Homestead_Smitheta`' CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for tiling instructions.
CERTIFICATION STATEMENT
.FORM YEAR
JUL 2 7 1992
I (We) • 1- 001nda, — certify that on the 1st �p O�
`(We) occupied a our principal place of residence th I lowing described real property for which a Homestead
/ PProperty 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 recorded Record Number Page
PROPERTY DESCRIPTION
County To Taxing District (City, town, township)
6 0 1I Nu21 W I-0 Q L De criptio Uj a a_ 3_ Q
If any portion of the residential structure or the land not 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.
Count_
hereby certify the above
I
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
are true, correct and
ZIP code)
r>r
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19 —Pay 19 —
Lesser of 112 Homestead
(2)
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1.500
Valuation or $1,500
(4)
Signature of Auditor
(5)
Date S �n1ed
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 —Pay 19 —
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1.500
Valuation or $1,500
Signature of Auditor
I
Date S �n1ed
U
' STATE 1OR.Y.JYa4R2 - 't rWASI:LER FORM 71116
.ArTRrn'EO By St ill MS DOFACMLSIS.'a PILMU8FD BY THE OEPARN:VY1'0f LOCAL CRR'cLNMEA.FINANCE Ie.i r-L4.1
s;i County Auditor
}01 1 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
N
PRINCETON IN 47670 hWividuab and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
I more beneficial.there is more incentive than exer for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• 0. HE.1 1347-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi conlidemial and can only he accessed by authorized county officials.The Depanmem of
Local Government Finance will use this information to create nvls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Smith, Billy UTammie S Isaacs
R 2 Box 231 Q\
Elberfeld IN 47613
8821 __� __ _
Bill L Smith
9264 S ST RD 57 State Parcel Number Legal Description
ELBERFELD IN 47613-8449
Illrtlltttllll IIuIIltlttluIIuIITltrlllltttlltttlrtlllttll 26-20-28-300-001.001-001 001-01001-00 PT SW SW 28-3-93AC
2(
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
bI lam]
I I Le e0• Srn I-.
•e Address(numrer mid street.city,state,and ZIP code) �—-- — - N.Same as property address — — — -- —'-
R 9iip4 I1 w
' Co -Owrer
0c.0 r First Middle Last
arnmt� 3 ZS/�(� (S•
Mailing 4ddress(Number and street,city.sate,and ZIP code) Same as property address
9"l' t-k iou4 SC)
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
0