Homestead_Turner•a CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION Hcto
Stale Form 5473 (1712/1 -90)
INSTRUCTIONS: See reverse side for filing inslruclions.
CERTIFICATION STATEMENT
certify that on file 1 st day of March , 19
I.(We) occupied as our principal place of residence the following described real property for which a Homestead
'e-,perly Tax Credit is hereby claimed: 0 '1 (We) owned ❑ Are buying under contract
❑Have a beneficial interest in the entity that is liable for life property taxes on the properly and that owns the
property or is buying it under a contract.
CONTRACT RECORDED F if R T)
If buying on contract, Fee Simple Owner's Name
MAV R. 100p
Recorder's office where contract is recorded
Record Number
Page
f HUPEK I Y 1.11=5UHIF I IV MUL)l r vrc -
County Township Taxing Distri t o ship
6111 N1.16& q4 ^.. Legal Description I
If any portion oFthe residential structure or the land not exceeding one (1) acre tha ' imediately stirrounds 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
Township
County
Township
esser of 1/2 Homestead
(2)
Lesser of 112 Homestead
Lesser of 1/2 Homestead
®eby certify the above statements are true, correct and
nplele.
P nature _
AdAo ( reef, number, city, slate) �C �7 (0 (o
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19 —Pay 19
esser of 1/2 Homestead
(2)
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Audit
KAVva-
(5)
(6)
(7)
(8)
I 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
esser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Audit
KAVva-
Date gned
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SLATE FORM.137.0.IRUS-uq TPFASULEA FORVZIP
APPROVED BY RATE BOARD OF MST t,.TS.21Y PREY AIDED BY TILE DEPARTMENT OF L(k'TL GOVERNMENT FINANCE IC 6•1.1"L'"RI
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 become_
more beneficial.there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® HEA 1344-2009 requires tatparers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to ptovide additional identifying information necessary to allow county government to bener monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county oficials.'IM Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Turner, Irma C
201 Wood ST
Patoka IN 47666
582
Irma.C.Turner _ _ _ __- ` _ _ _ _ _ _ __•
P 0 BOX 232 State Parcel Number Legal Description
Patoka IN 47666-0232
�
�nt��rnt�a��rtt��ttt 11111�trntr�t�tt��ll I�l11111.11111111111 26-04-25-101-000.444-020 018-00444-00 BARNES ENLG 63/64PT
t
14
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
rR/1lfl- CKR(sTi,UE file2ece
- "•tg Addriss(number and street;city,state,,-ati ZIP code) - —- - - - - ❑"Same as property addrea — - -- -- - -
P.O . 8oxa3? 020 (.vel a,) ST: Pflrox ¢- N. 47 (0 et
Spouse First Middle Last
Mailing Address(Number and sheet,city,state,and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Driver's Lieen.u/State ID Number (last 5 digits) Other(please specify in Part 4 below)
slur
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.
Own((errI�I Signature Date
Spouse Signature Date Telephone
)
PART 4:ADDITIONAL INFORMATION
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