Homestead_Jones (9)CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
State Form 5473 (R1216-09)
•S Prescribed by the Department of Local Government Finance
INSTRUCTIONS., See reverse side for filing instructions.
MAY 17 2010
tuy�dndpai
I (We Or `/ certify that I (we) occtQNexdt
�ays
place of residence or am (are) buying the follovdng de 'bed property for which a Homestead Property Ta xY' 099Rlbri i ereby claimed
contract on the date this application is filed, (date of filing):
punder
,Cy I (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
INFORMATION
Name of daimant (legal name
�f A2 vQ w 3on•e 5
Social Sefuruy
C 'To
Social
o1 claimant's spouse (last five digits)
/
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders offs where contract is recorded Record number Page
PROPERTY DESCRIPTION
minty,
Township Taxing district (city, town, to ip)
Parcel number
Legal description
Is Ne property in question:
e I property ❑ Annually assessed motile home (IC 6-1.1 -7)
any portion of the residential stucwro or the wM not exceeding ore (1) acre that immediately w ds that structure is used to produce armne. describe the use and portion
®If
of the property utilized to produce income.
C?& -o5 -5 Ff-o /a- 000.S`$ / —o /F
PROPERTY BY CLAIMANT IN OTHER COUNTIES
County Tovmship County TowmsNp
I hereby certify the above statements are true, conect and complete.
Sig 1 dal t '
�p
Address (number and sn I ly slate, and ZIP code)
1h
1C S a z e on
ASSESSOR USE ONLY TRUE TAXVALUE
Land not exceeding 1 (one) acre immediately 1
rovements. "" *"-- •" ` ..:.'e
surroundin residential ire O
""e: ��- ;`•cF =�;
Other land .
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential Improvements or Annually
Assessed Mobile 1 Manufactured Home
Garage
'.`zi�+e�34��"'�`1':
(5)
:k?fH -'«�z
Other Improvements
(6)
Total Improvements (line 4 through line b)
(7)
Total value (line 3 pica fine 7)
(6)
I hereby certify the above is true, correct,
Sgnawm Assessor
Date signed (month, eay, year)
and complete.
Verifying action - Sgnawre of Auditor
Date signed (month, day, year)
r . • r • r
20 _ pay 20 _ Lesser of 60% of the assessed value of the homestead or $45,000
Notmitistand ng any otherprovisim, the sum of the deductions provided in IC 6- 1.1 -12 to a mobile Mme that Is
S
not assessed as real pmpedy or to a manufactured home that is not assessed as real Property may not exceed
one -hatl (IQ) of Me assessed value of Ne nabde home or manufactured home.
Sgnawro of Auditor
Date signed (month, day, year)
•
•
- • = '. STATE FORM 53560(8.3/RID) IRUAYFA FOe.M TS-1A
APPROVED By STATE.BOARD OF RECVOVT&WOO PRESCRIBED BYTIE.DEPARTME..7 OF LOCAL GAYEAA'MEVT MACE IC 6-1.1-1181
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344 2009 requires taxpayers who receive the homestead standard deduction to verify that they art eligible to receive the
• _ ILED benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
— MAY 9 2011 Taxpayer Name Location Address
— C Jones, Steve W/ Nancy A
DITOR 6984 N 25 E
AU Hazleton IN 47640
•
GISSON COUNTY
1195
1 Hill/nom I Kill 1 I ill I i0 K I _U it I i ii 011111 D91111 Steve•
W/Nancy A Jones
6984 N 25 E
Hazleton IN 47640-9237
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIillillll tltltllllllillllltllrlllllll State Parcel Number Legal Description
26-05-58-012-000.481-018 �PT MD 12 1-10 1.76 AC
a
`/
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
_.r _ _
Uw.er I First Middle Last
S 1-e ve to. so ne s
Mailing Address(number and street.city,stale,and ZIP code) -Same as property address
(9 8 Y 4/ &R S C. gaz/e-°4/ .S,-1 • V76 v 0
Spouse First Middle Last
#071 Cl /9. aoncs
Mailing Address(N u and street,city,state,and ZIP code) a-Same as property address
Gq8•q N oZ 5 e Al z/e/Cel , _rn. c/ 76S/o
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 Signature Date