HomeMy WebLinkAboutHomestead_White�•^ : CLAIM FOR HOMESTEAD PROPERTY TAX : D YEAR
e�a4 - FORM
- CREDIT /STANDARD DEDUCTION - Hc10
• State Form 5473 (R2/1 -90) '
INSTRUCTIONS: See reverse side for filing instructions. /
CERTIFICATION STATEMENT
(We) QQ�rJ I/✓ • �- a ev+.� r V� • w certify that on the 1 st day of March , 19 710
(We) occupied as our principal place of residence the following described real property for which a Homestead
rdperty Tax'Credit is hereby claimed: {We) owned 0 Are buying under contract
0 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: > I -_
CONTRACT RECORDED" -'
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page .
Taxing
township)
Parcel Nu ` Legal Description I
o- �� N a AC,
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that su
ture is used to produce income describe the use and portion of the property utilized to produce in — JU L 2 b -` §
M
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES AUD1TUK "
County
Township
County
Township
iereby certify the above statements are'true. correct and,
complete.
Sign re
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
19— Pay 19—
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 Auditor
0.
(5)
Date Signed
O
(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
®Lesser
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
of 1/2 Homestead
Lesser of 1/2 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 Auditor
0.
Date Signed
O
lAd
s1AttfORM!)!m 1R row TILFASUMER FORM:}u
.A MOVED Or'TATE IXMROor ARlIATI Vv euS1Unmar n¢orrMPAINT OF Ullx rVWFR.YYTT ThANCr lc 4-1.1-2`41
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 in bills for all:therefore.
FIL HEA 1344-20!9 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit aM to provide additional identifying mformanon necessary to allow county government to better monitor homestead
I rlinf�.This information will he kept mnlidrntial and em only M accessed by aphorized county oBcials.The Ikpannmt of
�� (,�r Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 2. 3 ZULU Taxpayer Name Property Address
White, Alan W/ Melanie R
‘1740.a./+///% RI Box 235 `L
GIBSON COUNTY AUDITOR Patoka IN 47666 -
420
Alan W/Melanie R White
3971 W 450 N State Parcel Number Legal Description
Patoka IN 47666-9272
1.1..1111111111111111tilttltlttttillliltltrltll111111111111111 26-04-21-200-001.900-018 010-0191)0410 PTNNE211114.23AC
0-15
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
kg/hit/ L
Sag Address(number aria street,city,state,avid LlP code)— - "---- - - -Frame us property address—— — — — - - - • — -
3171 & r4so Nmem •9-/DKO 24 471166
(
Spouse First Middle Last
Aelan;P �k� ( uk; te
Mailing Address(Number and street,city,state,and ZIP code) Ii Same as property address
3971 14/4'5D,V 0.koKa z h a 7L
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