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Homestead_Turner ..• • STAR FORMnn!•iEfl.s l TPLAStLN FORM T11A
APPROVED BY SIAILMIARD OF.AC.nstx.?ow PRESC11Bm BY Mr DFPARTAO4T1LOAL DOVER MITT FINANCE RI-1.1-ra.l
. Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited t0 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 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to r cebe the
benefit and to provide additional identifying infornunon nccessaty to allow-county government to better monitor-homestead-
filings.This information will he kept confidential and can only be accessed by authorized county ntiicialn.The Depanment of
Local Covenantor Pittance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION -
Taxpayer Name Property Address
Turner, Robert E/Deana L
Chamberlain
502 S Willard v
Fort Branch IN 47648
2920
Robert E Turner
502 S Willard State Parcel Number Leila! Description
FORT BRANCH IN 4764 8-1662
ltlttiltttllllttrltt�lttittttIItIItttIIttt111111 tt 111l�r�ttII 26-19-19-101-000.336-026 011-00336-00 PT NW 19-3-10 ss AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle . Last
Rog e2+ EARL 7u,eve/� _
ion g Address(number and street,city,state,and ZIP code) 'Same as property address
Sfla S. w: 11 &C Foe-t- Witieh 3N1 fuA 1/76a
Spouse First Middle Last
t
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
PART 3:CERTIFICATION ` - ' i; -- ' - -- -
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 I Signature Date
I
drT•�v CLAIM FOR HOMESTEAD PROPERTY_TAX
=� y ^ CREDIT/STANDARD DEDUCTION
:� State Form 5473 (R2/1-90)
�' '°;° � INSTRUCTIONS: See �everse side for filing instructions.
CERTIFICATION STATEMENT �
FORM YEAR
co
APR 2 9 1991 ✓
�(We) ����( L(M'i.2.L. certify that on the ���r� ,�1 �
A
I(We) occupied as our principal place of residence the following described real property for which a Homestead
Property 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 contracC is recorded . ' Record Number' Page
' PROPERTY. DESCRIPTION
Township
Legal Description
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.
�1�- i4-iQ - If�l-�. 3�3�,-c�a �
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
� TownShip Co���t_��
I hereby certify the above statements are true, correct and I SfgnaturQ ��e `�/ �
complete. ' X ,/ �
Address (Street, number, city, state and ZIP code) � .
�-�-���
. , - 5� s ��
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
VALUE
Land not exceeding 7(one) acre immediately � �
surrounding resideniial improvemenis (�)
Otherland (2)
Total land - line (t) plus line (2) (3)
- Residential improvemen[s � �Dwelling - (4) � � � - �
Garage (5)
Other improvements (6)
Tolal improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify ihe 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
Signature o(
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 I 1991 Pay 1992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or �7,500
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or �1,500
� U �