Homestead_SlinkerCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
Stale Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for tiling instructions. 1
CERTIFICATION STATEMENT o �qq
I (We) certify that on.the isi
ay of N(aYd�h. 19
I (We) occupied as our principal place of residence the following described real property for which a Homestead Pro y Tax Cre it is hereby claimed:
(We) owned Ll Are buying under contract "5
A U 11lTOR
❑ Have 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.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County 4
Township
Township
Taxing : trict ty, town, !ow shi
/ Off✓
VALUE
_
Address (number and street, city, state. ZIP code)
Parcel number
Legal de scri
/
surrounding residential improvements.
It any portion of the residential structure or the land not exceeding one (1) acre that immediately s ounds 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
j.
Township
County
Township
I hereby certify the above statements are true, correct and complete.
S' re of claimant
VALUE
0.�
Address (number and street, city, state. ZIP code)
, u 1C Q4T0C IV L-1 -1(4
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE -
VALUE
VALUE -
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pLs line 7)
(g)
1 certify the above is true, correct. and
Signature of Assessor
Date signed
a,... Iete.
verifying action - Signature of Auditor
( Date signed
19_Pay 19_
Lesser of 1/2 Homestead
_Valuation or $2,000
STANDARD DEDUCTION
IS
Date si ed
t_
.a..re roastmw•CF-tm. WRFASIAR wR.M TS-IA
APPROVED Ant OF.1MRD Of(UrS1S_Yno PV31nnm BY nit DEPARIMEVI(F L(R`ALnovrrMMrr,FB(A fE lc 0-I.1-r-t.1
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 becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344--2IX0 requires taxpayers who receive the homestead standard deduction to verity that they are elieibte to receive the
benefit and to provide additional identifying information nett:saes'to allow county government to better monitor homestead
filing,.This information will be kepi confidential and can only he accessed by authorized county officials.The Deparment of
Local Government Finance will use this information to crease tools that will help cony officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stinker, Pamela Dawn
203 SW Mill
Patoka IN 47666
572
Pamela Dawn Slinker
203 SW Mill St State Parcel Number Legal Description
Patoka IN 47666-9011
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PART 2:TAXPAYER INFORMATION
Owner I First' Middle Last
•
P1'xme- - 'DAwY, &t:cl kpe
- g Address(number and slim,city;state.and ZIP code) - -- — Some as property oddrcs•
1o3 So m;li sr , Oa-TOKA /t3 147mizCp_
Spouse First Middle Last
Mailing Address(Number and sweet,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drixds License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sew
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. turn Date
Spotse Signature Date Telephone
( )
PART 4:ADDITIONAL INFORMATION
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