Homestead_RichardtCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HcfD
t State Form 5473 (R5I 70-01)
Prescribed by the Department of local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. —_y y „ 7 j—
I (We) l/� ,/�� that on ftLl day, f EM, 20_
I (We) occ pied as our principal place of residence the following des&VlLd real property for which a Homestead Property Tax Credit is hereby claimed:
El I (We) owned ❑ Are buying under contract / , /%
iHave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the propertYoris�baying�underla contract.
r.'r1CONTRACTR_E_C_ORDED_
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
'"'�` ���` APR 'OP.ERTY;OWNEDBY,CLAINWNT.IN! OTHER" CO( INTIES' ,�� °,��is``��F,°+r:.S':,�,�?;f�
, tiP, ROPERT ,I':DESCRIPTION %f"$y.S
County
Township
Taxing district (city, town, township)
P umber
Legal a O
'it O
Is the property in question:
1 ❑ Real property ❑ Mobile Homo (1. C. 6-1.1 -7)
If any portion of the residendel structure or the land not exceeding onp{1) a apt �tyia y 5 unds that structure is used to produce Income, describe the use and portion
of the property utif¢ed to produce income. _ 1 ' "� �• /,.1/
'"'�` ���` APR 'OP.ERTY;OWNEDBY,CLAINWNT.IN! OTHER" CO( INTIES' ,�� °,��is``��F,°+r:.S':,�,�?;f�
County
Township
County Township
1 here certify the above statements are true, correct and complete.
ant
-'i ss(number and streef, city, state, ZIP code) q
e2 0 / / /J
'�" r xASSESSOfR USE ONLY i�yTRUE
x-
TAX
�_
ASSESSEDVALUE.
,',HOMESTEAD
ONA IDENTWL ° f
i.VAL:UE,
_ATi100Ya OF�TTV;VALUE°.�,VALUE6'
Land not exceeding 1 (one) acre immediatey
ky f
surrounding residential improvements.
(1)
y,,, -, - a
Other land
(y)
.t
Total land (line 1 plus line 2)
(3)
x�'
Dwelling
(4)
1
� �- t•
Residential improvements
'`4-'""' °' "'
s _
•a,
Garage
(5)
- ?'.�`i'-`' . ,rii`'S` -},I
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 12 Homestead
Valuation or $6,000
Signature of Auditor
Date
A
cwt.R I M M'!Yw1R:t!+„1 TEAmtEA FORM:-IA
.lrrrtwE0 BY Slam MN DM artW%13.yN rnrRlam BY air DC,ARna•:rr((LIX:tt OOVtLYMIAI FINANCE MSI.I-_-r.I
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 baud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to recehe the
1 �r ��rr----�� benefit and to provide additional identifying information nemearc to allow county government to better monitor homestead
O p filings.This information aion will he kept hiinfdemial and can only be accessed that will by authorized county oelicials.The lyepannxm of
1[pli--�,
Local Government Finance will use this information to cream awls that will help county officials eliminate homestead baud.
PART 1: PROPERTY INFORMATION
APR 9 LULU Taxpayer Name Property Address
Richardt, Preston R/Chasity M ,,,JJJJJJ
1770/ ? R2 HOX?79
3296'
IBSON COUNTY AUDITOR Llbcd'dd IN 47613
Preston B Richard(
8558 S 850 E State Parcel Number Legal Description
ELBERFELD IN 47613-8434
26-20-27-100-001.867-001 001-01867-00 PT N NW NW 27-3-9 1.00 AC
Ira IIIIII IIIII 'Iry III IIII1l ltd ltdlllllllltl llll1111I111II D-19
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I First Middle /7 ` Last
I r€ston -8 I c.ty Kickar&T
g Address(number and street,city,state,and ZIP code) 14 Same as property address
8558 S, 8Soc. rthe IS 110 47613
Spouse First ,,1i Middle 1 ''rr Last
k gs + fJ Mee c ki a cA VC nn;C x10.(0fF
Mailing Address iNumber and street,city,stale,and ZIP code) � Same as property address
8"558 S. 860 t, e/ber"�e(a ( N 476i Ii.�
-
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