Homestead_McClaneIII
aka•° CLAIM FOR HOMESTEAD PROPERTY,TAX
" y ' CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
°• INSTRUCTIONS: See reverse side for filing instructions.
(We)
C
CERTIFICATION STATEMENT
that on the 1 st
FEB 2 41992
'(We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: d(We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a,contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
DESCRIPTION
County T w hi ( I) Taxing Jai) ict ( ity own, township)
Parcel r Legal Description
� ".p(J J s
S 11 . d1s I a3- I l a • 2
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to n
dcome describe the use and portion of the property utilized to-ploduca income.
2255 -- X13
PROPERTY OWNED BY CLAIMANT IN OTHEftCOUNTIES
;ounty Township County Township
hereby certify the above statements are true. correct and - Signatu n Z',—D-7i 1,7
and :4P code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19 —
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Signature of Auditor
(3)
Date Signed
(4)
-
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
OF Lesser of 1/2 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19 —
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of Auditor
Date Signed
A
SIAFE FORM,M(II C1 Wn laL♦SURIR FORM:S IA
APPROVED BY SIArh ROOEMtF*I TS.yON PRf3NBFD BY WE DEPA 7.4E47(ftfl At tOVSLNMR.T Fa:AVCE M 1-I.t-L4,I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction bccontes
more beneficial,there is more incentive than eter 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 ate eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kepi confidential and can only he accessed by au horieed county officials.The Ikpanment of
Local Government Finance will use this infonnation to create toils that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ McClane, Fred
Rr I Box 218
Patoka IN 47666
292 \
red McClave \
8278 W 425 N State Parcel Number Leval Description
PatokaIN 47666-9263 •
�t�n��tn�rIIIrlIIrnIIrrIr/rruIrIt IInulltiu tiinin iinl 26-03-23-300--00052-018 10-008552-00 PT S FR LOT 123-1-12
.2295 AC
/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
FreoiInIc(c I i 110+k y me ikag Address(number and street,city,state,and ZiP code)' — — — --IZ Sane as p;or:c y taddra3 - -- —- .
8'A 28 lJ 2/1.2S N �a6 koc, -N 1476.6 6
Spouse First Middle Last
R'e_;�'Jee-ems r r-� fie. Cj&.n e.
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
2 ,z7 8 0 efa_5 N -Pa , ZN g76eG
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 lia. e for back taxes and substantial financial penalties.
Owner I S'ui / Date
-, ( QA te
PART 4:ADDITIONAL INFORMATION