Homestead_StilesCLAIM FOR HOMESTEAD PROPERTY TAX
° CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5-92)
INSTRUCTIONS See reverse side for (ling instructions.
FORM
HC10
YEAR
CERTI IC ION STATEMENT ,tt ; ) ± l i 1777
Ftha 'on-the list day-of'March,
19_
I (We) occupied as our principal'place of residence the following described real p erty for which a Homestead Prop @(ty Tax Ct r�iphereby claimed:
IN
❑ 1 (We) owned C1 Are buying under contract j� ,- LUUU
❑ 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.
r
CONTRACT RECORDED
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district d con. con
P ce umbe
7 -00I Si-0
Legaldescription
SY
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that s clure is used to produce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Signature of a ant
ereby certify the above statements are true, correct and complete.
Address (number and street. city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(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 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
verifying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead $
Valuation or $2,000
Si tur of Aud' or
Date sign
as ��
MAT NORM JKIa:(NMI 'PfASl:UDA FORM TS IA
Gibson County Auditor A/PX/CEOaYATATENOM(DOfARTI.\TA.yaM rn,m mnY111E DEPARTce'nOf LOCAL OmtANMr.T FIANCE Ic#it-_-..1
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 Bier 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 receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Department of
local Government Finance will use this information to create rods that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stiles, Charles/Angela
402 N Main
Patoka IN 47666
89
Charles/Angela Stiles
402 N Main State Parcel Number Legal Description
Patoka IN 47666-9237
26-04-24-302-000.151-020 018-00151-00 COL DIV 54PT
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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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Ck a rl e5 Rq y 5±,ie5
�ng Address(number and street.city,state,and ZIP code) N.Same as property address
'/ 02-. Nof'tlf Aim Sr Pg[oKft i'/✓, 1176
Spouse First Middle Last
A/✓ 41.09- Fatt{f 5-I-ite5
Mailing Address(Number and street,city,state,and ZIP code) Same as propcny 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 Signature Date
PART 4:ADDITIONAL INFORMATION
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