Homestead_Parisaq 4 CLAIM FOR HOMESTEAD PROPERTY TAX
x� y CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See rev e si�p for filing instructions.
I (We)
) (We) o
TION STATEMENT
FORM YEAR
HC10
Y that on the 1 st y of /M� arch 19 t 1(1/1" described real prope4Q # AU �ead
Propbrty Tax Credit is hereby claimed:. - [;�(We) owned ❑ Are buying under contract
❑ Have 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
7T�]]�iil�I�Z�T:(Iid[�I�I
County Township T axing Distri t tpwnship)
Pa I Num er �r'`� Legal Description �--�
If any portion of the residential structure or the land- not exceeding one (1) acre that immediately surrounds that struc-
ture 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
hereby certify the above statements are true. correct and
- complete. ---
Si ature r-
Address (Street. number. city. state and ZIP 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)
(4)
-
-
(5)
(6)
(7)
(8)
I 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
0 Lesser of 1/2 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 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 �gne�r�
C?� �
a
Ra.M tool )MIR:(S,I,1 TREAsttLX FORM 73-1A
APrROVEn BY AVE MAROal ARM1tWER`mr RISCRI FD BY 7111 DFPMTENT OF LW AL COtRNMEFT FINANCE MH.1_'- l
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kepi confidential and can only he 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.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Paris, Theodore L
OLD Cunningham RD 'y
Oakland City IN 47660 AGx
398
Theodore L Paris
4629 N 200 W State Parcel Number Legal Description
PATOKA IN 47666-9077
luIu,IIuu t�ulli uu I!ut t��tt�t�tt�l.uul uu t�li,iltilu ll lltuli.ill 26-04-14-400-000.814-018 010-00814-00 PT SE 1411110.94 AC
• PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
eod ore Z-ee c?ri5
c Address(number and saeet,crty,uatEThdZlPcode)—‘-- _--- ----__ l Symeasproperty address._ —
t62-if /9-0O 14/ kk Zia/ ,7°7664
>
Spouse First Middle Last
Mailing Address(Number and sweet,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/Stare ID Number (last 5 digits) Other(please specify in Part 4 below)
sate
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
•