Homestead_GeorgeCLAIM FOR HOMESTEAD PROPERTY TAX
CREDMSTANDARD DEDUCTION
Stan Form 5473 (R715-W
lormambad btM Devertnient of Leal Government Feenc�e
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INSTRUCTIONS: See reverse side / )rwg =7. MAR U 5 2008
F- -A -' -,,. - - . - / I PfftFIMPirfinnar srA=W!Mnr "' -' y�.a >. • ;.'. - -
I (We) v 1 1 V-A-AAA1 V r-- - I ' Y�-� - I — certify that on W1 st dayjq March. 20_
I (We) occupied as our principal place of residence the following describeo4eal pup" for whirls a HornesbQqQAQiW&yC"q9Wy daimed:
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 Wying under a contract
if buying on central, Fee Simple owners name
P�mrders of5m where contract w recorded Record number Page
-:PROPERTY OVVNECii3YCLAMtANTINOTtiERCOUNtIES1 5'
PROPERTY DESCRIPTION::
Cmnty
Township
County
TaNnship
T-ng district (60y
I hereby certify the above stalernents are true, correct and complete-
PamWWm1bff
a� —o '-
I DSM
Legal ol�ptm
)D .(pa -: -0
Is the property . mjiluestion:
Lj5hal
pop" ❑ Mobil. H. (I.C- 61.1-7)
If any portion chine rwderdiat struAre or the lad not exce"ng one (/)ace that inrte6aMy svnounds dud structure m used to prod" inmne, desolbe the use and portion
al the pop" mf®d to produce ihmme.
-:PROPERTY OVVNECii3YCLAMtANTINOTtiERCOUNtIES1 5'
TRUE TAX
Cmnty
Township
County
ASSESSOR USE ONLY
Township
I hereby certify the above stalernents are true, correct and complete-
VALUE
I DSM
4-7
STANDARD DEDUCTION ALLOWANCE
TRUE TAX
E
ASSESSED,'VAL:6'
�'PHOUESTEAW
'k!,
ASSESSOR USE ONLY
S
VALUE
I DSM
NJk
.9.,,
Land not exceeding 1 (one) acre imnediately
surrounding residential improvernents.
Other land
(2)
Total land (Im I plus [no 2)
(3)
A 1
'
Residential mVrovernents oAnnually
Dweh rig
(4)
44
VOW W, % -�
Assessed Mobile ManufachmBd Horne
Garage
(5)
Other intpravernents
(6)
Tdal irnpravernents (A" 4 through tine 6)
(7)
Total value (Im 3 pka One 7)
(8)
1 hereby certify the above is true, correct. and
cornplete.
SignmtureotAssessor
Date egad
Venlying action - Sqrtab a of Auffibar
Date aged
STANDARD DEDUCTION ALLOWANCE
20 Pay 20
Lesser of 12 Hornestead
Valuation or 535.000
S
I DSM
V I
STALE FORME.M'IR_I Et TPFASURLR FORM 75-IA
Gibson.County Auditor
APPROVED
IMPORTA ADIATENTS.21ED PITSCREBED BY 71111
NOTICE TOHO1ESTEAD DEPARTMENT
PROPERTY ROWNERS 1_
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to ntle homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than nee for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
go HEA 1544-2009 requires taxpayers who teethe the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessmy to allow county government to better monitor homestead
filing_This information will be kept confidential 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 I: PROPERTY INFORMATION
Taxpayer Name Property Address
George, William W
RI
PATOKA IN 47666
152
William W George
329 S 5th Ave State Parcel Number Legal Description
PRINCETON IN 47670-3500
26-04-25-300-000.623-020 PT W SW 25 1 11 &PT E SE 26 1 11 1.321
t H ut I t I I I nr III I I u I t I r I I ut I I ut I t I n I t I n I I ur I AC
. - _-- )?_____
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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
tea
iloug Address(number and s city tate,and ZIP code) ❑ Same as property ad
k11
Spouse Firs" Middle Last
Mailing Address(Number and street,city,state.and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
_ sloe
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 Sig tore Date
,_ .„,,,,,..„.„,a;17/‘-
Spouse Signature / Date Telephone ( )
\ )
PART 4:ADDITIONAL INFORMATION
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