Homestead_Cromer (10) STATE 1rTFM 5a!NIa-/>-'RI MASI la 11010.17}/A
Vla,n'En In snit n(&RO OF mere:\TS.2t0. PRr9NDT BY Mt DEPART TOY LOCAL rWTVELYMExt rBAscEty VI.1-r-1.1
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
mote beneficial,there is more incenthe than ever for homestead fraud.Homestead fraud causes higher in bills for all:therefore.
• HE.\ 1344-2009 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 govemmmt 10 better monitor hontesteixl
filings.This information will he kept conlidential and ran only be acea'.sed by authnrimd county officials.'the Depanntrnt of
Local Government Finance will use this information to crate toils that will help county officials eliminate hexnestcad fraud.
PART I: PROPERTY INFORMATION
_ Ta aver Name Pro 1• -_-_ '
• 1 ss
.. Cromer, Russell Lee/Ginger Lynn
R3 Box 129
OAKLAND CITY IN 47660
8595
Russell L Cromer
6510 S 950E State Parcel Number Legal Description
OAKLAND CITY IN 47660-7732
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
_ ' ass - , L Cromer
- - - — -
I!Address(numberands•• city.state,mad ZIP code) .— _ —_ Some.-....-
65/ c s 's-
Spouse trst Middle Last
•
Mailing.Address(Number and street city,state.and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number past 5 digits) Other(please specify in Part 4 below)
sure
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 Sign Date '
III
FORM YEAR -I
CE"FICATION STATEMENT',
4
I (We) r1i that on the '111 st day of March, 20_
I (We) occupied as our principal place of residence the following describdreal property for which a Home P1 ope44W-Credit is hereby claimed:
❑ l(We)owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property anc RAq�*:Pviope is_p �cler a contract.
0z
If buying on contract. Fee Simple owners name
Recorders offict, where contract is recorded Record number Page
.�PROPERTYOESCRIPTIOIN'.-7
Court
Township
CLAIM FOR HOMESTEAD PROPERTY TAX
NON RESIDENTIAL
CREDIT/STANDARD DEDUCTION
?ybrbero
State Form 5473 (R5 / 10-01)
L
Prescribed by the Department of Local Government Finance
Is the property in question:
'.Pr'y Mobile Home (LC. 61.1 -7)
1N.!3TRIJrT10N.1;- Sap rpwa,.,p side f,,, filim, insfmctinnc
FORM YEAR -I
CE"FICATION STATEMENT',
4
I (We) r1i that on the '111 st day of March, 20_
I (We) occupied as our principal place of residence the following describdreal property for which a Home P1 ope44W-Credit is hereby claimed:
❑ l(We)owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property anc RAq�*:Pviope is_p �cler a contract.
0z
If buying on contract. Fee Simple owners name
Recorders offict, where contract is recorded Record number Page
.�PROPERTYOESCRIPTIOIN'.-7
Court
Township
Township
NON RESIDENTIAL
Taxing distri (city a- ri, townsh
?ybrbero
d s (number and street, city, state, ZIP code)
fi A
L
VALUE".,-,
Nix- 5z
Is the property in question:
'.Pr'y Mobile Home (LC. 61.1 -7)
If any portion of the residential structure m the land not exceeding one (1) acre that immi6d—Ole 'surrounds that used to produce Income. describe the use and portion
of the property utilized to produce income.
o?l I AL
jW — co/.
96 do — 00 / I
'
' PROPERTY - .OWNED By CLAIMANT IN OTHER 'COUNTIES !t
County
Township
County
NON RESIDENTIAL
I hereby certify the above statements are true, correct and complete.
S igEature of claimant
d s (number and street, city, state, ZIP code)
fi A
i,�.TRUE-.TAX'.-;�;,,
ASSEiiS-11�6��LOE
NON RESIDENTIAL
.
7 y�4_
VALUE".,-,
Nix- 5z
Land not exceeding 1 (one) acre immediately
surrounding residential improvements-
Other land
(2)
teo
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (fine 4 through fine 5)
(7)
Total value (fine 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
I
Date signed
complete.
Verifying action - Signature of Auditor
Date signed