Homestead_Burke • 1
•tAIL fORM!MY*IPC/4M1 mmrAsu.n FORM i3-1A
MOVED DEPARMIESTOF LOCAL GOVERNMIN1 FINANCE in-it-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD P OPERTY OWNERS
PRINCETON IN 47670 htdividuaL and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpa\ers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying informalon necessan to allow county government to better monitor homestead
tilinps.'Otis information will he kept confidential and can only be accessed by authorized county officials.The Ikpanment 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
Burke, Gregory A/Laura L
RI Box 272 A
Francisco IN 47649
4662
•
Gregory A/Laura L Burke
2052 S 750 E State Parcel Number Legal Description
Francisco IN 47649-9050
�t�u��nt�r��um�rr��r�n�t�u��nu�r�m��nrm�m�rFr�m��r�rrl 26-13-21-300-000.613-004 002-00613-00 PT SW 21291t688 AC
C-1 D-6
PART 2: TAXPAYER INFORMATION
•
Owner 1 First Middle Last
e or A 1 1
A.
lg Address(nut: and stmt,city,state,and ZIP code) — — - n Same as property addmv — — — -— — —
7 o5a 3 750 C F nc-+.c5e_e TN Li-7(049
Spouse /� -I First Middle Last
Low u--✓Z. g u ,E1ab
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
)1062) 3 757) C P (4JT l & 7W L'1104j9
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible 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 112, e Date
•
S
j CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
y CREDIT /STANDARD DEDUCTION btFp
State Form '5473 (R2/1 =90)
INSTRUCTIONS: See reverse side for filing instructions; E 199'
JAN
(n�
CERTIFICATION STATEMENT 11' c
I (We) 4�Op0� 1Z ¢ AA i7l(lt,l� certify that on the 1st d�`OQMaarcch , 19 )
I (We) occupied a our incipal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed:- L l (We) owned ❑ Are buying under contract
0 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 -
T
PROPERTY DESCRIPTION
Taxing District (City, town, township)
g>,Nubbb 13- O Legal Description n� 0 (1 d l_'-'1 _L/
If any portion of the residential structure or the land not exceeding one (1) acre that immediately sur ounds that struc-
lure is used to produce income describe the use and portion of the property utilized to produce income.
-13 -0Z1-,300
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County I Township, I County
I hereby. the above statements are true. correct and Si nature
- Y Y 9 �I ^. to
,Address (Street. number. city. state and LIP code)
ASSESSOR USE ONLY - _ TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) 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
19— Pay 19—
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
-
-
- -- - -
(5)
(6)
(7)
(8)
I 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 1/2 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor Date / -Sign d
�
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