Homestead_Lankforda °s CLAIM FOR HOMESTEAD PROPERTY fAX
}a CREDIT /STANDARD DEDUCTION
.:; State Form 5473 (R2/5-92)
Hsu .
INSTRUCTIONS: See reverse side for filing instructions.
' FORM YEAR
HC10
` - - - CERTIFIC ON STAT MEJIIIT - -
"Ne) Vnal ertify. that on the 1 st day of March, 19 _ ccupied as oe of residence the following described real property which a Homestead Property Tax I IsYelepy da ed� l (We) owned ying under contract - >G` r
❑ Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property or is buying under a contract.
NOV 0 6 1996
CONTRACT RECORDED., T 6r .a
It buying on contract. Fee Simple owner's name M A UD1T0o fl
co
Rerder's office where contract is recorded Record number Page
- ..
PROPERTY DESCRIPTION - - -
County -
Township
NON - RESIDENTIAL
VALUE
Taxing district city, to n,
(1)
Parc I number
Legal description
n tore of cla" ant
-o z
(2)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
Total land (line I plus line 2) -
(3)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County
Township
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
�eby certify the above statements are true, correct and complete.
S
n tore of cla" ant
i Address (number and street, city, state, ZIP code)
\ �p 1?T S
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
-
Other land
(2)
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 pbs line 7)
(6)
I hereby Certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
v-,;Mng action - Signature of Auditor
Date signed
. STANDARD DEDUCTION ALLOWANCE
19 —Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed
STATE FORM 53569(8315-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT 7INANCE ICGI.I 23-8.1
� IMPQleANT`NOT+ICE'7O"HOIVIEYSTiEffi PROPERTY OWNERS
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 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 are eligible to receive the 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.
PAR' :L• P'OPER sY INFORMA' ION -t '
Tasns.er Name Property Address Slate Parcel Number Leal Description:
Douglas L/Melissa S Lankford 56 E 400 N 26-05-48-099-001.442-018 PT LOC 99 1 10 1.35 AC
PATOKA IN 47666 C-I
-
Complete and return to: 111 E11111111111 111 11ME11[11D1111E RM
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
s.r ytt• yc.. r-arryae.-w mq• .. u•m...T,. .,
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Owner 1 First Middle Last
O(n.to L�1'c \u\ls 0
Mailing Address(nmber and street,city,state and ZIP code)
Same as property address
Spouse Fvst Middle last
1
1-v - \SSA- *CJ\LcOQN-%,
Mailing Address(number and street,city,state and ZIP code) Li Same as property address
- :a - .i_1 - ART•3.CERTIFICATION ' < "1 a :,.:. _ -
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 1 Signature Date
„a� v 1r ? t ° _tl d';, PART 4:.ADDITIONA_L INFORMATION LI7ar '
FILED
• FEB 8 2013
float-
CIBSON COUNTY AUDITOR