Homestead_Lofton (2)CLAIM FOR HOMESTEAD PROPERTY TAX
r,
CREDIT /STANDARD DEDUCTION
,a State Form 5473 (R2 If 592)
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INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
_�7
CERTIFICATION STATE
NT
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I (We) certify that on the 1st day of March, 19_
1 (We) occ pied as our principal place of residence the following described real property for w ch a Homestead Prop - h d:
❑ 1 (We) owned ❑Are buying under contract IN 119
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prope Is
AN
CONTRACT RECORDED - _ 0 4 2000
It buying on contract, Fee Simple owners name
I
Recorders office where contract is recorded n NTY AUDIT 9.
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
Parcel number
o -
Legal description
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce incorne, describe the use and portion of
the property utilized to produce income-
� - �3- ���Q /— ��•a3G7 -D /�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County -
Township
Si n ture QTf olaimant
�ereby certify the above statements are true, correct and complete.
A dr ss (number and street, city, state. ZIP code)
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential. improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete -
verifying action - Signature of Auditor
Date signetl
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
$
Valuation or $2,000
Signature of Auditor
Date signed
IME6�L
fe
Q\11 HAM 5394•R71 gut IRFASURIA HALM 6:A
/ . IIIIVEPPv2VE 3n\RO OF.41(0.!s1S No, rRkkarR➢*FDtllIIn.OtPAR IVLV OF LOCAL CO}AuLcTrt. tic t-1.1x'4.1
j,/ Gibson County Auditor - -IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS,-
101 N.Main Street Individuals and married couples ale limited to one honls:ead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more inecmi:C than ever for homestead fraud.Homestead fraud causes higher tax bill:for all:therefore.
—� IlliA 1344-2009 requires taxpayers who receive the homestead sundarJ 'deduction to erify that they art eligible to receive the
: 0 benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanment of
local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART l:PROPERTY INFORMATION - _
— Taxpayer Name Location Address
_ Lofton, Michael K/ Michelle R
0 EAST MT CARMEL
PATOKA IN 47666
315
Michael K/Michelle R Lofton
Mill-110111111 1111 1 Illu ll II[III 11 111 1 11 111
ll_II.11111 11 1E11 1II1III00 ID II
2598N950W
Owensville IN 47665-8720
I111111I'1111'11'1'1IIII1111l1111111111I1111111IIIII 1tlllll State Parcel Number Legal Description
26-03-28-101-000.367-018 E MT CARMEL 44/43/59/60 —O'" '
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
- PART 2:TAXPAYER INFORMATION•
�er 1 First Middle Last
;ehaiJ /K � d it
Mailing Address(number and street.city.stare.and ZIP code) j'4 Same as property address
; S—9 n /) , 9C0 it), 9w.ens<4/p, gel 76art{
Spouse First Middle Last
—Th;c hall e TR 2-0f-AD rt_
Mailing Address(Number and street.city,state.and ZIP code) _ _M Same as property address
(o09 w a .S4- lL , earn-vet ± L la a9
. - 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 fmancial penalties.
Owner I Signature Date
. PART 4:ADDITIONAL INFORMATION • ,
__