Homestead_Hirsch MATE FORM,35 Iti/,nrvl TRFASUUER FORM 73-IA
APPROVED BY MATE AWARD OF MYta V.Tc.IBM IRFS(TmWD BY 711E DEPARTMENT OF LOCAL GOVEPNMIXT FINANCE tffidoost I
Gibson County Auditor
16I N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eter for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 13442109 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confdenlial and can only he accessed by authorized county officials.The Deparmtenl of
Local Government Pounce will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hirsch,Anthony W/Michele R
102 E Oak
Fort Branch IN 47648
2583
•
Anthony W/Michele R Hirsch
102 E Oak State Parcel Number Legal Description
Fort Branch IN 47648-1522
�r�tt��rtt�r��trs�rr��t t�rrtr��t�r�rrr�F�rr�r��� ��t�rt� 26-18-24-202-000.053-026 01 1-00053-00 MCCRARY ETAL 95PT
1 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
Ownet I First Middle Last
An+hari tJ H1Cs�
ailing Address(number 8pystrcet,city,state,and ZIP code) ® Same as property address
Spouse First Middle Last
NV, c -kg-(Q__
Mailing Address(Number and street,city,state,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 I Signature Date
aE -'`�°, CLAIM FOR HOMESTEAD PROPERTY TAX ��
s;��': CREDIT/STANDARD DEDUCTION '
,�;;;� State Form 5473 (R2 / 5-92)
�au �
INSTRUCTIONS: See reveise side far liling instiuctions.
FORM YEAR
_. a_ 3
M AY 1 0 1993
I fWe) \�/jA/(.�'l{��,� �.-(.(,.� 0�-C.�,�� /�' ii-ll.t . certify Ih�ryy�st A�y.on�o �
�e) occupied as our principal pla � of residence ihe following described real property for which a Homestead Property Tai����1T931E1e y claimed:
❑ I(We) owned ❑ Are buying under contraci �
❑ Have a beneficial interesi 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 �
If bryi(g on contract. Fee Simple owner's name � . •
Recortler's oMice where contract is recorded Record number Page
County
Parcel number
Township
Legaldescription
PROPERTY
li any portion of Ihe residential strucNre or the lantl not exceetling one (1) aue that immediatety
ot the property utilizetl to protluce income.
town,
n S
structure is used to produce in�
tlescribe ihe use and portion
� PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES �
Counry Township Counry Tawnship
��-eby cenify ihe above statements are true, correct and complete. Signamre of daimam
C.� �
Address (number and sheeC ciry, state, ZIP oode)
ASSESSOR USE ONLY TRUE TAX ASSESSED � HOMESTEAD NON-RESIDENTIAL
.VAWE VALUE VALUE VALUE - -
Land noi exceeding 7(one) acre immediately
surrounding residential improvements. (�)
Oiherland (2)
Totai land (line 7 plus line 2� (3)
Dwelling (4) I .
Resideniial improvements
Garage (5) I _
Oiher improvemenis (6) . �
Total improvements (line 4 through line � (7)
� Total value (line 3 p�s line � (g)
I hereby certify ihe above is true, GorreCt, and Signature of Assessor Date signed
complete.
�Venfying action - SgnaNre of Autlitor Date si9netl
�
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000
S
A�COWANCE