Homestead_Martin (3) • 515TE FORM 535n•0./'I TREsSen,FORM i-tA
.APPROVED BY Sr ATE IR ttRDOF✓tTR.,T%.!nM rRrat1mID BY TIE OFPARPAEYt(W toAI COVEERYMrNr r mANCE IC 6-1.1-224
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 or this deduction becomes
more beneficial,there is more incentive than nee for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to genet that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be Lep.CCMlidenlial and cm only he accessed by authorized county officials.The Depannrent 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
Martin, Jeffrey A/Victoria L CiDl$ S. (a SO
Eon Branch IN 47648
8545 1
Q
Jeffrey A/Victoria L Martin
6018 S 650 E State Parcel Number Legal Description
Fort Branch IN 47648-8575
26-20-08-300-000.970-001 001-00970-00 PT N SW 8-391 AC
D-8
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�1 A 0,t1 Y1A�1 �
•g Address(number and street.city,state,and ZIP code) - - El Same as property address- -
( o l 8 S . 14O L r-0 ,--i Q re,Dit, I Z N 916`1 $
Spouse L First Middle LL Last
Vl c k--a wt a `-.QIM S-)` PI Arl, r
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
(,o l`a S. LsQ Fe et bcu,,,,r,t., tJ 41 (`18
PART 3:CERTIFICATION
- Each undersigned certifies.under penalty of perjury,-that the above-and foregoing-information is uueand-correct and Mat he or she is eiieible co — -"
receive the homestead standard deduction on this properly. 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 Signature Date
PART 4:ADDITIONAL INFORMATION
a% CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
.; State Form 5473 (R2/5-92)
ate
INSTRUCTIONS: See reverse side for tiling instructions.
1
r 1 �
I - - GEHTIFIGATIUN STATEMENT - Al If11T11B V _ I
�) P M 0 - �t- UCLO�u - T 7 l Wt(...Cl L certify that on the 1 st day of March, 191�3
.7oc our pr6cipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
1 (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 under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
-
PROPERTY DESCRIPTION - -
County A
I k,A—,Y�
Towns -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Taxing district (city, town, township)
Parce num r
001 - 00970 -ap
Lega!l description
P+-'O
.Sup S -3-
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.
0o• 0 -00
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County Township
1reby certify the above statements are true, correct and complete.
[ure of G iman[ _
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
ss (numbneer and street, city, state. ZIP code)
''
rI
LIU
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 I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(g)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plis line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
ying action nature of Auditor
L
Date signed
19 _Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
of Auditor
�, -ii
STANDARD DEDUCTION
S