Homestead_Anthis (2)ME ^x� { CLAIM FOR HOMESTEAD PROPERTY TAX
d/
°� CREDIT /STANDARD DEDUCTION
State Form 5473 (R21 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
Hy10�
A41, certify thal(ondbexist d�'y.onn roo
as our principal place of residence the following described real property for which aHomestead Property Ta1�CiDltTs.nelmed:
❑ ((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 property or is buying under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owners name ,
Recorder's office where contract is recorded Record number Page
- PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
Parcel number
io- oa3)-oo
Legal description
P6
It 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.
aG - L) -'�r . 3
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
`y-
11 _ y certify the above statements are true, correct and complete.
Signature of claimant
Address (number and sheet, city, state, 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.
(1)
Valuation or $2.000
Signature of Auditor Date signed a- �- 9
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
-
Other improvements
(6)
Total improvements (line 4 through line b)
(7)
Total value (line 3 plxs line/)
(S)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
- ing action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or $2.000
Signature of Auditor Date signed a- �- 9
slur Forst t.tt IR_/tam IREASIItfl FOQNSt,?
APPROCFn BY SISIE BO PD Of AMOUNT,.am PRENOUBW BY ME OEPMIW-YI OF LOCAL fl)S[R.VNFNT Fe:&srE re 4-1.1-rat
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
mote beneficial.there is more incentive than e'er for homestead fraud.Ilomestead fraud causes higher tat bills for all;Therefore.
HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to record,the
. benefit and to provide additional identifying infomtion necessary to allow county government to better monitor homestead
filings'Ibis infomtation will he kept confidential and can only he accessed by authorized county officials.The Depanment of
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
_ Anthis, Joe M/Karon S
— Stewart Road
Patoka IN 47666
990
Joe M/Karon S Anthis
5253 N 75 E State Parcel Number Leaal Description
Patoka IN 47666-9165
26-05-58-024-000.231-018 010-00231-00 PT MD 24 1-10 2.40 AC
t o nt It II nt I I t I I. I t I nor I I r I I err I rr I r I rn I I t It II
PART.2:TAXPAYER INFORMATION
Owner I First Middle Last
E P1/4 c /MT7W iS
—lig Address(numbs and-street,city,state,and ZIP code] — — _ _ - __ __- lf�c as property add.-r — _ _ _ . _ .
.S X 53 ti. ?S.E. P oK4 N 1'06/6
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoinginformation 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.
Own,1 Si c Date
Q ,, PART 4:ADDITIONAL INFORMATION
I