Homestead_Null MAIL rnkxt fI W la/NN1 n{FASUrlR FORUM-IA
NFpm'Lt BY 5101 N.uC.T A rixiNiws.N ?USAIBW BY mr DFPMtlEYT(f LOCAL GOVE VXrn'r rn:A•CE mLLI-`-F.t
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 besontes-
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher In bills for all:therefore.
• HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible m reccne the
benefit ani to provide additional identifying infornunon nemsaro to allow count''government to better monitor homestead
filings.this infnmation will be kepi confidential and can only be accessed by authorized county officials.The Depanntent 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/v-
ame Property Address
Null, Ricky John (, /
7 �h RI13ox 99
Haubstadt IN 47639
3341 >,.Ricky John Null R1 Box 99 State Parcel-Number scription
Haubstadt IN 47639-8645
26-22-10-100-000.2 - 004-00296-00 PT NW&PT NE 10 4 11
Inlrrllrnrlrllrttrlltltlrtltrlrrllnrrltrinlrltttllttltltlltrrl x .97 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.
PART 2:TAXPAYER INFORMATION
Owner I First / Middle Last
Ric ��,� �I to AAA
Fg Address(number and street.city,stare,and ZIP code) OI Same as property address
/ 13 S . ocoet cV,'/�e l /�a.l.�.�iSia_CIP X, / t/76 3 ?
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)
Sole
—
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�naturc �� Date
M••T�� CLAIM FOR HOMESTEAD PROPERTY TAX
d��` 4
:�-y' CREDIT/STANDARD DEDUCTION
.� State Form 5473 (R2/1-90) �
�' '°'• � INSTRUCTIONS: See reverse side lor.liling instructions.
CERTIFICATION STATEMENT
FORM YEAR
HC10
i e,'`�.
!(We) _/1'Tr ,r �k. �/l certify that on the 1st d�Qbf ivl�rcfi9119
I(We) occupied as ur pr ipal place of residence the follo ng described real pro y for w�r ch]��gstead
Property Tax Credit is hereby claimed: (We) owned ❑ Are ��Tii�e� contract
� Have a beneficial interest in the entity that is liable for the property taxes bn the property and that owns the
property or is buying it under a contract. �. D���0� /�/�/
- 7fi w
CONTRACT RECORDED
If buying on coniract. Fee Simple Owner's Name '
01� -o?� /a- � -aaa.�9� - o��
Recorder's office where contract is recorded . ' Record Number Page .
County
PROFERTY DESCRIPTION
Township _ . . . . � :
town,
Parcel Numbqer L,e/�gyal Desc7np io!�n�✓ / •
Q�-'DO oRl�a-Od d/-/.( 7%Lll //G /d -�i-// • "!"I�a-�'
If any portion of ihe residential structure or the land not exceeding one ( 7) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Townshio Countv -
I hereby certify the above siatements are irue. correct and
ASSESSOR USE ONLY
�
3
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land noi exceeding 7(one) acre immediately
surrounding residential improvements (�)
Oiherland (2)
Total land - line (1) plus line (2) (3)
Resideniial improvemenis — Dwelling - (4)� - � -- - - - - - � - � - — - '
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through line (6) (7)
7otal value - line (3) plus line (7) (8) _
I hereby certify the above is true. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or �1,500 Valuation or 51,500
Signature of Auditor � Date Signed