Homestead_TaylorM• n CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
as�a 4 FORM
-, CREDIT /STANDARD DEDUCTION Hcto
' State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
I (We)
CERTIFICATION STATEMENT
.1
certify that on the 1 st day of March , 19 `2 lJ
'(We) occupied * our principal place of residbhce the ollowing described real property for which a Homestead
Property Tax Credit is hereby claimed: I (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
contract is recorded I Hecord NurAPR 2
PROPERTY DESCRIPTION
72,.-.01 1 Taxing 9istific
= nob -oc�
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.
�/- X13 - �� -� /- �• ��a - D/�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
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
19 — Pay 19—
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Tu ditor
(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
1990 Pay 1991
1991 Pay 1992
19 — Pay 19—
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Tu ditor
Dgned (�C)
J
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ArrMw'm BY STATE&MAD OFMCFV\Tx.ha" rnV[AaBm BY nn DEPARPe.T OF LOCAL tOV RNMrnl TINA&'CE IC 6-1.1-2:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuab 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 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept 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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Taylor, James R \(_
Box 284 0
Owensville IN 47665
318
James R Taylor
2591 N 950 W State Parcel Number Legal Description
Owensville IN 47665-8720
rrtt�t�r�tr�t�rtr�tr�t���ttt�r�t rrtt��t�t�t� 26-03-28-101-000.880-018 010-00880-00 E MT CARMEL 12& 13
1r1rr11r1t11rra11r
D-18
PART 2:TAXPAYER INFORMATION •
Owner I First Middle Last
Ad
-- r g Marts(number and street,city,state,and ZAP code) -- Xutne as pro•Tty address - --
Spouse First Middle Last
En Es/ - .finEA)5 .
Mailing Address(Number and street,city,stale,and ZIP code) Same as property address
•
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 eliuible to
rec tae the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
la Ily,he or she may be liable for back taxes and substantial financial penalties.
n 1 Signamrc Uatc
PART 4:ADDITIONAL INFORMATION