Homestead_Hoover •
SIAIE FORM!!l.lti(HNI I11FAAl&ER FORM TS-IA
.crPROVED BY STATE dwRDCr AMT"R_'N'rt:NN PRESCRIBEDOY 11W.DEP.Ot1tlErr(WL(R:AL OOVER.YMFNT FI:ANCEMSI.1-L'4.1
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 e'er for homestead fraud.Homestead fraud causes higher tat bills for all;therefore.
® HEA 1344--3009 requires taxpayers who receive the hanestead standard dduction to verify that they ate eligible to receive the
G nefit and to prrn'ide additional identii}ing mformanun necc.vry ro allow county government to bluer monitor lwmestead
(�J' rilinbi.This information will be Lepl conlidanial and ran only M,accessed by authorized county otTicials.'the Deponent of
Local Government Finance will use this information to creme tools that will help county officials eliminate homestead fraud.
APR a ZOIO PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
71/03, Hoover, Joseph B/Brenda D
RI
GIBSON COUNTY AUDITOR
Francisco IN 4763
1748
Joseph B/Brenda D Hoover
5910 E 250 S State Parcel Number Legal Description
Francisco IN 47649-9064
I i l l III I I I I I I i l I I I I I I I I I I I 26-13-19-300-000.451-004 002-00451-00 PT SE SW 19-2-9 2.774 AC
t n _ t . n r-n F n nn nr a ntut nt --- —_— 0-10
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
/oSe_ Ph 3 //ceder
iong Address(number and street city,state,and ZIP code) IR Same as property address
S9/i 25o c r-a .acl sc ° /
Spouse / First Middle Last
/3r�.x,C/Ck_ j /J000Cr
Mailing Address(Number and street,city,stale,and ZIP code) r . e as property address
S9/0 t,
• _-_ ---
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is elieible 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
•
•
1
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
y CREDIT /STANDARD DEDUCTION Hc10 �qqo
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
I (We)' tty,- . -6. 16 Ay• certify that on the 1 st day of March , 19 90
occcupied as our principal place of residence the following described real property for which a Homestead
PVe)
operty 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 it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded z Record'-Niimfier Page
PROPERTY DESCRIPTION
County �,// �� � �� Town ip Taxing District (Cii town, t n _
Parcel Number Legal Descriptiqq
00A- 004&71 I kx SE sw /9 -a- 9 5Qc
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.
' _/3= - Sao =aQO. � / -��. •
` PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County Township
6nereby certify the above statements are true. correct and
St nature
complete. '
(2)
Address (Street, nu ber. city, slate and ZIP code)
&V 7
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
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)
Signatur of f Auditor
s
(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
Signatur of f Auditor
s
Date Signed
>l7 /o / q 90
V