Homestead_Seaney (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION Ncto
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance 7�-
INSTRUC77ONS: See revenue side for filing instructions.
I (We) cenuy ltitat On @}ie2 ftday of March, 20
I (We) occupied as our pd ipal place of residence the following described rea r perty for which a Homestead Property Tax Credit is hereby claimed:
(We) owned ❑ Are buying under contract O'/a,
'Have a beneficial interest in the entity that is liable for the property taxes on the property and that Qm the p� ertv_ y i buying under a contract.
ry i
-e �aa* -✓.�- ONTRACT .�RE_CORDEO%L'= -'��c q: 5.', •�3T ���- ,,t -ae T 'a gi:�>.,i -� bra
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
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.. - .d =. PROP.ERTY, OWNED; BY CLAIMANT,I05TAWIMUNTIES+'�. -��
County
Taunship
I hereby certify the above statements are We, correct and complete.
Taff di m t (city, tow township)
Parcel number
Legal d cri lion
9 p
Is the property in question:
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4)'}`yV/1LU
I property ❑ Mobile Home (LC. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre tht
immedia y surrounds that stnfeture is used to produce income, describe the use and portion
of the property utilized to produce income.
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.. - .d =. PROP.ERTY, OWNED; BY CLAIMANT,I05TAWIMUNTIES+'�. -��
County Township
County Twmship
I hereby certify the above statements are We, correct and complete.
S ur or claim
Address (number and street, city, slate, ZIP rode)
�-v. t ASSESSOR USE ONLY -Ye
7'+..VALUET�:[
ASSESSEDVALUEHOMESTEAD-5
Lesser of 112 Homestead
"NON -RESfDENTUIL }
"'
_
-.
eAT 100 %a'OF.FT.TYz,
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Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
,t3 .SYr`
rn �'F
x
;jiff
Total land (line 1 plus line 2)
(3)
'Residential
Residential improvements or Annually
Dwelling
(4),
...v
='r:' MV
Assessed Mobile / Mantr(aMnad Home
Garage
(5)
Other improvements
(6)'
--
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(S)
1 hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
tA4. ftix. -° err -9. 4410��A -`STANDARD;DEDUCTION ALLOWANCEN
20 _ Pay 20 _
Lesser of 112 Homestead
valuation or 535.000
S
Signature of Auditor
Dale signed
r '
%TATE FORM,MO.iV/fort TREACUILR FORM 73-IA
APPROCEO NOTICE TO HOMESTEADrPROPERTY OWNERS t r
Gibson County Auditor
101 N Main
PRINCETON IN 47670 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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
tie HEA 1344-2009 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.Iris information will he kept conlidcntial and can only be accessed by authnrited county officials_The D epanntem of
Local Government Finance will use this information to create awls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Seaney, Stephen C
304 SCHOOL
PATOKA IN 47666
540
Stephen C Seaney
304 School St State Parcel Number Legal Description
PATOKA IN 47666-9279
IDIttlltttlDlltttlltttllttlDlttttltlltttlltlttllttttlrtllltttl 26-04-24-304-000.604-020 018-00604-00 WOODS ENLG 2PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
tEPh'tu C .ei SE,9,0c
- • •g Address(number and street city:state:andZIPP code) _. ._ --_... _ _ _ El Same as property uddrtss— - ---—_ _
o / SC//cob Sf /9427-0/951 L;U '/76S4
•
Spouse First Middle Last
Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last S digits) Other(please specify in Part 4 below)
Stile
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 1 Signature Date
Spouse Signature 1 Date Telephone
( )
PART 4: ADDITIONAL INFORMATION
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