Homestead_Wright (2)CLAIM FOR HOMESTEAD PR OPERTYT AX
CREDIT/STANDARD DEDUCTION
♦ State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
'(we) ZrA-&4 ��Zv 1 1111,
I (I ye) occupied as our principal place 7 id &e the following
YEAR
EAR
certify that on the 1 a
real property for which a Homestead Props treilt, �Slhe =re byatmecl:.
EY[ATOCNI COUNTY AUDITOR
l(We)owned L-i buyIn1j under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
!` ";XONTRACT<RECORDED�Y 21,
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
E ' Kl
�-* _r mmc IPROPERTYDESCRIFTIONLW�
County
Township
Taxing district (co, town, to
P
t7; ber
7-6031.9-06
Legal d ascWAr��-C/7144ej
Is the property In question:
%Z;� Real property ❑ Mobile Home (M 6-1.1-7)
If any portion of the residential structure or the land not exceeding one (1) am th; rotinds that 96uictune is used to produce income, describe the use and Portion
of the prop" utilized to produce income.
N
S S 0 R'U Uof—,
County Township
County Township
I hereby certify the above statements are true, correct and complete. ,o
Z "ture of claimant
ixf4treet.01)� state, Zip
LOW 0 4JL 771 ). P#TVA
, �T/V
V
QOV)
N
S S 0 R'U Uof—,
, W.-
T
VALUE' ��-U E tTAX F
ASSE EDVPLUE
HOSS
�IVIESTEAD%
NONAESIDENTIAL---�-
U
Valuation or 535,000
S"r ordr
Land not exceeding 1 (one) acre immediately
Data sl
165—
"i t-IR
surrounding residential Improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
ak* 6t.
t o�g
Ar
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(p4ar improvements
Tctel Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7) 1
(8)
I hereby certify the above is true, correct, and
Date signed
complete.
Verifying scUon - Signature of Auditor
Date signed
DARD DEDUCTION -'ALLOWANCE�,�-
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or 535,000
S"r ordr
Data sl
165—
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.
STATE FORM!Tha IP/•-.rv1 TREASURER FORM:a-IA
.APFM(T'ED BY STATE B'SW OF M rlic∎Tc.!u+ MAIMED BY THE DEPARTMENT Of UOCAL e.'TtNM.p.'i FB:ANCE Iv 1-1.1.1-1.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 ever 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 infomation necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and on only he accessed by authorized county officials.The Deparment of
Local Goremment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTYINFORMATION
Tamil:Wee -- - -a-- Property Address
Wright, Tammy J -
101 SPRING
_
Patoka IN 47666 -
110
-- - - Tammy JWright - -- — - — - - - — - ---- - - — - — — - - ----- - - -
P OBOX 101 State Parcel Number Legal Description
PATOKA IN 47666-0101
Itlttlltttltllt rtIlrrtIltrll 1111 1111 11111 111 26-04-24-304-000.319-020 018-00319-00 COL DIV 47PT
— — — — x — — — — -- ___
■
.Q 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 Last
-TA wn wt an__w 1681
'ap is Address(number an street,city,state,and ZIP code) Efie as property address
�{\"J .() . RDt / v 1
Spouse First Middle , Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Sane as property address
Social Security Number(last 5 digits) I Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
scar
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.
Owner I Signature I Date
denature Date Telephone ( - )
PART 4:ADDITIONAL INFORMATION