Homestead_Vanmeter (2)dip. a CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
° • INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM
HC10
J
I (We) `f- iflaW VQe, certify that on the 1 st day of March, 19
/e) occupQd as our principal place of residence the following described real property for which a Homestead
operty Tax Credit is hereby claimed: 41 (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 _�. Township xin strjct (City, town, township)
Parcel Number Le escripl S3
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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County ! II IJ��
Eiv..11 JI
®iereby certify the above statements are true. correct and
Sign a
complete.
(2)
Address (Street. number, city, state and ZIP code) V AVIM I 1 U Inu
Pit /.fir i' -ISIDs
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMEST A VA DITORN- VALUE
VALUE
Land not exceeding 1.(6ne) 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
Lesser of 112 Homestead
Valuation or $1,500
19— Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
_T
Signature of Auditor
.
(3)
_(4)
.
(5)
(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
F.— 1989 Pay 1990
Lesser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19— Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
I
_T
Signature of Auditor
.
Date Signed
5 -10 q0-
u
Stmt I OR,M f I W IIL r,4,0 nRL1sIRER FORM 11.t
APPROVED BY SIAM BOARDOF ACCOUNTS.ryr„ PRflRIBW BY flu DEPMTWMFUF LOAlrotRlMFl,T FINANCE 1c-u.1_A.I
Gibson,County Auditor
10PN Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual 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.
• HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible m receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kir confidential and nn only be acceded by authorized county officials.The lkpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Vanmeter, James A/Mary 4/9 87 3 /100 E
C R3 Box 94-3(�'y/ 2
Oakland City IN 47660=—
8392
James A/Mary Vanmeter
498751100 E State Parcel Number Legal Description
Oakland City IN 47660
26-20-01-300-001.087-001 001-01087-00 PT W 1-3-9 48.42 AC
D-8
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle �� ---r-,, Last
717 «, -)n
•e Address(nlrmber and street,city,state,and ZIP code) ... -_
•
ee Same as jamperty Wass'
797S // UDF, .31•10u
-
Spouse - First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) []Same as property address
Social Security Number(last 5 digits) !rivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sax
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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