Homestead_Young (2)IQ
ea ^,4i CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
STATEMENT
[A,
l
a r
bow
1 ,
111
{; Z ) � 0— certify that on the 1 st day of March, 19
l.nccu as our pri aI place of reside a the following described real property for which a Homestead Property Tax Credit is hereby claimed:
t e) ned Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED - -
It buying on contract, Fee Simple owners name - -
Recorders office where contract is recorded Record number Page • .
- `f PROPERTY DESCRIPTION -
County
Township
Taxing d' bt (city, tow townsh" '.
Parcel number
Legal description
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure 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
HOMESTEAD
VALUE
County
Township
�hy�eAify the above statements are true, correct and complete.
Sgnature o cl . nt ef
Address and street, ary, state, ZIP cede)
1 ' 0 66 ,� 6-1,1
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
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 plrs line
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Veritying action - Signature of Auditor
Date signed
Signature of Auditor
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
DEDUCTION ALLOWANCE
S9
Date signed
SCAR FORM!!'•IM.Isom IIYASURIX PORN 31A Da inso.scE K.AP/ROvf
HOMESTEADPPROPERTYROWNERS a
Gibson County Auditor
101 N Main"
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than no'for homestead fraud.Homestead fraud causes higher tax bills to all:therefore.
10 HEA 1311-7009 requires taxpayers who receive the hanestead standard deduction to serify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling,.This information will he Leg confidential and can only he accea¢d by authorized county officials.The IX-pannier':of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY ECFORMATION
Taxpayer Name Property Address
_ Young, William H/Wilma R
R3 Box 106 Q\
itOakland City IN 47660
3253
William H/Wilma R Young
t 10210E 575 S State Parcel Number Legal Description
Oakland City IN 47660-7710
■
Itlttiltt t�t��ttt��tt��ttt�ttt��ttt�ttt���� ���� ��� 26-20-11-201-000.447-001 001-00447-00 PT NW NE II-3-9.996 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.
1 PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
At�c Address(number and sweets ccity,state,and and ZIP(coodyle) /, / / 0/S�property std esi
/ /71 �JO e C 55- Oa /i /i n c er-T y, /U - 7 76 6 0
Spouse First Middle Last
/ �trv? '- e6 L1 / I
Mailing Address(Number and greet,city,stale,and ZIP code) ❑ a as property ads sirmsdp
/(),2/e9 P- S 7,99 - C�1ck/nhd Ci'I /// 71i
' --- ---- ----_ --
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