Homestead_Reising (2)CLAIM FOR HOMESTEAD PROPERTY TAX Fo YEAR
s, CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92) I
�r7ue� 1 C
INSTRUCTIONS: See reverse side for filing instructions. MAY 1 0 1996
CERTIFICATION STATEMENT _
certify tffAfU NA Q&y of March, 19
I (We) occupied as ur princp1al place of residence the f lowing described real p rty for which a Homestead Property Tax Credit is hereby claimed:
l(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 OWNED BY CLAIMANT IN OTHER COUNTIES
County Township I County ITownship
I hereby certify the above statements are true, correct and complete.
(number and street. aty, state. ZIP code)
9
ASSESSOR USE ONLY
` - PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
Parcel number
nt) - g-DV
Legal descrip " n
IU �r 7 -3 -
It 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township I County ITownship
I hereby certify the above statements are true, correct and complete.
(number and street. aty, state. ZIP code)
9
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(t)
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pills line 7)
(6)
1 hereby certify the above is true. correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STATE FORM 53569(R3/11-1 0) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GO"ERNMENT FINANCE IC6-1.1"-5 1
IMPORTANT NOTICE TO'HOMESTEAD PROPERTY. OWNERS F‘ 4-411t:
individuals and married couples are limited to one homestead standard deduction. As the receipt of this
eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
r'1causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. This information
will be kept 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.
e y,-PARTITPROPERTY INFORMATION fr
Taxpayer Name Property Address Stale Parcel Number J.eaal Description;
Joseph K/Amy K Reising 6532 S 700 E 26-20-17-100-001.708-001 PT NW 17 3 9 1.00 AC
FORT BRANCH IN 47648 D-8
Complete and return to: I1119IIEiDJ[I[111M11111UDID 131111E11111I1[1111Jll11111I111
GiBSCN COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
r
.. • Is
Owner I First Middle Last
IOseph Relst%) �
Matting Address(number and street,city,state and ZIP code) Same as property address
Co53a S. 7,00E Fi- 3{a,uh to 4-)u) (IS
Spouse First Middle Last
Arc\ R
\-(1� e l S (%19
Mailing Address(number and street,city,state and ZIP cede)
L f
I
1 Same as Property address
•
PART 3:CERTIEICATION • `` `
Eacn 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 1 Signature Date
: