Homestead_Nelson MATE FORM!,s*tArt.w1 TREAStlr.ER PORN 73-IA
nrrKwEo BY SIMI.INVADE*ACCUNTS.y.n PRE`T1Uam BY 111E DEPARTMENT or LOCAL rovatNMtwT FIANCE IC VI.I-L'-P.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 fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344--2IX9 requires uapaycrs who receive the homestead standard deduction to verity that they are eligible to recenc the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.ibis inlhrnutinn will he kept confidential and can only he accessed by authorized county officials.The Depanmcnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Prnperts Address
Nelson, Steven R/ Mary Ann
505 S lastvicw
Fort Branch IN 47648
7891
Steven R/Mary Ann Nelson
505 Eastview - a •..".. eel Number Legal Description
Fort Branch IN 47648-1605 t
11II IIIIIIIIIIIIIII IIIPIIrlll II tilllull11I lI IInnI mile °• 9 I 1'-000.558-026y611-005584OCLAR-ENCE TERRACE A3
APR 2 7 2010
GIBSON C U� AUDITOR
PART 2:TAXPAYER INFORMATION
Owner I f First Middle Last
S+e Ye_M Nee LSb (
- -wg Address(number and street,city,suite,and ZIP code) - - --- -Same as pproperty address ---- -— - —,1 6. -c1 E1-fS-Vr ai..J C_14 ) fl I . ("7 zq8
Spouse First Middle Last
MA1Z,VAN/1 HE-2-50N
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 elieible 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 -11-ture /J Date
•
����- � - �
.�••T��E CLAIM FOR HOMESTEAD PROPERTY iAX
��A � CREDIT/STANDARD DEDUCTION
:> -. ;
`��� State Form 5473 (R2/1-90) �
'°�° INSTRUCTIONS: See reverse side.for filing instructions.
CERTIFICATION STATEMENT
_
�;�.-
�' ' t' :�� L'��
_ ;_ ;_
SEP 2 3 jgg�
I(W ��tify that on th 1e ����� 19 �
I(W ) occupied as our principal pla of residence the follo cribed real property for which a Homestead
IProperty Tax Credit is hereby claimed: I(We) owned ❑. Are buying under contract
� Have a beneficial interest in the entity that is liatile for the property taxes on the property and that owns the
property or is bu'ying it under a contract.
- CONTRACT RECORDED
buying on contract. Fee Simple Owner's Name '
Recorder's office where contract is
nty
ownship
r
DESCRIPTION
Taxing. Distrj�
. . - ��.. �� , vvv —� .
P rcel Number Legal Des r C
>�l- 0558-�n � ����� �g� A-3
If any portion of the residential structure or the land not e ceeding one (t) acre that imme iately 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
Township' - Township
I hereby certify the above statements are irue, correct and �� // Si at e /J �/J
camplete: - J� �� " ! l//�j�/
Address (Sireet. number, city, state and ZIP ode) �����
� os �F. �.s�f�- � �� . ��� �. �. �l �� Y�
' ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VAWE
Land not exceeding 7(one) acre immediately �
surrounding residential improvements (�)
Otherland (2)
Total land - line (7 ) plus line (2) (3)
� Residential improvements Dwelling (4) - - � � - - � - - - -
Garage (5)
Other improvements (6)
Total 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 Aciion - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 7990 1990 Pay 1991 7991 Pay 1992 19—Pay 79—
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2.500 Valuation or $2.000 Valuation or �1,500 Valuation or $1,500
�—
Sig tu of Auditor
te Signed
��3- 9