HomeMy WebLinkAboutHomestead_GentryCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (871505)
Prescribed by Ce Department d Loral Gouamad Fm
INSTRUC77ONS: See reverse side for filing instnx6ons.
FORM YEAR
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I (We) W i � '8 t• &bA:AA , & certify that an the 1 -�st d`�daa�r'y�/{�d-f March, 20_
I (We) occupied as our principal piece of residence the following described real properly a Homestead Prop [premt'i�&eby dabned:
I (We) owned ❑ Are buying under contract OIBSON COUNTY AUDITOR
Have a beeefidal interest in the entity that is liable for the property h aces on the properly and that owns the property or is buying under a contract.
CONTRACT. RECORDm "t • s s ;; 3. t, : c, y 4 t y 5 v .'v b^'.' .c:
It buyig an cahbacL Fee Simple owners name
Randers dice where cmbad is recai Record number Page
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Legal deaiption
ta the properly it chest&:
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❑ Real property
❑ Mobile Home (LC. 61.1 -7)
Harry proton of the residential structure or the lad not exceeding one (1) ace tat inrtedalely surmuhda that slruASe is used W produce ihoare, describe the here and patim
d Me prapemty difmd b pmoidhe
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County
Township
County
r ASSESSOR USE ONLY
Township
1 Hereby certify the above statements are true, correct and complete.
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.VALUE
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TWE TAX -
VALUE
ttO�STEAD.
NON SIDE{JTULL xj�C�;
r ASSESSOR USE ONLY
VALUE....
rILSSESSED
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3 VALUE-
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.VALUE
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Land not eufGeadng 1 (one) acre immediately
,�•S t''SYi 'O
surrounding residential improvements.
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Other lard
(2)
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Trial lard (line 1 obs Ere 2)
(3)
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Residential bnpnoveu:hents or Annually
Assessed Mobile I MaRlfadlaCd Herne
Garage
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re« J' ,s
(5)
xyafr,
Other bnprovernents
(6)
Tdal 'unprovements (frhe 4 through fine 6)
(7)
Tdal value (fare 3 plus fine 7)
(6)
I hereby certify the above is true, cared, and
complete.
Swint re Of Asaesaer
Data sighetl
Veiybg scum - sigetae of /Wdta
Date signed
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or $W.ODO
)STANDARD DEW CTIONALLOWANCE ,,." ^. .. F,.. "4,444. ..rs *.,ia's:, BFI
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Sipratre Of Marini M_ le I Dais signW
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STATE FORM f3!M,R_'/SsNI IREASIIRFT FORM 31A
APPROVED BY SITE BOARD OF VOtiSTS.n.r PRE`TRIBED BY nil uEPARTMEIrOt LOCAL VEELMM,FDeEscEICLI.I-r-ki
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 incen[ne than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only he 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
Gentry, Michael T/Patricia A
Po Box 313
Patoka IN 47666
121
Michael T Gentry
P O Box 313 State Parcel Number Legal Description
PATOKA IN 47666-0313
IIt1111111lit lclllt1II.111111 26-04-25-100 00.418-020 018-00418-00 PT NW 25111 .997 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
MjGI (H L ToDc GEWtR
gig Address(number and street,city,state,and ZIP code) RI Same as property address
Flo S. r1 & I N( S R E T P.o . ga x 313 Pn Th A I N L-r) 666
Spouse First Middle Last
FF}TR ci RIV Ea --1-R7
Mailing Address(Number and street,city,state,and ZIP code) I] Same as property address
) lo S . NJAir STRGET P.O 63o5 313 Plrtl"rokA ) N[ '4'7 {65
PART 3:CERT. FICATION --- --- ----------- — — — -
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