Homestead_ConnerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (13215 -92)
au
INSTRUCTIONS: See reverse side for filing instructions.
to
certify that o • 1St day of of 19 7 10
occupied as our principal place of residence the following described real property for which a Homestead Property Taf ereby claimed:
2'1 (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
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Townshi
Taxing district (
to ;; towns ip)
Parcel number
. _ (WS l
escription
4,J �SC, q.73a &0—
It any portion of the residential structure or the land not exceeding one (t) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
/,;f —� We) . b7 ��I — 0/ U
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Towns
eby certify the above statements are true, correct and complete.
SSnap�e ql claimant
�l•-�J
Addre (Uber apd sheet. dry, sfa(e. ZVcfe) Q 0'(
ASSESSOR USE ONLY
TRUE TAX
.VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON -RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(I)
Valuation or $2.000
Signature of Auditor
�.
Other land
(2)
5 1 0 -46
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pars line 7)
(6)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
10—ifying action - Signature of Auditor
Date signed
i
STANDARD DEDUCTION ALLOWANCE
19 —Pay 19_
Lesser of 1/2 Homestead
$
Valuation or $2.000
Signature of Auditor
�.
Date signed
5 1 0 -46
i
SLATE{ORM,3tt R r wnl WARMER FORM 754.1
APPROVED m'AStEalwRDtACOntITs.eun PL6[WBW BY THEDEPARTMENTF LOALIXnrtNMrla FINANCE IC1.1.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •PRINCETON IN 47670 hdi•iduaL and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.homestead fraud causes higher en bills for all:therefore.
IS IAEA 1344-1000 requites taxpayers who remise the homestead standard deduction to verify that they am eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kept confidential and can only he accessed by authorized county officials.The Dcpanmertt 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
Conner, Frank E/Flora E 5539 N o Id Hw ki yj i
Old itwv 41
P
373 1-1411e {D n, TM U-ibaa
Frank E/Flora E Conner
Po Box 187 State Parcel Number Legal Description
Princeton IN 47670-0187
1t1rr11rrt 1r 11t r1rrr111rrr11 111rr1t1rrt IIrrIrIrrt IrIrIrI 26-04-12-400-000.515-018 010-00515-00 PT W SE 12-1-114.732 AC
X
Spouse First Middle Last
F 1-ona lr ConvNt✓2.
Mailing Address(Number and street,city,state,and ZIP code) [J Same as property address
Pb x 1%-I Pctnce,A0IN) ..a.--_.t\. ti1 (47-10
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 Date i Telephone
Spouse Nr�/ Date Telephone •
. _,..t eziafiA 11/9//f0 ( )
PART 4:ADDITIONAL INFORMATION