Homestead_WrightCLAIM OR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
N State Form 5473 (R5110 -01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM F—YEAR
I (we) '7,(1Z!442'6& certify that on the 1st day of March, 20
1 (We) occupied as our principal place of reside he following described r & property for which a Homestead Property Tax Credit is hereby claimed:
Q_I (We) owned ❑ Are buying under contract _z- _Tpj
ahlave a beneficial interest in the entity that is liable for the property taxes on the property and that 0 th r perty or, is'buy!ng under a contract.
qW_1 11 , h JL_j j __4
�'Akg L!NCKtf CONTRACT !RECORDEW'�f - �;f
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Page
CIKO
Z- PROPERTY ESCR P N
-
County
Township
Tz� in rict
County
Township
I hereby certify the above statements are true, correct and complete.
Signa re of claimant
Legal description
Is the property in question:
N
Mobile Home (l. C. 61.1-7)
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.
k0lPE ki�Y. 6WNEEFBY ClEWMA-WT,
I N _0TH
.r. 0
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signa re of claimant
ffl - 4 VALUE4,�
3
N
'Tess (number and street, Zip
Land not exceeding I (one) acre immediately
;'YZ
PD
I
;, ASSESSOR USE ONLY -
ASSESSED VALUE
HOMESTEAD'
;tNOWRESIDENTIA_� L
_,TRUEtTAX
AT 1006 OF -TTV
-VALUE,
ffl - 4 VALUE4,�
3
N
------
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
5; 4
Residential improvements
Garage
(5)
Other improvements
(6)
3-
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, comect. and
Signature of Assessor
Date signed
complete.
I -
Verifying action - Signature of Auditor
Date signed
--,.,,�'�; ��STAN6AR6.DEDUCTION'ALLowANcr:����a -�r�f:
20 Pay 20 _
Lesser of 1/2 Homestead
Valuation or $6,000 S
Signature of Auditor Date signed
MATE IOIRM r.'T an,-MI MASUI.Q FORM ZIA
MM(n'ED In SIMt DRANO OF ArYYaI1'.21IM PVSTURM BY MI DFPARMENT OF LOCAL r.ovaNMrUT FINANCE IC 4-1.1-2:-. .
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couple.are limited to one homesead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er 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 recene the
benefit and to provide additional identifying informatron neCeSary to allow county government to better monitor homestead
flings. Ibis information will he kepi confidential and can only be accessed by aulhnrined courtly officials.The Depanntent of
Local Government Finance will use this information to create Awls that will help county officials eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
Taxpayer Name Property Address
_ Wright, Robert L Jr/Myra S
407 Vine ST
Patoka IN 47666
507
Robert L Wright Jr.
P O Box 61 State Parcel Number Legal Description
PATOKA IN 47666-0061
26-04-24-303-000.182-020 018-00182-00 COL DIV OUTLOT 8PT
t n II taIr'I tar II tat II n II nt II nu II 11111 11111111
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Rob L Wc.
ru Andress(hurntier and strut,city,state,-and ZIP code) _ _ _ --_ - --
A t PO bo t PQ"\-°‘C A tr olo
Spouse First Middle Last
( r- 3 V)V c\1- 1-
Mailing Address(Number and street,city,state.and ZIP code) ® Same as property 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 eligible to
- - receive the homestead standard deduction nn this property..Each undersigned also.understands.thaL 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