Homestead_Ventress,'• -!•.4 CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Forn1 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
llclo M Y 1 1 19 ='2
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At Inl rnrnp
UV-V L4 2.4•"r GtilIIN :r\IIVI`i JI/A II=ngt"I -
P_ Ness q
1 (We) Qp .4 d edify that on the 1st day of March, 19 7 Z
I (We) occupied as our principal place of r sr nce the loll r describ d real { operly for wl rich a I lomestead
Operly Tax Credit is hereby claimed: I ( e) owne Are buying under contract
I-lave a beneficial interest in the entity Ilia[ is IiaGle for the property taxes on the property and Ilia[ owns the
El properly or is buying it under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing rict City town, t n hip)
a
8a c•g "Number ()So� -0O Legal l�scriplion
It any portion of the residential structure or the land riot exceeding one (1) acrVilial 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 —_
Township
County
Township
eby certify the above statements are true, correct and
zw,lu, e
lets.
Valuation or $1,500
dr ss (Street, number, city, stale an ZIP code)
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
Lesser of 112 homestead
19 —Pay 19—
Lesser of 112 Homestead
Valuation or $2,500
(2)
Valuation or $1,500
Valuation or $1,500
(3)
Signature of Auditor
(4)
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complele
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Dale Signed
STANDARD DEDUCTION ALLOWANCE
-1989 Pay 1990
•sser of 112 Homestead
1990 Pay 1991
Lesser of 112 Homestead
1991 Pay 1992
Lesser of 112 homestead
19 —Pay 19—
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Dal Sig e
/! Z
SIATE FonM!OtS nu,,w'I IAElA:rnA FORM SIA
AMU:EDD BY s n BtM DtW MTrENTS.by PWE-TUBED BY Intl BEPARrxnerror LOLL CAVEtYMrTT n1:A CEIC 41.1-rtI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
g-� �P-
more beneficial.there is more incentive ash than e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® Igyl--1,' 9gq�J, HEA 1314-1009 requires taxpayers who receive the homestead standard deduction 10 verify that they are eligible to rrcene the
benefit and to provide additional identifying infomaron nece.�ry to allow county government to better monitor homestead
J filings.This information will be Imp confidential and ran only le accessed by authorized county officials.The Depanment of
Local Grocmment Finance will u<e this information to create tools that will help county officials eliminate homestead fraud.
APR 2 6 ZUMU PART 1: PROPERTY INFORMATION .
Taxpayer Name Pro 1ert ' _-:.:,_ s
> 7?re Ventress, Teddy J/Robert -
GIBSON COUNTY AUDITOR 202 Back ST
Patoka IN 47666
Teddy J/Robert Ventress
202 Back ST State Parcel Number Legal Description
Patoka IN 47666 ,
I 26-04-24-300-000.002-020 018-00002-00 FISHERS 1ST ENLG 10PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle 1 / Last
( kobec \- L'E VGAire ss
tg Address(number and street,city,state,and ZIP code) Same as property address
0 tax 301 130$�►-E- w�,i 1 54
.
Spouse First Middle Last
-1 i Jai%) Va70T,c6ss
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
P.6- .1?)DK 3o► / 3otne- merit si -
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 Dater
/
PART 4: ADDITIONAL INFORMATION