Homestead_Akers (2) ATPREVORMYM'MIR_/AV+1 T SVtfA RAM IS-IA
APPROVED
IMPORTANT NOTICE TO HOMESTEAD PROPERTY�OWNERS I a
�bson County Auditor
101 N Main
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 tier for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
II II' HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This inlhrmatinn will be kept confidential and can only he acce:.ed by awhoriied county officials_The Depanment of
Local Government Finance will use this information to create awls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
- ---- - - — — - — Akers, Tracey-L -- -- - - -- -
RI 13ox354A
Francisco IN 47649
4649
Tracey L Akers
2188 S 650 E State Parcel Number Leoal Description
Francisco IN 47649-9204
26-13-20-300-003.622-004 002-03622-00 PT SW 20 2 9.7352 AC
ItleilluelflifeillellilifilliffilollIffillfilltoldelliltIoll
C-1D-7
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
tg Address(number and st. ,city,state,and ZIP code)
02/98 .s S° 6 fj 4,i ,-ceo ...7-,v q 7 r7
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) ' Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sex
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 I Signature Date
0
i�
CLAIM FOR HOMESTEAD PROPERTY TAX
�E CREDIT /STANDARD DEDUCTION
State Form 5473 (19215-92)
reu
INSTRUCTIONS: See reverse side for filing instructions.
r Q}RM YEAR
HCT
ULF
FEB 14199
n"".. -
�� certify. that on the 1st day of March, 199
,pled as our principal ace of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
.e) 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 under a contract.
CONTRACT RECORDED - -
It buying on contract, Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
` PROPERTY DESCRIPTION -
County Township Taxing distract (city, town, township)
Parcel number
— r�31o���bb Legal descF4- N W aO —a_9 -Y— ?'7 ^ -
It 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
County
Township
x certify the above statements are true, correct and complete.
1/
tore of claimant
ss (numtwr and street. dry, state, ZIP code)
c x 3 S c </
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
_
Other land
(2)
Total land (line I plus line 2)
(3)
I
Residential improvements
Dwelling
(4)
-
Garage
(5)'
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pfrs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
I Date signed
' 1q, Signature of Auditor
Date signed
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
DEDUCTION ALLOWANCE
S