Homestead_Hoffman" CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
� State Form 5473 (R2 /5-92)
i
I6
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT
I (We) = ceiry tfie e1 st day of March, 19A. I (We) p e as our principal place c rest ence the following described real property for which a - e'$:I Pro Credit is hereby claimed:
(We) owned ❑Are buying under contract (1(1
F-1 Have a beneficial interest in the entity that is liable for the property taxes on the property and that owpsLth jr6)eAgS%s buying under a contract.
CONTRACT RECORDED I
If buying on contract, Fee Simple owners name
r�Gf2SOhC�''•�ar
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTIO
County -
Township
Taxing distrlc
( ry, r wn, to
at I bar
egal description
If an 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
Townshp
�sgnature of claimant n
�ereby certify the above statements are true, correct and complete.
r Address (number and street, city, state, IP code) 7�
0
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(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 plus line 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
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
$
Signature of Auditor
Date signetl
• StATE 0RM5 ltS IIL'r MP0 'MEASURER FORM IS IA
• .ArrR(WEI BY STATE enVloor MIA ecn.ano PU:FTInFOaT mr DFPARTIFYrfIF LtYAE GOVERNMENT FINANCE we .1-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344--2000 requires aapaycn who receive the homestead standard deduction to verily 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 he kept confidential and ran only he acre:ud by authnrired 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
0 Taxpayer Name Property Address
Hoffman, Joe
Main-Cross
Patoka IN 47666
514
Joe Hoffman
P O Box 84 State Parcel Number Legal Description
Patoka IN 47666-0084
I rlrr llr rrlrllttrllrrt llrtl'ttl lltii llrlll lttl ltd ltrlrrllrrrll 26-04-24-303-000.262-020 018-00262-00 COL DIV OUTLOT 9 PT
PART 2:TAXPAYER INFORMATION
Owner 1 n First Middle last
a)I
— e_Address(number and street:city:sate;and ZIP code)- - -- — - - ❑ Same as property address--— ----- - - -- — _ . --.
POg g4 P�hL 44, . cec
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address
Social Security Number(last 5 digits) Drivers License/Sate ID Number (last 5 digits) Other(please specify in Part 4 below)
Sort
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. /�/
PART 4:ADDITIONAL INFORMATION
•