Homestead_Cline SLATE FORM 53R.Wr1)+MI 1RFASUIER FORM 31A
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Gibson County Auditor IMPORTANT N
101 N Main NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple. are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fmtdL 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 recene the
benefit and to provide additional identifying information necraary to allow county government to better monitor homestead
F,,filintgs. Ibis information will he kept confidential and can only be accessed by authorized county officials.The Depannien of
F
t.ocal Guvemment Finance will uae this Information to Create tools that will help county official.eliminate homestead fraud.
f PART 1: PROPERTY INFORMATION
MAY 6 210 Taxpayer Name Property Address
Cline, Dallas/Frances
� RD
71/4'0 'egg. PATOKA I N
47666
676 GIBSON COUNTY AUDITOR
Dallas/Frances Cline
603 S hudson RD State Parcel Number Legal Description
PATOKA IN 47666-9082
II I I III I I 1 1 1 1 1 1 I I I I I I 111111111 26-04-26-400-000.570-020 018-00570-00 PT SW 25111 .05 AC
r tt tit t tit tit tt t rt tit tt fit t PT SE 261117.788 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
ap A LLAS CLiAIE
m nddiess(number and street.city,s t i l e,iind ZIP code). - -- -- - ' Sonic us plupeny address---- — - --
4 03 5. /la DSo pi /2/n D • A9We I)- 19 1/7h4L
.
Spouse First Middle Last
FRAwGES F r. CLINE
Mailing Address(Number and street.city,state,and ZIP code) ®Same as property address
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.
ie•S ature
/\ n J Date l /0
PART 4:ADDITIONAL INFORMATION
tit
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION '
i State Form 5473 (132 15-92)
INSTRUCTIONS See reverse side for filing instructions.
f
I Y
E
APR 4 4 2001
YEAR
CERTIFICATION STATEMENT
I (We) C]1 i rv. D .V C�_Sl.� ` % Rte_ k.S__-¢ A0 r.IRCr'pe t,, nxnle ry f March, 19_
II1 occupied as our pri cipal place of residence the ollowing described real property for which a Homestead Property Tax Credit is hereby claimed:
�(We)
(We) owned E] 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 owner's name
Recorder's office where contract is recorded
Record number
Page
_ PROPERTY DESCRIPTION
County
Township
Tay(tg
district (city town, township),
j{—� T
Parcel number
Legal description
0 0- oa
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 COUNTRIES
County
Township
County
Township
areby certify the above statements are true, correct and complete.
Signature of claimant
(..
Address (number and street, dry, state, ZIP code)
AX 1:96 ,et9 /A/
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
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
Signature of Assesor
Date signed
complete.
verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
lip
19_ Pay 19
Lesser of 1/2 Homestead
5
Valuation or $2,000
Signature of Auditor
Date si ned L I
i cs