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Homestead_Williams (3)CLAIM FOR HOMESTEAD PROPERTY TAX YEAR d 4` CREDIT /STANDARD DEDUCTION FORM . State Form 5473 (R2/1 -90) EMP INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEMENT 11gAT I U 1991 - I We �h�G E/ 2�G�c rti the 1stSk"a (We) occupied as ur prin Ipal place of r id nce the foil wing described real property for wA �d Property Tax Credit is hereby claimed: YJ 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 El property or is buying it under a contract. !`n1"TQAPT OrPnOnrn If buying on contract. Fee Simple Owner's Name Recorder's office:where contract is recorded Record Number Page - PROPERTY DESCRIPTION County Township Taxing D'st ' (City, t wn, to P el umber Leg D cri n any portion of the residential siruc ure 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 Count Township County Township hereby certify the above statements are true. correct-and , Signature- ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements Otherland 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) (i) 1991 Pay 1992 19— Pay 19— Lesser of 112 Homestead (2) Lesser of 112 Homestead Lesser of 112 Homestead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 (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 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 112 Homestead Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or $1,500 Sign" of Auditor Date Signed MATE FORM 3.N.oR_f,-N1 TREASnlra FOAM CIA APPROVED DV CIVIC B1 OlWAn t:TW.am PRMILIBIO DV THE DEPARTW.vr OF LOCAL GOVERNMENT Fa:ASCE IC.-Lt-^-A 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 more beneficial,there is more incentive than nee for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing.This inl'nrnutino will he kepi confidential and can only he accessed by authorized county officials The nepannmn 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 Williams, Larry W/ Mary Jane Rr 2 Box 140a Fort Branch IN 47638 8698 Larry W/Mary Jane'Williams • 5920E 750 S State Parcel Number Legal Description Fort Branch IN 47648-8617 �t�tf��f tf�l��tll�tt��tf�t�tr�f t�� ���fff�ft�f���tf llf fill 26-20-18-300-001.141-001 001-01141-00 SE SW 183937.77 AC • • PART 2: TAXPAYER INFORMATION Owner I First Middle Last j_ ARP-Y jJ WILL rAIn S tg Address(number and street,city.state,and ZIP code) - fl Same a s property o d d r e c s - ---- - 59z fl E7,5-0 S- / T f3, ch , rg• qi v8 - Spouse First -T Middle Last PgY Jf17✓/:- irl TLLLA/PI S Mailing Address(Number and street,city,state,and"LIP code) ©.8`ame as property address 5920 E. 750 S- FT. RRn,�ff 4 a 7 .'( -- 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. Diverge I Si mare Date •