Homestead_King SLATE rOR.St J:MIR:r•dl Thr SUIa FORM is-IA
ocnou-surrur LOCAL r „
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTYOWNERS
PRINCETON IN 47670 Individuals and married couples are limited to ore homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® HEA 1344-3009 requires taspaven who receive the homestead sundard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information nemsry to allow county government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county officials the IXryMment of
Local Government Finance will use this information to create tools that will help county officials eliminate hornes:cad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
King, David H/Laveme T
900 Mohawk
Fon Branch IN 47648
7609
David H/Laveme T King
900 Mohawk State Parcel Number Legal Description
Fort Branch IN 47648-9508
I I II III I II III I I II I III II I I I 26-19 18 101-001.008-026/011-01008-00 LITTLE YORK VILLAGE
t o ut t ut u n t r nr t t ur n r ut torn ✓ 21/22 PHASE 1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1A1/1A lltotl,O-2q
ng Address(number and street,city,state,and ZIP code) - -- - — - - ❑ Some a erty addrev-- —" - — "—
4eo Mogmw/,- 32- Fr• l /+i✓G-4
Spouse First Middle Last
l ✓taiN�
/II°Lea Cc e,44
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
genii / itfrit+r✓f4_ .)i-, Lc4 z
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 homes "ad standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or/ e may be liable for back taxes and substantial financial penalties.
Owner I Signature / Date�
•
�, _ _� _-� _
aM��TM, CLAIM FOR HOMESTEAD PROPERTY TAX
���"" y ; CREDIT/STANDARD DEDUCTION.
��' State Form 5473 (R2/1-90)
'°�: INSTRUCTIONS: See reverse side for.filing instructions.
�
I (We)
CERTIFICATION STATEMENT
FORM
HC10
YEAR
�certify that on the 1 st day of March , 19 �
I(We) occupied as our principal place of residence the foilo g described real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ��b yin��ontract
� Have a beneficial interest in the entity that is_liable for the property taxes on t e pro wns the
property or is buying it under a contract. APR 2 5 �9�
a�
If buying on contract,
Recorder's
contract
CONTRACT RECORDED
AU
PROPERTY DESCRIP ION
County' Township TaxiFlgjDi ict (C � n, wnship
j �
Parcel Number Legal Q�s rip'ti / � �
o- o o- O C/I l �- �
If any portion of the resideniial stru ure or the land not exceed�g one (1) acre that imm iately surrounds that struc-
ture is used to produce income describe the use and portion o the property utilized to produce income.
PROPERTY OWNED BY
IN OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
' VAWE
Land noi exceeding 1(one) acre immediatety
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
Resideniial improvements •Dwelling (4) -
Garage (5)
Other improvemenis (6)
To[al improvemenis - line (4) through 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 Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2.500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homesiead
Valuation or $2,000 Valuation or $1.500 Valuation or S7,500
�Au�toro � 1 I b 1 f �e A.. _ I LLe 7g`id