Homestead_Williams (4)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT %STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
UhKIIFIUAIIUN 51AItMtNI
EMEM
APR 8 1992
(We) 'IV twk�4: °(- \JQM,&k ,.6 - `Oj k -u -° certify that.on the 1 st day of Mar61 -rivr `'w
' (we) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: d� (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
El property or is buying it.under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office.where contract is recorded Record Number Page
ROPERTY DESCRIPTION
Taxin 5 ict ( y, town, township)
Parcel Number J Legal Description Description
s� a51 -�i qbj 4c
If any portion of the residential structure or the land not exceeding one (1) acre that 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— Townshio
7 hereby certify the above statements are true. correct and Sigr�gtpre
complete. �''� W
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
19— Pay 19—
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2.500
(3)
Valuation or $1,500
Valuation or $1,500
(4) -
-
- -
(5)
Date Signed
141-9a
(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
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2.500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
1
Date Signed
141-9a
IJ
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APPMA'Eller SPOT MARUnf Ama',sac 20,4 rerrRIBnl BY mF BEPARIWNf OF UKALcovrtNMM FO:A\CE M 6-I.11:4.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 standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ester 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 teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'Ibis information will he kepi confidential and can only be accessed by authorized county officials.The Ikpannuent of
G Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Williams, Mark J/ Pamela S
715 S Old Patoka Rd
Princeton IN 47670
640
Mark J/Pamela S Williams
715 S Old Patoka Rd State Parcel Number Legal Description
Princeton IN 47670
26-04-25-400-000.550-020 018-00550-00 PT SE 25 1 11 4.64 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/
likt-rI �oVn W i � i0.'MS
:g Address(number and street,city,state,and ZIP code) - Nr Same as prop- addeess—.- - - - - ---- — —
Spouse First Middle Last
1
Mailing Address(Number and street,city.stale,and ZIP code) Same as prpeny 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 elivible 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