Homestead_Lindya% CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 (R215 -92) �{IpyQ,p�
INSTRUCTIONS: See reverse side for filing instructions. Hrffini
I IWe) jj� (Ili -r.G/I d'� certify that on thil"91 day of March. 19
.e) occupied as our principal place of residence the follow described real property for which a Homestead Prop ply Tax Gredys hgr�b cl imed:
AI e J
❑ I (We) owned ❑ Are buying under contract AUDITOR
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the properly or is buying under a contract.
CONTRACT RECORDED
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township - I County Township
�eby certify the above statements are true. correct and complete. I Signature of claimant
Address (number and sheet. city. state. ZIP code)
,f•,�.� A
ASSESSOR USE ONLY
PROPERTY DESCRIPTION
County Township
HOMESTEAD
Taxing district (city. town, township)
Parcel number Legal descrii .,
t D -005ss -o a
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 incomte.�_f
/
C/!CO — 0 / //
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township - I County Township
�eby certify the above statements are true. correct and complete. I Signature of claimant
Address (number and sheet. city. state. ZIP code)
,f•,�.� A
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
DateTned
surrounding residential improvements. I
(1)
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
I (6)
Total improvements (line 4 through line 6)
I (7)
Total value (line 3 pUs line 7)
(g)
1 hereby certify the above is true. correct. and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
x
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
I
Lesser of 1/2 Homestead
S
Valuation or S2.000
Signature of Auditor
DateTned
IMI
tlalE torts So AIR:/ -PI TREASURER FORM TATA
ArrRtrn'EO RV MATE nntKnrrMfl R:vlt.Tow PRESOTm BY TUE DrrMTINT OF LOCAL CAt2LVMrn7 FINANCE IC 0-I.1-r4.1
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 N this deduction becomes
more beneficial,there is more incenthe than eta for homestead fraud.Ilomestead fraud causes higher tat bills for all:therefore.
NEA 1344-2109 requires taspayers who reecho the homestead standard deduction to eerily that they arc eligible to teethe the
benefit and to provide additional identifying informaton necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only M accessed by authorized county officials.The Department of
Local Government Finance still use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Prnpertv Address
Lindy. Robert E
1538 N'550 N
Patoka IN 47666
354
Robert E Lindy
1538 W 550 N State Parcel Number Legal Description
Patoka IN 47666-9051
ItII III III II'ltt r��t rl��tt�t�at��tt tt�t�ttt t��ta��t�tt�t 11 26-04-11-400-000.555-018 010-00555-00 PT E SE 11-1-114 AC
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PART 2:TAXPAYER INFO RMATION _
Owner I First Middle Last
4F,r F, , zt)T
tg Addrev'(number ana itnek a tv,state,and ZIP code)- " ---`---'- Smite as props ny addna, - - ---- -
R Ltil. Sso 7✓ 117-0e-4 2-2/ g7 6100
Spouse First Middle Last
AI(4 •
Mailing Address(Number and street-city,state.and ZIP code) ®Same as property address
/C3 8 kJ .fSD ✓ Trot; 11/ 7G66
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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/1g-she may be liable for bacck taxes and substantial financial penal ties.
Owner 1 SiErettae [rte
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