Homestead_Hooverd •4 CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
y CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (112/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
I (We) __ ffoo-z w certify that on the 1st day of March , 19 /
�(We) oc ied as our principal place of residence thejpfi6wing described real property for which a Homestead
Property Tax Credit is hereby claimed: (We) owned ❑ Are buying under contract
E) property 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 RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
Count .07=� T w ip Taxing District (City, town, township)
Parce Legal Description
' O -3Z'3— OD Eb
If an o io of the r ntial structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture su v to produce income describe the use and portion of the property utilized to produce income.
AUAVPK
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
-complete. certify the above statements are true, correct and
Signat re
complete.
Lesser of 1/2 Homestead
Address (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
Other land
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)
1991 Pay 1992
19— Pay 19—
Lesser of 112 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or S1,500
(4)
Signature of Auditor
(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—
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or S1,500
Signature of Auditor
Date Signed
V
' r SIVE FARM M5l.IICI'n'n) TRrASUREA FORA'MIA
VPRtWEl BY SIAM BOARD Of ACMU.NTS._nn, %FYNBmaY nn.DEPARnetT(wLOCAL GOVERNMrAT FINANCE M 41.1.124.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and harried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than nee for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
ST 1 HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
FILE benefit and to provide additional ideminfinc information and necessan'to allow county government to better monitor homestead
tegl i,� filings.This information will he kept confidential and can only he accessed by authorized county officials.'The Ikpannlent of
Local Government Finance will use this information to create Owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 2 2 Z010 Taxpayer Name Property Address
711144 Hoover, Jack D/Vicki A /1
Rr I Box 39-a / 1
42fi®ON co H1Y AUDITOR
Patoka IN 47666 l(�
Jack D/Vicki A Hoover �6 1960
R 1 Box 39-A State Parcel Number Legal Description
Patoka IN 47666-9032
1IIIIItIIIII11tttlltttllllItIItll IltttltItlllt11 �� 26-04-23-100-000.383-018 010-00383-00 PT SE NW 23-1-112.004 AC
/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
h.g.. d� Manioc-livid street,city.sate.and ZiP code)�- - _— __ _. j74 Same as pmpe/,addtxss _._ _- - --
g650 71.. Sao & (79.4t0hcv A- q 7(i;(8 40
Spouu nn ,, ,, ``?.. First 0-171-in- Middle Last
(
Mailing Address(Number and street,city..state,and ZIP code) 0 Same as property address
£os7 /L c� .Ul 97 J Lilie QO
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 �J/ T1 1 . D_ Date