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Home My WebLink AboutHomestead_King (2)° - CLAIM FOR HOMESTEAD PROPERTY TAX .dam •• �`!' _- CREDIT /STANDARD DEDUCTION State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEME1 I (We) FORM YEAR HC,o �q90 that 0 the 1 st day of March , 19 - -1(We) occupied as our principal place of residence the following described real property for which a Homestead / roperty Tax Credit is hereby claimed: I (We) owned ❑ Are bu°yin� Lt� Have a beneficial interest in the entity that is li ble for the property taxes on the propert ?r t El property or is buying it under a contract. CONTRACT RECORDED _ If buying on contract, Fee Simple Owner's Name n &yNN Recorder's office where contract is recorded Record Number age e PROPERTY DESCRIPTION County Township Taxingi trict ( ity, town, town i p POarcel Nur�tbgr�„ y�� Legal Description h S — D4 If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES ASSESSOR USE'ONLY 75- 3a„rRTRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON -RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements Other land 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 Lesser of 1/2 Homestead 19— Pay 19 - Lesser of 112 Homestead Valuation or $2,500 (2) Valuation or $1.500 Valuation or $1,500 (3) Signature of Auditor (4) (5) (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 esser of 112 Homestead 1990 Pay 1991 Lesser of 112 Homestead 1991 Pay 1992 Lesser of 1/2 Homestead 19— Pay 19 - Lesser of 112 Homestead Valuation or $2,500 Valuation or $2.000 Valuation or $1.500 Valuation or $1,500 Signature of Auditor Dat Siy d 9 v STATE FORM 535640.51610) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS.3W PRESCRIBED BY DIE OFP.ARTME'T OF LOCAL GOVERNMENT FLSA`A£IC 61.1322.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction As the receipt of this deduction becomes . Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes 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 ,I. benefit and to provide additional identifying information necessary to allow county government to better monitor homestead FILED filings.This information will be kept confidential and can only be accessed by authorized county officials-The Deparunenr of Local Government Finance will use this information to create tools.that will help county officials eliminate homestead fraud. • APR 2 8 2011 PART I: PROPERTY INFORMATION Taxpayer Name Location Address King,Whalen E _ GIBSON COUNTY AUDITOR 204 S MAIN ST PATOKA IN 47666 1322 1 Whalen-E./King 1iii[Iii]0 iii:ii mill--hill [@IIIIIIlullii_iiiliiIin miiii illUii[Illliu 204S MAIN ST Patoka IN 47666-9512 III'II'i1lllll1ll11lt1I1II1" "III'IIIIIIIli1l"Illil"II1I1II1I State Parcel Number Legal Description 26-04-25-102-000.203-029/ PT NW 251 11 .8496 AC Z (o -0'-1 - Z. 5 -10 Z -a°d a o -o 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 .. .,rl -First Middle - L — Last w N'M t- c r1/ r i< ; iY A-- Mailing Address(number and street.city,state,and ZIP code) [- c as property address P li 5 /nA %R/ 19/} toJ-<A- Spouse First Middle Last Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Driver's License/State ED Number (last 5 digits) Other(please specify in Part 4 below) I I I I I I I I I stns . 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 S.gnature Date Signature Date Telephone ( ) PART 4: ADDITIONAL INFORMATION