Homestead_Hill • SATE FORM 51500(0.)/&10) TRF.V'pER FOLM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS N% nRESCRIERD BY THE DEPARTMEvI-OF LOCAt.GM'ERNMEYT FINANCE IC 61.1-225-t
•
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
• FILED benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFOIL\IATION ;�
MAY 9 2011 Taxpayer Name Location Address \`
C. .f+ Hill, Gina L \
4808ESR 64
GIBSON COUNTY AUDITOR FRANCISCO IN 47649-9769
3490
4808E ill III iiiiDBillfllft iii [iiI_ihlll it IIutilIIT11111�101011_ uiiicm it_ii iiiNil
4808ESR64
FRANCISCO IN 47649 `
State Parcel Number Legal Description
26-12-13-300-000.644-004/ PT E SW 13 2 10 6.43 AC C-1 D-7
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.
TPART 2• TAXPAYER INFORMATION ,
O. i First - Middle .— Last ._
G ; n a. L eca- \A.,‘ \
Mailing Address(number and street,city,state,and ZIP code) ig Same as property address
4808 East Stake Reap- 1QV , Fro,c-xSLo x = Aj '17449
Spouse First) Middle Last
lj IA
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)
I I I I I I I I I State
• 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 Signature • Date
nE,,,• CLAIM FOR HOMESTEAD PROPERTY TAX.
FORM
- ; CREDIT /STANDARD DEDUCTION HC10
(�`�
State Form 5473 (R2/1 -90) `U' /
INSTRUCTIONS: See reverse side for filing instructions.
CIO- IIrn mIIun1 a A I r-mr-vII
(We) _
place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: LjtjWe) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on t ns the
property or is buying it under a contract.
r.�urn�i-.r nri-.�nnrn
- - l'VI`Ilrll�lil- nCliVIIVC{l oL1.�I 25 1991
If buying on contract. Fee Simple Owner's Name 3
Recorder's office where contract is recorded Q6fN IDd R a e
PROPERTY DESCRIPTION
County
Parcel Number Legal Description
Ulm -tol4y )A. e SW /3 -a -i0 Y3 kc
If any portion of. the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
VHUVLKI T L)VVr4rU OT t LArmANI
Township - I Cour
I hereby certify the above statements are true, correct and - S* natur
complete.
Addr rot. ber, city statg and IP code)
/ /6X 4 724 /GtSco 4 9
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
- - VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Otherland
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 112 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
'(4) -
-
-
(5)
(6)
-
(7)
(8)
1 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 112 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
D.
Date Signed
i-a5 9i