Homestead_Smith (22) ' STATE FORM!)YAIR'/bell TRLANRIR FORM:S-IA
.ArTR'En BY 811E hoSKOCW Are t-NTS.Rry PRESCRIBED BY lire DEPMTSE4r(1F LOCAL novntoXTNT FINANCE ws-t-1rJ.l
Gibson County Auditor
101 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 nee for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
• FIFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to eceve the
benefit and to provide additional identifying information necessan'to allow county government to better monitor homestead
filing.This information will be kept confidential and can only he accessed by authorized county officials.The Ikpanment 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 Property Address ft..) el I I
Smith, John J/Jan E 171 i 780,4 address
RI Box 179
Fort Bunch IN 47648
7951
John J/Jan E Smith
178E 780 S State Parcel Number Le2a1 Description
Fort Branch IN 47648-8002
I11111111111111111 26-19-19-203-001.235-026 INDIAN HILLS 28 PT NE 19 3 10.195 AC
11111111111111111111111111111111111111 D-27
PART 2:TAXPAYER INFOR\1ATION
Owner I First Middle Last
Jofld —17:}1 5n-,-1--a
�ng Address(number and street.city,;Tate.and ZIP code) _ _ __ -- _-n-scone as property address - —__
11 (6 7804 3f.afgfI I✓cH TN 4-7wig
LJ
Spouse First . Middle Last
Cf\r ELHlNE Sr+-1 f ti+
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
I 1 g e 7,80 A 4-Y. 3RA.Jc tf , s 1,t✓ Lf 7 l'
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 Si aturc Date
, - •
•
�
d..� �. CLAIM FOR HOMESTEAD PROPERTY_TAX FoRM �
:3� w�; CREDIT/STANDARD bEDUCTION - Hcio ����,
.� State Form 5473 (R2/1-90)
w.�' '°�• � INSTRUCTIONS: See reverse side (or liling instructions, �� _ __A
STATEMENT' FEB 4
I( e) w �� ' certify tl��l st ����gy�Aarch ,'19 �
�1(We) ccupied a o princi al plac of residence the follo escribed re����fdr which a Homestead
f'roperty Tax Credit is hereby claimed: ; I(We) owned ❑. Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is
PROPERTY DESCRIPTION
ownship Taxing DistriS
Legal Description
- . _// ..
If any portion of the residential structure or the land not exceeding one (1) acre tl5at immediately surrou`
ture is used to produce income describe the use and portion of ihe property utilized to produce income.
���✓-
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township Township
hereby certi"ry the above statemenis are true. correci and �
�(Sireet, number. city, state and ZIP code) U
% .��/ / � 4 �naG-.ti.% %4�J�� � �/tG.�.�/� �/✓ �74 Ya'
ASSESSOR USE ONLY � ' TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
that struc-
NON•RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately ' � '
surrounding residential improvemenis (�)
Oiherland (2)
Total land - �ine (7 ) plus line (2) (3)
Residential improvemenis Dwelling (4) -
Garage (5)
Oiher improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is irue, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of V2 Homestead
Valuation or $2,500
�� –
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 7991 Pay 1992 79—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �2.000 Valuation or S1.500 Valuation or 57,500
Signature ofQ�ditor ^ ��� , I' I Date Signed
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