Homestead_WeistCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions-
CERTIFICATION STATEMENT
FORM YEAR
HC10
I (We) mot" l \J.Jcertify that on the 1st day of March , 19
11pe) occupied as our principal Aace of residence the following described real propert hich a Homestead
Property Tax Credit is hereby claimed: ❑ 1 (We) owned Are buying under contract
El property 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.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's am
Recorder's office where contract is recorded u er . Page
Township I Taxing
�a lNumb r p� Legal Description )
(j dT
If any portion of the residential structure or the land not xceeding one (1) acre that immec iatel urrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce ac ome.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township I County I Township
certify the above statements are true. correct and . `/ j 5qnature. e ,
Address (Street. number, city, state and 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
Valuation or $1.500
19— Pay 19-
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature of Audit
(3)
(4)
(5)
(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
Lesser of 1/2 Homestead
Valuation or $2.500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1.500
19— Pay 19-
Lesser of 112 Homestead
Valuation or $1,500
Signature of Audit
ate Signed
d�Q�
L IVE FOAM'3M' R'/N.4.1 TREASURERFORM'MIA
✓enn BY Sr.M RNRDOf ACMU%'TS.Zuni IIEYPIBFD BY 111E DERANTN(ENT OF LOCAL r-04_0.W.rrT FINANCE IC6-I.I2:4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tat 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 kept confidential and can only he accessed by authorized county oociais.The Department of
Local Government Finance will use this information to create twls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Weist, Donald L/Cynthia J
303 S Langford
Patoka IN 47666
611
Donald L/Cynthia J Weist
303 Lankford St State Parcel Number Legal Description
Patoka IN 47666-9503
lIIIIll lIIllllu Ill lrltllrrl tlttllt lIll 11111 �lsIl t�ll 26-04-25-1'030n3-00000.054-020 01&00054-00 COLEMAN ENLG 1 PT
PART 2:TAXPAYER INFORMATION
-
OwnweerrII �I First Middle / 'p GL Last
`J �V'vil l'x e W`/ 5/ •gAdaresti(numDCr and street,city state,and ZiP code)__(__ l_- _1�_ _ — _- I'___.r/T-lrencas p property w _ - _ - _
0 3 La „k rc� /� pa to/-�l., T I q 7r66
Spouse / First Middle ' Last
Cunt ra, - (1 tie/ 5,4_
Mailing Addres.I(Number and street,city,state,and ZIP code) ["Same as property address
3o -5 Ltl hICcrd Patoltck IJ Li 7 6
PART 3:CERTIFICATION
Each undersibmed 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.
Oatoi I Signatur n Date
PART 4:ADDITIONAL INFORMATION
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