Homestead_Bottoms (7) MIL 10RM!1rt#tti/■••t trrssttrx FORM:}IA
MOANED BY STATE Bn4ROBF ACCOUNT L.3,n PUUMM BY TOL DEPART/EV,-OFL(rt;AL raNRLYMTAT FINANCE It LI.I-r-t.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 net for homestead fraud.Homestead fraud causes higher us bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing?.This information will he kept confidential and can only bc aece>aed by authorial county officials.The Department of
Local Govcrnrncnt Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Bottoms, Donnie L/Yvonne Sue /
k3 Box 106 ,f{, /
Oakland City IN 47660
3250
Donnie L/Yvonne Sue Bottoms
10147E 575 S State Parcel Number Legal Description
Oakland City IN 47660-7709
Irlralitrrlr��I111111�ii rtln nnlltntll1trr1r1rr r1tt11rr r1r t11t1 26-20-11-2000--000.067-001 001-00067-00 PT NW NE 113-9.64 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
BoNNie 5 o crams
•ng Address(number and street,city,state,and ZIP code) Same as property oddness
/0/47 fl15 OntWAND ctrl /Ai .iboC
Spouse First' Middle Last
Yvo NN S u F fri7bnns
Mailing Address(Number and street,city,stale,and ZIP code) LJ[ 'Same as property address
/ 0/47C 575(9 O,4khANt) eITT /✓ ? 6 hr
.
-
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
PART 4:ADDITIONAL INFORMATION
.:,•, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 /1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
I (We)
CERTIFICATION STATEMENT
40/ -4004 7 -oo �,
FORM YEAR
HC10
certify that on the 1 st
We) occupied as our princip� place of residence the fo owing described real property for which a Homestead
ugAY 1
rroperty Tax Credit is hereby claimed: I (We) owned ❑ Are buyiA u}wr contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on tq& &t (j1hat owns the
property or is buying it under a contract. s
AUDITOR
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County Town ip Taxing District (City, town, township)
Parcel Number Legal Description
ft � - OD00 -NDO k)1 .s:✓ 11-3-9 38 q �
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.
&�q• d - 66 /
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County Township
®,iereby certify the above statements are true, correct and
Sign re
complete.
(2)
Address (Street, number, city, state and 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
Otherland
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
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Signature of Auditor �(� pry
D vrl
(3)
(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
1989 Pay 1990
Lesser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of Auditor �(� pry
D vrl
Date Si ned
S— �'
A