HomeMy WebLinkAboutHomestead_Marqueza1 °, CLAIM FOR HOMESTEAD PROPERTY TAX,
�,. CREDIT /STANDARD DEDUCTION
., = State Form 5473 (R2 / 5 -92)
feiG '
INSTRUCTIONS: See reverse side for filino instructions.
FORM YEAR
HC10
1.cniml,Anvry arArcmcrvr I 19 /.'a s y
— certifytthat(on }hejl4of March, 19
I (We) occupied as our principal place of residence the following described re rope y for which a Homestead Property Tax Credit is hereby claimed:
(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the properly taxes on,the property and that owns the Ypprrio i R under a contract.
CONTRACT RECORDED - If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
Coun
Township
Township
Taxing district (city, town.. township)
Parcel number. Legal descrier n
C)ln - Cni5 -Co
It 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
..oreby certify the above statements are true, correct and complete.
Sip ;ature of claimant
l`.Yl
Address (number and street, city state. IP code)
- ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE.
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(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 plrs line 7)
(6)
I hereby certify the above is true. correct, and
tplete.
Signature of Assessor
Date signed
TW`mg action - Signature of Auditor
I Date signed
STANDARD
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2.000
STATE FOAM!MMIP`/fwr 'WARMER FOAM TS-tA
VPRIa'Et Ire SEVE M•1OOf Mfl 4STS.Zinn rustam BY 11WE DEPARTMENT OF LOCAL oovaw,,rxl it:\CE tc H.I-_J.I
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1 344-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information netcssan'to allow county government to better monitor homestead
filings.This information will he Lrys confidential and can only be accessed by authorized county officials.The Depanntent of
Local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Marquez, Donald/ Patricia C
5395 Old Ilwy41N
- Patoka IN 47666
385
Donald/Patricia C Marquez
5395 Old US Hwy 41 N State Parcel Number Legal Description
Patoka IN 47666-9061
�t�tt�� 26-04-13-200-000.578-018 010-00578-00 FT NE 13-1-117.07 AC
t tt�t��ttt��trr��rl�r�rr��rtrt�� ���t�ttt�t�tttF���
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PART 2:TAXPAYER INFORMATION
Owner te First Middle Last
x JoP1wo.a �ht We..\ 1\ F1
x2gLCG _,
�ng Address(huinbcr and street,city,state, ZIP code) - - -- 'Same as property address - —-- -
S34� ,J. OLe CRS HwiL(4 i A�17KUal�-tS N�L.I,L,
'
Spouse First Middle (���11 Last
P14.netc-t va ei2 ALA=-cr2U I ' Iiei e9V-.
Mailing Address(Number and street,city,state,and1 ZIP code) (,� [Same as property address
539 tit. Otter k.,( ' HrT v LlI Pia-oKwxC .0 LA--4 Le La Le
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
` PART 4:ADDITIONAL INFORMATION