Homestead_Martin (10) • I
SiSIE FORMS5B•OC/!.P0 IREAS:t1A FOAM iSIA
APPROVED BY STTE BOARD Of Am*ISR(nan Ptr[RIBW BY TIE DEPARIMC`R(F LOCAL COVERZOIrta FINANCE IC VI.I-LA.I
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 become_
• more beneficial,there is more incentive than ncr for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1314-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this inlorrtutinn will M kepi confidential and can only he accessed by authorized county officials The pglanntalt 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
Martin, Mark A/
RI Box 4413
Cynthiana IN 47612
9625 (Sec Er'r 11 a Gd rc S
MarkA/ 6-2)
12256 S 525 W State Parcel Number Legal Description
Cynthiana IN 47612-8815
26-22-17-200-000.686-024 004-00686-00 PTN 1741175.00 AC
X D-2
PART 2: TAXPAYER INFORMATION
Owner I First Middle last
Mar K Arlo-koy Mar�1n -
tg Address(number and street,city,state,and ZIP code) - b74'Same as property address' —
aa5 5 5 a5 W C � (NI 476 ( 2
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
•
,� ^��. CLAIM FOR fIOMESTEAD PROPERTY TAX
d ���
:r�''`� � CREDIT/STANDARD UEDUCTION
`�� Siale Fonn 5473 (R2/1-90)
°^ ` INSTRUCTIONS: See reverse side lor liling inslrucfions.
Ihe following described real prd��� lomeslead
��perly Tax Credil is hereby claimed: �L -tj�) owned ❑ Are buying under conlracl
� Have a beneficial interesl in lhe enlity Ihal is liable lor Ihe property laxes on Ihe property and Ihat owns Ihe
properly or is buying il under a contracl.
CONTRl1CT I7ECOIiDED
II buying on conlrac�, Fee Simple Owner's Name
Recorder's oflice where coniract is recorded Record Number Page
-�a- oo. -
PROPERTY DESCRIPTION
Counly
Parcel
-�I ds•�
II any portion ol lhe residenlial siruclure or Ihe land nol exceeding one ( t) acre Ihat immedialely surrounds Ihat siruc-
Wre is used to produce income describe Ihe use and poriion ol lhe property ulilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counly I Township—
�-
I hereby cerlily Ihe above slalemenls are Irue, coirecl and
ess (Slreel,
lf.R.1 ae
ASSESSOA USE ONLY
, slale and ZIP code)
Tf1UE TAX VAIUE ASSESSED VALUE IIOMESTEAU VALUE NON•RESIUENTIAI
VALUE
Land nol exceeding 1(one) acre immedialely
surrounding resideNial improvements l � )
Olherland (2)
Tolal land - line ( I) plus line (2) (3)
Residenlial improvemenls Dwelling (A)
Garage (5)
Olher improvements (6)
Tolal impwvemenls • line (A) Ihrough line (6) (7)
Tolal value • line (3) plus line (7) (8)
I hereby certily Ihe above is true, Siynalure ol �ssesor Dale Signed
correcl, and complete
Verilying clion - Signalure ol Audilor Uale Signed
1989 Pay 1990
�sser ol t/2 Flomestead
Valuation or $2,500
�
Signature ol Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser ol 1l2 Flomeslead
Valualioii or $2,000
W
1991 Pay 1992 19 — Pay 19 —
Lesser ol 1/2 Homeslead Lesser ol t/2 I Iomeslead
Valualion or $1,500 Valualion or $1,500
Dale
�