Homestead_CarieCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT \
I (We) �Cirnd x v ertify that on the-1st day of March , 19
';We) occupied as our principal place of resid ce th following described real property for which a Homestead
Property Tax Credit is hereby claimed: F(We) owned ❑ Are buying under contract
El 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 it under a contract.'
CONTRACT RECORDEDt
If buying on contract,
Recorder's office where contract is recorded I RecoVAI nb @r fQ�Page
PTION
town,
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.
i_/X- /19- 6dD • t/1 /�
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County Township
Wereby certify the above statements are bite. correct and
nat r
complete.
(2)
. Ad ress (Street. number, city. state and ZI code)
t f �G G
'ASSESSOR USE ONLY TRUE TAX VALUE - ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately'
surrounding residential improvements
Otherland -
' 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)
.
11)
1991 Pay 1992
19 —Pay 19-
_ _esser of 112 Homestead
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of for
(5)
(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-
_ _esser of 112 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of for
Da t Sign d
io Q
51
.IATE FORM 5)Y ILr•∎el TRrASttEA FORM i3-IA
ArrRrT'Eo Fly Mr.\TE BIMROor MTTRI:TS.J•M PILMRIBm BY TIr DEPAREM:rrnr LOCAL CAWtRYNrhT FINANCE M 4.I.I-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eta for homestead fraud.Homestead fraud causes higher fax bills for all:therefore.
•- HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they am eligible to receke the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will be kepi confidential and can only be accessed by authnrired county officials.The Depannent of
Local Government Finance will use this information to create uvls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Carle, Randall L/ Kimberly A
US 41N
Patoka IN 47666
923
Randall L/KimbJ 3, Caw
rN 5 75 N
Patoka II 47666-9101 State Parcel Number Legal Description
Illttlltttlllltttlitttllttlllrttttllll Ilttlllltttllltttl 26-05-48-169-000.616-018 010-00616-00 PTLOC169110 .75 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
471a / • Lar � �
Eg Address(number ond'smxt,city.state.and ZiP code) _ ® Some as property adds:s — -
37 k/ 575n/ 1a.1ott. 11174 lv
Spouse First Middle Last
t5 ;mter (l/ /c• Cat at/ e_
Mailing Address(Numbe/and street,city,state,and ZIP code) r✓1 Same as property address
3371 7-rd A /27A4 1IT4 Vii
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 S' aunt Date
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PART 4:ADDITIONAL INFORMATION