Homestead_Chapman.n•. CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATFMFNT
FORM EAR
HC10
that on the 1 st day of March , 19
'(We) occupied (ds our principal place of residence the followin described real property for which a Homestead
Property Tax Credit is hereby claimed: I (We) owned ty�b er contract
Have a beneficial interest in the entity that is liable for the property taxes .r�ra at owns the
El property or is buying it under a contract.
MAR 2 3 199 2
^ ^K1 •MAnr �rn�r�r�rr�
l• 111
If buying on contract. Fee Simple Owner's Name AUDITOR
Recorder's office where contract is recorded Record Number Page
i l[ e P
County Township Taxing Di s ict ity, wrjtow i
Parcel umber Le I D ription
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.
az- Qa- s8- ors/ 06-o- i�-/-w -6/ 2
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
my I .Township I County
hereby certify the above statements are true. correct and
(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
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)
(1)
-
19 —Pay 19—
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature of Auditor
(3)
(4)
-
- -
(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
Lesser of 112 Homestead
~t Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1.500
19 —Pay 19—
Lesser of 112 Homestead
Valuation or $1,500
Signature of Auditor
Date Signed
' %NAIL I ne4!!W I2'!YNI TREASIMIlt PORN ZIA
ArrMtn'EO BY STATE BnARO M MTTMI\TA.No. PRESCRIBED BY fir DEPARTME4TOr LORAL Covalem rcr MAKE IC 4-1.1-224.1
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he Leto confidential and can only be accessed by authorised county officials.The Detainment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY L\FORMATION
Taxpayer Name Pro ertv ._-s
Chapman, Deena L e
Ila>leton IN 47640
186
Deena L Chapman "
rx State Parcel Number LeEal Description
• 1 IN 47640-9228
26-02-58-014-000.148-018 010-00148-00 PT MD 14-1-102.156 AC
IrIrrl'rrrlrllrtElrrlllrrrlt1rrr r1r 1rr1r11rltlr doll ..
./ ' Ach4-11-----
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PART 2:TAXPAYER INFORMATION
Owner First Middle Last
eere, 1-4/4/1. __ G��pma.-�
�g Address(nt�mbei aii it±rt-city,state,and ZIP code) —"-- -- - -• 0 carne as pmpvny adds--— — — --
7'77 4 N 15E 1/421.6'r A kJ 476 qo
—
Spouse First Middle Last
Mailing Address(Number and street city,state.:and ZIP code) ❑ Same as property address
•
Social Security Number(tan 5 digits) Driver's License/State ID Number past 5 digits) Other(please specify in Part 4 below)
sot
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.
Ownje '�igneuac Date
Spouse Signature If Data Telephone
(( l
/
PART 4:ADDITIONAL INFORMATION
• •