Homestead_MorrisCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEA R
CREDIT /STANDARD DEDUCTION
Slate Form 5473 (Ra 17-07) HC10
,. Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) I U_Q V� -Q Y, c 1 1 \ `ld'- U \ �1a-� certify that on the 1 at day of March, 20_
1 (We _occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
l e) owned ❑ Are buying under contract
v ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACTRECORDED
If Drying on contract, Fee Simple owners name
Recordees office where contract is recorded Record number Page
PROPERTY OWNED BY
County Township
County Township
PROPERTY
Sign re of da' ant
County
Township
Taxing di city, town, ownshlp)
Parcel number
Legal description
Is the property in question:
surrounding residential improvements.
eel property ❑Mobile Home (IC ti- 1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that re is used ro produce Inmma, describe the use and portion
of the property utilized to produce incorns.
a�- ate{- a5 -10a- o�c�.3y � -oa0
PROPERTY OWNED BY
County Township
County Township
I hereby certify the above statements am true, correct and complete.
Sign re of da' ant
fm
(number and street city, state, and ZlPccde)
ASSESSOR
ASSESSED
• .
NON-RESIDENTIAL
AT rr'. OF TTV .1
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Tctal land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
Assessed Mobile I Manufactured Horne
Garage
(5)
�-�' ..a ?, -•,:.. s
Other improvements
(6)
r's.. -.
Total improvements (line 4 through fine 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
pate signed (month, day. year)
complete.
Veriforg action - Signature of Auditor
Date signed (month, day. year)
STANDARD DEDUCTION
20 pa'120 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 Pay 2008 41.000 for 2011 pay 2012
Homestead Valuation
$
a 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
pate signed (month. day. year)
STATE FORM 53569(R3/b10) - TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.I-22-8.1
IMPORTANT NOTICE TOHOMESTEAD PROPERTY OWNERS
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
/pauses higher tax bills for all; therefore, REA 1344 72009 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.
PAR .]:`.PROPER_ Y INFO•JIATION
banner Fame Property Address _ State Parcel Number Legal Description:
Daniel E Morris 212 TOWN HALL ST 26-04-25-102-000.349-020 SMITHIAND DIV 12/13 PT
PATOKA IN 47666
. ._Complete and.reunn to: _ 111110M1311[BUBLIU MBE111110[IMOi01 P
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2:TAXPAYER INFORMATION ` ,
Owner 1 t First Paddle t Last
IP01.- f� -( &124A4))
Mailing Address(nunbe I.
city.state and ZIP code)
0, pt Same as property address
akei
•
Jr.....e First Middle Last
n r )
Mailing Address(number and street.city./state and ZIP code)LI\�S) l/�) �j, t I I Same as property address D
- , 1 is-IA., 7{ \1--`wN `.w , l�Q� I(41, , /2-11 (-/ 7 4- L,T ({
•
_ . • . ._ ._ _ _:; _ .. ; -_ :L-'-•PART 3i CERTIFIG 77O,\ ,^ _ -
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true-and.correc:and that he or sheds 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.
Owns 1 Sgature Date
,, ,PART 4:ADDITIONAL INFORMATION -•
FILED
NOV 13 2012
c
GIBSON COUNTY AUDITOR
•