Homestead_Smith RIME FORM!!,.IICt-lest TRERSURG FORM:}la
nr,wycu,BY War WIRED Or MTx11ETTx-2W PLr3TIPrm DT THE DEPARTMENT OF LO AL GOVERNMENT m:.TYNE M1.-1.1-2:-.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead eandaid deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recena the
benefit and to provide additional identifying infomcmon necessary to allow county govemment to better monitor homestead
filings.mis infnrnation will he kept confidential and can only he accessed by mullein/rd county officials.The Department of
Local Gosernment Finance will use this information to create tools that will help county officials eliminate lafnesacad fraud.
PART 1: PROPERTY INFORMATION
— Taxpayer Name Property Address
Smith, Dicky R/Linda R
— Hwy 41
Fort Branch IN 47648
7807
Dicky R/Linda R Smith
205 S US Hwy 41 State Parcel Number Legal Description
FORT BRANCH IN 47648-8574
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PART 2:TAXPAYER INFORMATION
Owner I First Middle _ Last
g Address(number and street.city.state,and ZIP code) 111.4ine as property address --
s
a?05 S UcNw� Mfr -- rt3,1Ad , ti 42 6 �
Spouse First Middle Last
2 /4/d,i Son;�
Mailing Address(Number and street,city,stale,and ZIP code) me as propeny address
t2 o S S US � 2/ - o�T 6%zq.✓cL ,AI 97-6 f<v
• PART 3:CERTIFICATION
Each undersign ertiffes,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the omestead standard ded - o on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfu y,he 9r/she may be Iia. e for .ack tases and substantial financial penalties. .
Owner. Signs e r /�
•
d j^.as CLAIM FOR HOMESTEAD PROPERTY TAX FoRM �AR
I ��". y; CREDIT/STANDARD DEDUCTION Hc�o �
State Form 5473 (R2/1-90)
�'°�• � INSTRUCTIONS: See reverse side for liling instructions.
'r
� CERTIFICATION STATEMENT
I (We) �-.1�-f ��
�Je) occupied as o�i r
operty Tax Credit is
�
that on the 1 st day of March , 19 �D
I place oi residence the following described real property for which a Homestead
claimed: II�' i(we) owned ❑ Are buying under contract
"I
� Have a beneficial interest in ihe entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
Ii buying on contracl. Fee Simpie
Recorder's office where contract
i
CONTRACT RECORDED
Name
recorded
PROPERTY DESCRIPTION
C1GL�
Number � Page
If any portion oi the residential siructure or the land noi exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
i
County
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County
certity ihe above stalements are lrue, correct and
ress (Street. number, ciry, state and ZIP code)
ASSESSOR USE ONLY
TRUE TA% VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
VALUE
� � n. �.�.. _re STANDARD DEDUCTION ALLOWANCE
Lesser of 1l2 Homestead
Valuation or $2,500
Signature of
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser ot 1l2 Homestead Lesser of 1l2 Homestead Lesser of t l2 Homestead
Valuation or $2,000 Valuation or $1.500 Valuation or �1,500