Homestead_Robbinsa ml
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
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State Form 5473 (R2 15-92) -
INSTRUCTIONS: See reverse side for filing instructions.
45� �
FORM YEAR
1: ff
H 1
I (We) _ certify that oty o
I (We) oas our princip lace of residence the following described reap. property for which a Homestead Prope ax r d e ed:
I (We) owned ❑ Are buying under contract _ {�I ((}} (n� r�
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or h' bLYin�ilrhder9'ontract.
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 -
- PROPERTY DESCRIPTION
County
I hereby certify the above statements are true, correct and complete. Si ure of claimant _
NIXss (number and street city. state. ZIP code)
� �2 l� _7 2661
Township
Taxing district (ci , tonj to
ip
Parcel mb
Legal tlescriptio
Other land
--o
Total land (line 1 plus line 2)
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 income.
r -
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
Township
I hereby certify the above statements are true, correct and complete. Si ure of claimant _
NIXss (number and street city. state. ZIP code)
� �2 l� _7 2661
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE --
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(b)
Other improvements
(6)
Total improvements (line 4 through line b)
(7)
Total value (line 3 piu line 7)
(6)
I hereby certify the above is true. correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 $
Signature of Auditor Date 7r—
PROPERTY
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stNE FORM.35' IR:l w•I 111E sae FOAM TAIA
APPRIWEn BY Al Lit NOM,OtACOOLNIA.IDx PEGYUBWM ME DEPMnRYC OF LO CAL DOCERNMEAl nn'AR'E m41.I_ta
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead uandanl 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--2000 requires taxpayers who revive the homestead standard deduction to verify that they are eligible to rrcene the
benefit and to panicle additional identifying information necessary to allow county government to better monitor homestead
filings. this information will be kept contidential and can only he accessed by authorized county officials.'Ilse Depannwnt of
Local Government Finance will use this information to create reads that will help county officials eliminate homestead fraud.
V PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Robbins, Daniel L/Jeannie L
R I Box 182
_ Patoka IN 47666
748
Daniel L/Jeannie L Robbins
3943 N 100E State Parcel Number Legal Description
Patoka IN 47666-9224
III I I I I I I I I III I I I III I I 26-05-20-300-000.740-018 010-00740-00 PT SW FR 20-1-10 5.079 AC
to nit nt nt u t nu tuttnt n u tnt D-12 C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ h a: E0 N j o bh1 \ •
i b Address ttmribcr and strixt,city,state;and ZIP code) '_ — — — -- -- a-Same aspreperty address— - _. ___ -
39 43 0 1.0 o E Pc do rpj `x-7666
Spouse First Middle .LL Last
Mailing Address(Number and street,city.state,and ZIP code) ❑ Same as property address
394'3 tu too y76oe
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 �mur // /
PART 4:ADDITIONAL INFORMATION
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