Homestead_Beck (3) SIAM FORM Mbrile I Sw) MEASURER Poky YIA
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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.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they am eligible to creche the
benefit and to provide additional identifying infomnomn oecrvary to allow county government to better monitor homestead
filings.This information will be kept confidential and ran only be acmmed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help camry officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Beck, Virgil/Twyla
500 E Locust
Fort Branch IN 47648
7723
Virgil/Twyla Beck
500 E Locust State Parcel Number Legal Description
—.. _Fort Bfanch.IN 47648-1212 — —26-19-18_303-000.055-026 011-00055-00 WALTERS ADD 335/334PT
—
��lnl�t�l� -- -.--
PART 2: TAXPAYER INFORMATION
Owner I • 1I4 I First Middle _ , I Last
_up Address(number and street,city,state,and ZIP code) Some as property address --` -- -- - -' ---
SD� E. Locosi ST, Fdk'Y ,C3�tic�1 :Ow ). top" `
•
Spouse First Middle Last
i wy2A at /3Ec
Mailing Address(Number and street,city,state,and ZIT'code) jRt 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 atom — //1
PART 4:ADDITIONAL INFORMATION
M T•�• CLAIM FOR HOMESTEAD PROPERTY TAX
�� 4° CREDIT/STANDARD DEDUCTION
P .- '�
+�.,�+��' State Form 5473 (R2/1-90) '
. INSTRUCTIONS: See reverse side for filing instructions.
N STATEMENT D! (' �!`/ �� S�% O
C�
FORM YEAR
HC10 �
I(We) � certify that on the 1st day of March , 19
Y(We) occupie as our principal p ce of residence the foilo described real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is tiafile fo� the property taxes on the prop��n T atrow'n�
� property or is buying it under a contract. ' ' T
If buying on contract.
County
• CONTRACT RECORDED
e Simple Owner's Name .
contract is recorded �
PROPERTY DESCRIPTION
�Township Taxing DistrictEC
o �v- . ��cvY-ci�v
a el �e� �_O Q Legal D scri tion � � �� •
If any portion of the residential structure or the land not exceeding one (1) acre.th immedi y surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County County Township
siatements are true. correci and
�
ss (Street, number, city, state and ZIP code)
00 � L�cusi S7' i=�
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land noi exceeding 1(one) acre immediatety � �
surrounding residential improvemenis (�)
Oiherland (2)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling- (4p - - - - - - -- -- - -
Garage (5)
Other improvemenis (6)
Total improvemenis - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
co: rect, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1997 Pay 7 992 19 — Pay 7 9—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homesiead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or �2,000 Valuation or $1,500 Valuation or 51,500
3nature of Au�, 1nn •--.. ... te Si ned
( ,l' /wv�A � , � U I ,(�,P�, �-' �n � 9,0