Homestead_Williams (2) ttAFE FOESI!J5 01:∎,4} TRFASUtnn FORM:SIA
.APFRFT!'BY s“tr..gskROOr All-II:yT.a.anN PAESCRIDm BY TIE DEPARTNL`rr OF LOCAL roVERIMFR'r FINANCE M.-I.I-r-l.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than tier for homestead fraud.homestead fraud causes higher tat bills for all;therefore.
lb HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tilinta.'this information will be kept conlidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tours that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Williams, Linda L
205 East Street
Patoka IN 47666
541
Linda L Williams
P O Box 264 State Parcel Number Legal Description
Patoka IN 47666-0264
II ' II II II II I I II I III I III I 26-04-24-400-000.315-020 FISHERS 2ND ENLG 21 N1/2 PT
r tt tit t rut ett tt llttt t t tut ie t ett tt t tt SW SE 24111 M7 AC(ALLEY)
PART 2:TAXPAYER INFORMATION
Owne First Middle Last
-
g Address(number and;tem.city,state,and ZIP code) -- — __ '— - -lEttame as property address - - . _ _ .
<c o,s'E Apo-'gyp 764 $.4/J fi2 4 y 4 .`C
Spouse First Middle Last
Mailing Address(Number and street,city.stale,and ZIP code) ❑Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sme
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.
r I Signature r Date
(
)
PART 4: ADDITIONAL INFORMATION
q1 °q CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FILM] YEAR
.DEC 121995
I
entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT
It buying on contract, Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township
Taxing district (city, town, township)
Parcel
number I Legal description
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure 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 complete.
Signature of claimant
Address (number and street. city, state. ZIP code) f�
Signature of Auditor
ASSESSOR USE ONLY
TRUETAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of Auditor
Otherland
(2)
Total land (line 1 plus line 2)
(3) "
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plxs line 7)
(6)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
'
Lesser of 1I2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed
-�a -S -