Homestead_Newlin (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614 -03)
Prescribed by the Depemrtem of Local Government Finance
INSTRUCTIONS: See rewe28 aids brllftip km&Lcbon&
FORM 1 � YEAR
HC10
DULY ENTERED FOR TAXATION
I (We) L) 4� V:�{�t� f�"t �', ,(A certify Oy�j0 a 1st day of March, 20
1 (We) occ as our ncipal place of reside the following described real property for which a Ho es o C ecdYN%eby claimed:
Gibson County
❑ I (We) owned ❑ Are buying under contract Parcel A� � �' �•-� ��
Have a beneficial interest in the entity that is liable for the property taxes on the property and that own pr e _ ntract.
° qJ
v.;a�aYe�'':' bra" a•'-''-' sv�•` m' r''#..'-' 3i• c` `�`7`..E�.rCONTRACT_RE_CORDEO.- - '�"`SF� _.'
If buying on contract, Fee Simple owners name
Recorders office where conuact is recorded F�acclyuia Page
GIBSO L`OCIIA1TV
wOn r Q1�
- _
._.rt<r� a, - ' '-� �PRORT.D_S' TONEVE
t�x .'ii`� ;"�'���w�'F'- r`S3 --y"' •� r. '. CRf
County
Township
Taring district (city, town, township)
P I py�mber rXq l/ /1
01. p .-. p ^v
Legal description
Is the property in question:
❑ Real property ❑ Mobile Home (LC. 61.1 -7)
If any 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.
'` fit ;" ""`t v. iPROP.ERTY,:OWNED'; BYCLAI AAA—NT iN
County
Township
County Township
I hereby certify the above statements are We, cofrect and complete.
Signatur f claimant
Address (number and street, city, state, ZIP code)
Ank
�4"* y1
MASSE SO O�N�LY y
+ .'
TRUE TAX s
WL�4VALUE��
ice. "�
ASSESSEOVALUE
AT�100 %OFTiV
HOMESTEAD
%VALUE
NON - RESIDENTIAL
VALUEr ^ ;
f -��.,. ..rssk
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
k1R0-1 �_'� '`l
rte:`
Total land (line 1 plus line 2)
(3)
'Residential improvements or Annually
Atwmssed Mobile / Manufactured 10
Dwelling
Garage
(4)
5
()fir
Y 'IW
-'.z`> '�'•y e'r. rg'F``,z«
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(S)
I hereby certify the above is We, corned, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
_.s.C�c. �•.� srd`cY�Ji �'i 4 s*>ue'i:M crSr s 'v STANDARD:DEDUCTION AL•[OWANCE, y " "`
20_Pay 20_
Lesser of 112 Homestead
Valuation Of $35.000 $
Signature of Auditor Date rjlfd
•
MATE FORM.)!MnL'r..r't nRrssvtR TOM 73-IA
APPROVED m'MTMrL BMBn zees tA.TM.2w 111131tMED BY n¢DEPARTMNTOF LOCAL mOMCR.NMrn'r FINANCE h',-I.I.L'.rt
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 receipt of this deduction bttronrcs
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 receve the
benefit and to provide additional identifying information ne •ary to allow county'government to better monitor hornesaed
filings.Ibis information will he kept confidential and can only be accessed M 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 I: PROPERTY INFORMATION
Taxpayer Name Property Address
Newlin, Jerry W/Elizabeth E
= 305 Vine
Patoka IN 47660
482
Jerry W Newlin
305E Vine St State Parcel Number Legal Description
PATOKA IN 47666-9236
I I II III I I II I I I I II I I II I I III 26-04-24-300-000.508-020 018-00508-00 LOT#171N WOODS
r n tot tat fit fi t ter t o n n nn t o n ENLARGEMENT
• PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
> y tit y Ate New 4 i✓
—. Addre3s(number and sticet.city,inner artdZiP code) . -— -_ _—._— _ __ ( S-Stunt uv property uddatV-- — — .- — -
3 05 F_ t yf Ne i T 179-70 �,f 7iv. �47Go'!
Spouse First Middle Last
X/02 el 6 e rk /_=//zit/ 47e w.:
Mailing Address(Number and street.city,state,and ZIP code) ® Same as properly address
30S Fe v, we s T PA-70/ ZiU 4/1000
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 Si urc Date
•
,"\ PART 4: ADDITIONAL INFORMATION