HomeMy WebLinkAboutHomestead_Jones�• ^�, CLAIM FOR HOMESTEAD PROPERTY TAX FORM ° --YEAR
d
;CREDIT /STANDARD DEDUCTION Hc10 q�
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions. ,
I (We)
CERTIFICATION STATEMENT
that on the 1 st day of March , 19 � V
PfVe) occupied as ourVrincipal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: LQrI (We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
on contract. Fee Simple Owner's Name
office where contract is recorded
PROPERTY DESCRIPTION
, n Taxing Distrif
Parcel Numb e Legal Desc ' n
N - NE ato I -11 . 331
If any portion of the residential structure or the land not exceeding one (1) acre that immediatel suUt uc-
ture is used to produce income describe the use and portion of the property utilized to prod r�o
01 WOO 534 Oz
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES APR 2 7 1990
County,
Township
County
Tow
Lesser of 112 Homestead
(2)
Lesser of 1/2 Homestead
s
iereby certify the above statements are true, correct and
Signature AUDfffjK
complete.
Valuation or $1,500
Address (Street, number, city. state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding I (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
19— Pay 19
Lesser of 112 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
SiaAature of Au
(5)
Date Signed,
(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
1990 Pay 1991
1991 Pay 1992
19— Pay 19
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
SiaAature of Au
r
Date Signed,
Q
LUTE FORM TVA*IR_/YNI TREASURER TOME 73-1A
.APPROVED BY MATT BOARDOr LOT USA._O 5 PRPST1Bm BY 1111 DEPARTHENT OF LOCAL GOVERNMENT FINANCE IC AI.I-YJ.1
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 teceipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2OO requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receise 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 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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Johnson, Raymond C/Teresa A (pa(o S. OLD p,TaKn RD.
I ., m,
Patoka IN 47666
646
Raymond C/Teresa A Johnson
626 S Old Patoka RD State Parcel Number Leal Description
Patoka IN 47666-9002
Itlttlltttltlltttlltttllttltlttllttrlltttttltlttltitllttttltll 26-04-25-400-000.558-020 01e-00558-ooPT SE 25111 too AC
- - - -- - --- - --- --- .. .-- . - --X -- - -- _- -- - - -- -
• PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
AYmoN D e AR1- 3—O H N So NJ
••tg.Address(number and street,city,state,-and ZiP code) -- — — — , Same as property address- -- - -
a (4 S . OtD PA10kR ROAD PRTol4A , LIJ. 4{7C( (o (o
Spouse First Middle Last
TERESA (NAI JOHNSOJ
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
(oa (o S. OLD PAIDKA RonD pfro/LA 2N . t.jQca(aCo
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 ded-ction on this property.Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liabl, or back taxes and substantial financial penalties.
Owner I Signature Date
(
PART 4:ADDITIONAL INFORMATION
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