Homestead_Beal (3) t'Alt FORM'M IR.(!MI 1TDAAAEA roam:sin
•
APPROVED BY MAIL Bl DDI NYYRL\TP.`ies PVY(AIRFD BY fir DFYARTNP.Yrt*IIX'AL cxwrRNMrrtr FI:A CE n'4`I.1-E2-1,I
0 County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
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 eser for homestead fraud.Homestead fraud cause higher tan bills for all;therefore.
® NEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to recehe the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filings.This information will he kepi cenhdemial and can only he acre:sed by authorved county officials.The Department of
Local Government Finance sill use this information to create owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
• Beal, Larry J/Margaret E
904 Blackfoot DR
Fort Branch IN 47648
7613
Larry J/Margaret E Beal
904 Blackfoot Dr State Parcel Number Legal Description
Fort Branch IN 47648-9509
26-19-18-101-001.023-026 011-01023-00 LITTLE YORK VILLAGE
^
5513T/56 PHASE 1 _ ._
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
I_ arty r 8
•na Address(number and street,city,state,and ZIP code) 12c Same as property address - -
•
Spouse First Middle Last
M4IF ar-air Be a
Mailing Address(Number and street,city,state,and ZIP code) fial 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 I Signature Date
•
PART 4:ADDITIONAL INFORMATION'
all
�—`�� _ •_
�
d�A, _CLAIM FOR HOMESTEAD PROPERTY TAX FoRM YEAR
.� y: CREDIT/STANDARD DEDUCTION. Hc�o �(� qj
�`+��� State Form 5473 (R2/1-90) .
'°�• INSTRUCTIONS: See reverse side (or liling instructions.
. . D/� 4/o r2.3-O�
CERTIFICATION STATEMENT
(� �e� .
I� I(We) �, Q Nv.,� (% I' �CV`-(� certify that on the 1 st ay of March , 19 �L.
t"jWe) occupied as obr�rincipal plac� of residence the foll9wing described real property for which a Homestead
_ /
Property Tax Credit is hereby claimed: L�-YI (We) owned 0 Are buying under contract
�Have a beneficial interest in the entity thaf is liable for the property taxes on th�p�et�p ai�'��ns the
property or is buying it under a contract. 6 r�a :
1�1AJ
r ,
CONTRACT RECORDED
on contract. Fee Simple Owner's Name
's office where contract is recorded
PROPERTY DESCRIPTION
MAY O 1 199 i
— � v v„�)- .v � `. • , �c..cn�cXr v •
p rcel�NuOmar _ OO Legal ription , �S- m 1 �/a �/
) VV/ l0
If any.portion of the residential structure or the lan n t exceeding one (1) acre that immediately surrounds that:struc-
ture is used to produce income describe the use an portion of the property utilized to produce income.
PROPERTY OWNED BY CIAIMANT IN OTHER COUNTIES
� ASSESSOR USE ONLY � _, TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAI
VALUE
Land not exceeding 7(one)�acre immediately ' �
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (t ) plus line (2) (3)
- Residential improvements � �Dwelling (4) � - -- - � - - �
Garage (5)
Other improvements (6)
Tolal improvements - line (4) lhrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Dale Signed
1989 Pay 7990
sser of 1/2 Homestead
Valuation or $2.500
of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997 1991 Pay 1992 19—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �2,000 Valuation or �7.500 Valuation or S7,500