Homestead_Guy STALE MR.41a!M10.2/,wl IAL•NRER r017.411A
nrrKrwEo BT A.UE enamor neMUNiS.bn PLC%WBW BY nir DEPARTWVTOF LOCAL rova'Mpn rp:ASCE 1C II-1.1-r4 I
GibsCounty Auditor
N Main
:101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani 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 134-4-2009 requires taxpasets who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This infornution will be kepi confidential and can only be accessed by authorized county officials.The Depannient 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 r- operty Address \
Guy, Kevin R/Rhonda R
RI Box 353 a�
Francisco IN 47649 �Jv
4551
Kevin R/Rhonda R Guy
2223 S 650E State Parcel Number Legal Description
Francisco IN 47649
26-13-19-400-000.044-004 002-00044-00 PT SE 19-2-9 30 AC
C-1 D-7
PART 2:TAXPAYER INFORMATION
Owner I First ^� Middle Last
121JIh R Gut
'ng Address(number mid street,city.state,and ZIP code) - — — — ' 2'snore as property waarms— -
?aa3 S (Qs"o E l'/LanelScc7 11J 47c, gQ
Spouse First Middle Last
D7da. 12 Guy
Mailing Address(Number and street,city,state,and ZIP code) Same as property addrtxs
aa3 Sc(oa E Ff•ancrsco 11J L-fig
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 S'aule Date
•
ea . CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
• State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for tiling instructions.
H FiM YEAR
MAR 131996
_ _ certify that on the 1st day of March, 19
- r
occupied as o incipal place of residence the following described real property for which'a Homestead Property Tax Credit is hereby claimed:
I (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 OWNED BY CLAIMANT IN OTHER COUNTIES
County
PROPERTY DESCRIPTION
County
Township
®reby certify the above statements are true, correct and complete.
Taxing district (city. town, township)
Parcel number
Legal description
-
-
o ao
(2)
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.
Total land (line I plus line 2)
(3)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
®reby certify the above statements are true, correct and complete.
Signat clai a
Acldress (numlm and street, dry, slate. IPCOde)
�LR / _. 3 F� /aac /.cl L176 s�9
ASSESSOR USE ONLY -
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signat re of Auditor
are signed
-
-
Other land
(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 ptis line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _ Pay 19
Lesser of 112 Homestead
Valuation or S2,000
S
Signat re of Auditor
are signed
3- -
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