Homestead_MinorCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HCio
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions. /
CERTIFICATION STATEMENT
/ rt y thhe 1st day of March , 19
�' 'We) occupied as our p cipal place of reside( e the follo ing described real property for which a Homestead
roperty Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract
El property 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 Owner's Name
Recorder's office where contract is recorded
Record Number Page
PROPFRTY DFSCRIPTION AUDITOR
County Township Taxin L t t own, wnship)
MI umb Legal Descr i
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.
O- - 00 -00 /. -GG/
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County TowLahip
0tiereby certify the above statements are true. correct and gnature
omplete.
dZess Street, number, city. state and IP cod )
�( ile 21 %G
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 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of itor
(5)
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ae� n0
(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 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of itor
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ae� n0
6
•
MATE FORM!)M qx fHNI TRF SL'[tRFOtSlf}IA
.APPROVED BY SIM..WARD ri"MYANI:.!VM PVYTlBED BY THE DPPARTENr(F LOCAL rmvatNs1mi FINANCE/C L1.1r.sI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than exer for homestead fmud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive a the
benefit and to provide additional identifying infornlanon necessary to allow county government to better monitor homestead
filings.This information will he kepi ennti Jag ial and can only be accessed by authorized county officials.The Ikpanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property'Address
Minor, Larry W/Molly Alberta
none
Elberfcld IN 47613
88,$ ILE ga
Larry W/Molly Alberta Min
8271E 900 S
Buckskin IN 47647 APR 7 2010 State Parcel Number Legal Description
26-20-28-200-001.609-001 001-01609-00 PT NE NE 28 3 9 2.00 AC
72700. gt
GIBSON COUNTY AUDITOR
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
! terry tit) ; IIIam r _iNDY
&Address(number and street,city,state,and ZIP code) m
Sae ss property address
Spouse First Middle Last
ii(?) e /l 4 / hr 1 a /fir Nor
Mailing Address(Number• d 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 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
s.i/ Signature Date
M