Homestead_Burns ants FORM 5n.,1C/,4N1 iRF.11:[FII FORM 13-1A
APFR EO BY STATE 9OnRDnE+RYRnTa.`m rte ,mmaY nn DEPARTMENTOF LDAL COVEEL''MR.T FEASCE MVI.I-La.l
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 ever for homestead fraud homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying_ information neces n'to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county ntliicials.the Department of
Local Government Finance will um this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Burns, A Alan/Susan L
R I Box 307
Francisco IN 47619
4831 l./
A Alan/Susan L Burns
3623 S 650 E State Parcel Number Legal Description
Francisco IN 47649-9143
26-13-31-200-000.063-004 002-00063-00 PT NE NE 31-2-9 2.69 AC
lilt'lltttltllrttlttlltlttlFltt tttllFlttittlilt'I.lttlltlttl11 D-10
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
-ANTI+only 4LAW Bt.kzA/s
gig Address(number and street.city,state,and ZIP code) ® Same as property address -310 c .3 • /050 rva+J &fsco .Li) t7b19
Spouse First Middle Last
Sus�h �yNrJ 3u26
Mailing Address(Number and street.city.state,and ZIP code) ® Same as property address
3 a3 6. 1050 e Ft�rnlc.,sc -2W 4/7641?
Each undersigned certifies,under penalty of perjuy.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
i
�a nxp -
e� 4 CLAIM FOR HOMESTEAD PROPERTY TAX .
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
reis
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
NOV 2 6 1996
I (We) l d ( g M R ,. _ � �� certify that on thAULabT @RI.4c6, -119
occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
(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 property or is buying under a contract.
CONTRACT RECORDED ` - If buying on contract, Fee Simple owner's name .
Recorder's office where contract is recorded Record number Page
- `'.
PROPERTY DESCRIPTION - - -
County
Township
Township
Taxin district (city, town, township) - -
Parcel number
Legal description
-
Otherland
(2)
It any portion o 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.
Total land (line I plus line 2)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
Township
County
Township
by certify the above statements are true, correct and complete.
.e
Signature of Iaimanl
Address (number and street, city, state, ZIP code)
3o I — c S ::
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Otherland
(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 plus line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
verifying action - Signature of Auditor
IS
Date signed
I
v
STANDARD DEDUCTION ALLOWANCE
19 Pay 19_
Lesser of 112 Homestead
Valuation or S2,000
S
Date