HomeMy WebLinkAboutHomestead_Stewart• ., CLAIM FOR HOMESTEAD PROPERTY TAX FORM
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CREDIT /STANDARD DEDUCTION Hc10
' State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions. V
0 c,j 5-"4"44 CERTIFICATION STATEMENT
- w/ , . (cytae1�1 (We) A ifytht o > the day of March , 19 !d
®Ne) occupied as our principal place of residence the following described real property for which a Homestead
roperly Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract
❑ 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 it under a contract. MITT I9T
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
APR 2:- 19
Recorder's office where contract is recorded
Record Nu =49nemor
Lesser of 1/2 Homestead
PROPERTY DESCRIPTION
town,
Parcel Num r Legal Description
v -oo a-oo P4-. .SE 4 -1 -l1 �712,a.C>
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture 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
Tow nship
County
Township
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
lWereby certify the above statements are true. correct and
ion to e
complete.
Valuation or $1,500
Address (Str t, numb city. to and ZIP code)
Y7(v (a
0 nss 4? a rc4
FA
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON -RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements
Other land
Total land - line (t) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(t)
1991 Pay 1992
19— Pay 19 —
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Auditor
(5)
Da Signed
(6)
(7)
(8)
1 hereby certify -the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19 —
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Da Signed
q0
I
I
STATE FORM 53569(R3I3-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.22009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.1-22-8.1
IMPORTANT NOTICE TO`HOMESTEAD-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
'auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
mridard 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.
.PARTI; PROPERTY_ INFORMATION '—
i'
Taxpayer Name Property Address 'i {j f a arcel Number Legal Description:
209E CROSS ST 1 ' T
Merle L/Mark A Stewart 26-04-24-401-000.362-020• RISE 24-1-11 .712 AC
PATOKA IN 47666
NOV 2 S 2012 fnlfllp� I� tf1
Complete and return to: C.).N ` I®hIDDiU�1BMIE1LL11W�0ILO�Ii ulE1IIh®®
GIBSON COUNTY AUDITOR, 191,EMIAStattINCETON IN 47670
GIBSON Cu
. PART 2 TAXPAN'ER INFORMATION , '
Owner I First Middle Last
111 er 1, -E L • 5 -Tet.0 at rr
Mailing Address(number and street.city,state and ZIP code)
n Same as property address
a D Ci G o s s ST, , a.-1--oW A , "T.A1 1-1- 7 t.&
Last
Yl" Pt12K S set/ T
Mailing Address(number and street.city,state and ZIP code)
Sarre as property address
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 Sigrutwe Date
PART 4:ADDITIONAL. INFORMATION
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