead fraud Homestead fraud causes higher lax bills for all:therefore.
• HEA 1344-21109 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 kepi ennfidenlial and can only he accessed by aulhoriaed county officials.The lkpanment of
Local Government Finance Bill in this information to create tools that will help coma'officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property NN Address
�t
Baker, Jon W/Theresa A 10 4 f i ` m 1 \ I
-Wut,d ST
Patoka IN 47666
578
Jon W/Theresa A Baker
Po Box 54 State Parcel Number Legal Description
Patoka IN 47666-0054
II III I I II II II trrI I I III I I 26-04-25-101-000.370-020 018-00370-00 BARNES ENLG
r It Err r Itt rtr rr Err r r tt rt t t tt tt tt t III 93PT/98PT/94/96/97
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
gcvu W BAK&R-
ts Address(numocr andstreet.city;stitc-and ZIP code)—
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(Ian 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
slaw
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of penury,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 Sigma
Date
Spouse Signaut Date Telephone
( )
/
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