Homestead_Vanmeter (3)�I
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for tiling instructions.
FORM -
HC10
YEAR
- PROPERTY DESCRIPTION -
County
YC.I IIVI \JINIGMCI\ I
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I (We) _ _ _ certify that on t 1st da :of,Aja ,I19
(We) occupied as our It i c al the following described real property for which a Homestead Property Tax isg hereby
nncllanaimed:
MAR
Waveowned ❑ Are buying under contract ef1AR 1 �AJ�
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or's buying under a contract.
If any portion of the residential structure or the land not excee ing one (1) acre that immediately surrounds that simcture is used to produce income, describe the use and portion
UDIT
CONTRACT RECORDED
If buying on contract Fee Simple name
rrol�wn��er's
Recorder's office where contract is recorded I
Record number
Page
Residential improvements
- PROPERTY DESCRIPTION -
County
Twnship _
Taxing district (city w - -
V( '(�
less (number and street, city, state. ZIP code)
i J 13,a?.1- /7,m (09A&
�/74� V
m
er
Legal descr ptio 2
If any portion of the residential structure or the land not excee ing one (1) acre that immediately surrounds that simcture 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 Township
I hereby certify the above statements are true, correct and complete.
S" alu of dafmant
U
less (number and street, city, state. ZIP code)
i J 13,a?.1- /7,m (09A&
�/74� V
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ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
aluation or $2,000
Signature of Auditor
Otherland
(2)
Dateypged �S— _ 9_5—
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
I hereby certify the above is true. correct, and
complete.
Signature of Assessor
Date signed
verifying action - Signature of Auditor
Date signed
r- '1
- STANDARD DEDUCTION ALLOWANCE -
19 _Pay 19_
Lesser of 1/2 Homestead
5
aluation or $2,000
Signature of Auditor
Dateypged �S— _ 9_5—
rk
/ STATE FOFN!IK nC/wq MEASURER RAM 3tA
APPROVED BY AVE BMBDM A!rl•ATS_2a 4 PAUAVIBW BY THE OEFARMrNT(W LIs L GOVIRNMFAT FB NCE I(' l.1-24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
0 more beneficial.there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344--2IX19 requires taspasers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authori/nt county officials.The Ikpanm em of
Local Government Finance will use this infomsation to create tools that will help county officials eliminate homestead fraud.
PAR T 1:PROPERTY INFORMATIOfy _
— Taxpayer Name Property Address
—. Vanmeter. Rickey K/Malinda S
RI Box 172 A 1�rf,J
Oakland City IN 47666"
8571
Rickey K/Malinda S Vanmeter •
9795E 550 S State Parcel Number Legal Description
Oakland City IN 47660-8571
1,11.1I.,,lllltllllttlltttlttlrtlllt�tttltttillt�tttltltttltll 26-20-11-100-001.175-001 001-01175-00 PT NE NW II-3-91.AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/ VA
• -. ig Address(•umber mid street,city,state,and ZIP code-) -- —_ ----__ _ __ — me as property oamess .— — _._ . ___9796— �. 550 S. OGFKLIWI O4 , !mil y7GGo
}ouse First Middle Last J/n41_tact due. 1la,11 n9crt2
Mailing Address(Number and street,city,stale.and ZIP code) me as property address
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 .isnature/ / Date
- •
PART 4:ADDITIONAL INFORMATION