Homestead_Hoover (2)CLAIM OR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10 X990
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions. /
CERTIFICATION STATEMENT V
I (We) 4 ^ r JQ `�+� N '2° - r'�^ certify that on the 1 st day of March , 19 Q0
I (We) occupied as our principal place of residence the following described real property for which a Homestead
Pr®ly Tax Credit is hereby claimed: V) I (We) owned [:1 Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the ns the
property or is buying it under a contract.�j{�
CONTRACT RECORDED
on contract, Fee Simple Owner's Name
where contract is
PROPERTY DESCRIPTION
County / , ow Ship '4 Taxing District (City, town, township)
Parcel Number Legal De cript �/� a
0 /0-03$ /-DO 3 - /_i/ R.
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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ownship
certify the above statements are true, correct and Signature
(Street, number, city, state and ZIP code)
13c-z 3 7
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—
0 er of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Audit o I
(5)
(6)
(7)
_
(8)
I hereby certify the above is true, Signature of Assesor
correct, and complete
Verifying Action - Signature of Auditor
Date Signed
Date Signed
CTAKMAen nGnIIrTIr11K1 At 10WANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 —Pay 19—
0 er of 1/2 Homestead
`L'esser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
I.i Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
i.
Signature of Audit o I
Date Signed
S- 3- 90
i
i
i
1,
I
I!
i)
5xxtr FORM!)Y-la-r W.1 MEASLIER FORN:3.1A
!tn./UT-ED BY5TUE 1 OOf ACCOLT']➢n PAE%RIBED By Mt DEPARnc4r.r LOCAL COVEINN1FNT FPANCE K- rt-2:-hl
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 tier for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing'-This information will be kept confidential and on only he accessed by authorized county officials.The Depannent of
Local Government Finance will use this information to create tools that will help wimp'officials eliminate homestead fraud.
PART l: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Hoover, Tony J/ Deborah S
RI I3ox 37
Patoka IN 47666
425
Tony J/Deborah S Hoover
"- - - - 1970 LOON — — State Parcel Number Legal Description
Patoka a i IN 47666-9031
Itlttlltttltlltttlltttllttltlttll 111411111111111 III 26-04-23-100-000.381-018 010-00381-00 PT SE NW 23-1-113.03 AC
/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
loAiy f /4 COVER.
g Addresi(number and s t ra y,city,state,and ZIP code) - - [-Same us pmlkrtv address - - - - — - —
197o I.V L/00 N P14-7-0 k_ A /4/ Ak 76CRle
Spouse First Middle Last
Othorgti S Hoo ygr
Mailing Address(Number and steel city,state,and ZIP code) [-Same as property address
- / 9'0 —W- 4104 1V P'-YaKA JN y74aGu---- - - - -- -- --- - -- - - --
- PART 3:CERTIFICATION
Each undersi&teed certifies,under penalty of perjury,that the above and foregoing information is rive 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.
DNncT 1 Sign /, Date
PART 4:ADDITIONAL INFORMATION
