Homestead_PhelpsCLAIM FOR HOMESTEAD PROPERTY TAX
is CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 15-92)
6u ..
INSTRUCTIONS: See reverse side for filing instructions.
MAY p 9 1997
- C.,ERpTTIIFI^CATTIIO.N STATEN NT -
I'We) 3-1
11) L+�.4� +"�K 4�1 .. d c , 19
*_�occupied as our principal place of residence the followin��d�es�crib��ed�real property for which a 111orriestead Property Tax Credit is hereby claimed:
U I (We) owned re buying under contract
❑ Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property or is buying. under a contract.
- - - CONTRACT RECORDED _
Record e. Q X Record number Page
V _
' - PROPERTY DESCRIPTION -
County
Township
Taxing district (dry town, township) _
Parcel number
G - _GO'
Legal description
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. ,
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
by certify the above statements are true, correct and complete.
tur of claimant
Address (number and street. city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
- VALUE.
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature o ditor
Date signed
-
Other land
(2)
-
Total land (line I 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)
(S)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
-
Date signed
Ning action nature of Auditor -
Date signed
- STANDARD DEDUCTION ALLOWANCE
19_Pay19_
Lesser of 1/2 Homestead
Valuation or S2,000
S
Signature o ditor
Date signed
smut rtOR4?3.4w,113/4el TR`ASufkR IUFA IS-IA
.vnmBS BY TSr E nnmmp or VII.'\rs.i." rw YiWGD In nILIAPAR1MLT Of LOLLLC-OVFX"n.t IThAMt IC.-.1:n4 I
Gibson County Auditor . ••.IMPORTANT NOTICE TO HOMESTEAD PROPERTY.OWNERS. -
701 N.Main Street Individuals and =trued couples are limited to one homestead standard deduction.Ao the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more ireentiw than escr for homestead fraud.Homestead fraud cause'higher tax bills for all;therefor.,
® JI �\ IIEA 1344-2009 requires taxpayers ho reeeise the homestead standard deduction to serify that they are eligible Coprcceice the
lltll..l .JppL/®p benefit and to prmwide additional idcntlfrine mibrnmuon necessary m allow county gosemment to better rtwmimr homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The De artmert of
Load Goverment Finance will use this information to create tools that will help county officials eliminate homestead Baud.
SEP 1 0 2012 PART I: PROPERTY INFORMATION-
- Taxpayer Name Location Address
C . Phelps, Glen W/Stephanie M
v v 307 N BARNES ST
GIBSON COUNTY AUDITOR - PATOKA IN 47666
464
Glen W Phelps 11101011 II 0110 11. 11 1110101101111111110011011.1111110111.11111011011111111 IDll
PO Box 99
PATOKA IN 47666-0099
11111111111111I1111111111111111111111111IIIIIIIIIIIIIIIIII Irli State Parcel Number Legal Description
26-04-24-300-000.147-020 FISHERS 2ND ENLG 28
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.
� r1 — —
er I First Middle Last
0-<Ienr \ L.0 k \ moo' PkQ 05
Mailing Address(number and street,city,slate,and ZIP code) Same as property address
30 1 - nor v-N C S 5-I . 7P0:Ao-V_c `[ L-4.-7 4 4 (49
Spouse First Middle Last
31-e �;n/c Mar i c , k_.@, 5
Mailing Address(Number and street,city,state,and ZIP code) l _ es rte as property address�
t u
30 `� - ' Y nT 5 5} Vo. c 1LcCTE isk x.44 4-: --
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 Signature Date
- PART 4:ADDITIONAL INFORMATION -