Homestead_GreerCLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT /STANDARD DEDUCTION
..,; State Form 5473 (R2 / 5 -92)
raTi .
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
CERTIFICATION 51AItMtNT -
1 (We) certify that on the 1st day of March, 19
'0occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
h(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 propert�s b.uyy ng urld�Sto, n�tSact.
CONTRACT RECORDED (�,� �/. _ lQQrx
I If buying on contract, Fee Simple owner's name -
1,i t.
Recorders office where contract is recorded Rei�'d"' U DITOR rge'
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRI 0
County Township
County -
Township
eq
Taxing d trio
hi
-
ar I m er
Legal des ipY
n _
z/ i
It any po ion of the residential structure or the land not exceeding
of the property utilized to produce income.
one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County Township
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
I reby certify the above statements are true, correct and complete.
Signature or claimant
I Addre
s (number
street. city, state. ZIP Code)
VYI �1710 Co
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 1 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 pUs line 7)
(6)
I hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
Ventying action - Signature of Auditor
�1-
Date signed
Lim
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
Signature of Auditor
STANDARD DEDUCTION
5
STATE FORM 53569(R3B-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-l.1-22-8.1
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lianktrA l Anf 1J(Q) g 0 via .AD Q a . Lit(OuJ`��.l.3�
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
*uses higher tax bills for all; therefore, HEA 1344-2009 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 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!: PR 0PERTY-INFORMATION
Taxpayer Name Pronem'Address State Parcel Number Legal Description:
Leslie F Greer 407 Cottonwood 26-04-25-101-000.120-020 PT NV/25-1-11 .3136 AC
Patoka IN 47666
Complete and return to: Ill 110DIIll III ]IIDUVIIIQIIIIIIIIIII]I['l1l]Dlm liMMIMI
GIBSON COUNTY AUDITOR,,101 N MAIN PRINCETON IN 47670- - - =__I
. (.Z'•Y`I,i7 fat TARP. INNIi , uT. L�f`'li lMM
Owner 1 First Middle Last
Mailing Address(number and street,city,state and ZIP code) Same as property address
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Other(please specify in Part a below)
_yam,.,. . , First Middle Last
:on f e t . 2, E
Ma7Address( rand street tiry,stave and ZIP coda) Same as property address
PAR' $$GER IFICA ION..
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 1 Signature Date
Spou ' nature Date
- 2_,1� r�! - ( )
+Y. FART&ADDITIONAL INFORMATION .
FIL '-t-
-MI' ' _ OFF 3 1 . .
c. . \
GIBSON COUNTY AUO'.'-`s''
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