Homestead_MenyCLAIM FOR HOMESTEAD PROPERTY TAX " YEAR
" y
CREDIT )STANDARD DEDUCTION 19 y
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions. APR 10 1991
/
CERTIFICATION STATEMENT RV
L"Yvr (We) l l yllu Fd Q. I �certj�fy that on the 1st day ofl�arch , 19
I (We) occ i s o principal place of res nce_the following described real property for which a Homestead
Property Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is fiAble 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
County To h Taxing g `District (City, town;
Parce
P T W Number Legal Descripi f�a .) 'A – – �J
00 - a tea- Y
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.
=000. aG a -oo/
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
county Township County Township
I hereby certify the above statements are true. correct and t re
complete.
ess (Str et u[nber. city. s ate 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 112 Homestead
Valuation or $1,500
(2)
Signature of Auditor WK �>t2
(3)
Dot Sig d
(4) - -
- --
- -
(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
r
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
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 112 Homestead
Valuation or $1,500
Signature of Auditor WK �>t2
Dot Sig d
%T,A a FORM!JM 1R/.1.1 TREASURER FORM ia-IA
APPRrA'fD DT,TAILaisRD O Arxxx.\TA.9n PRESCRIBED BY n1-DEPAsnen OF LOCAL GOVERNMENT FINASCE its-I.I-r-L.I
Gipson 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
Lai more beneficial.there k more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
`® HEA 1344-2109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be 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
_ Meny, Jeffrey A/Tammy S
R2 Box 146
tort Branch IN 47648
8825--
Jeffrey A/Tammy S Meny
8580 S 650 E State Parcel Number Legal Description
Fort Branch IN 47648-8623
ltlnlintlIilnllnllnlIininlinrtlLin��l1n1rIInulnll(....g 26-20-29-100-000.262-00 001-00262-00 PT N N NW 29392.95 AC
PART 2:TAXPAYER INFORMATION
Owner I 7 J t 1 (E/ First ://I[/ Middle /71 enit Last
•tg Address`(number ands city.state,and ZIP code) / .r——_..
QS �o C doe&f�/6,716k Jpv ( 7(o YS
Spouse First Middle Last
Mailing Address(Number d sweet,city,stale,and ZIP cock) I—I S:une as property address
•
es . e c-jorf-brcvn y76 YS
PART 3:CERTIFICATION
Each u R ersigned cern les.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.beiiable.fovback taxes.and.cuhstanrial.financial penalties.— - - — — -—
Owner I Si re Date
PA'.2T 4:ADDITIONAL INFORMATION •
I