Homestead_Marshall •
STATE Fot !a5w10.0'-I., IRtASILA tORM t5-IA
_VPIIIVEll ErcSWF a01RO OF MCI U Nit.S.N rgLYtmso LW THE@PARTMET Of LOI'.LLCIn'ER.1tE'T/NANO_I S-I.IUU-\I
;'Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •
101 N.Main Street Individual.. and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.then is more incentive than ever for homcstwd fraud Homestead fraud causes higher tax bills for ell:therefore,
IIEA 1344-209 requires taxpayers who receive the homestead standard deduction to verify that they an eligible to recehe the
benefit and to provide additional identifying inlnmLanon necessary to allow county government to better nxmimr homestead
FILE T flings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
L\ Local Government Finance will use this information to create tmls that will help county officials eliminate homestead baud.
• PART 1:PROPERTY INFORMATION,.
Taxpayer Name Location Address
_ MAY 10 2012 Marshall, Leslie T/Brandy K
C. .n1$ E CR 200 N
(V\ v\ _ . PRINCETON IN 47670
GM§ON COUNTY AUDITOR IIDIIII/II ,III ,III_ IDIIuI I1111111 111
II I.I1II1DII11II II II
Leslie T Marshall
4104E 200 N
PRINCETON IN 47670-8932
II II1111rrrllli1l1"1 11111I I1111"1111191ltrltl11"4Illlli1it11 State Parcel Number Legal Description
26-05-35-200-001.620-004 SW NE 35-1-10 6.927 AC C-1 0-7
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.
. . PART 2:TAXPAYER INFORMATION . -
er I First Middle Last
L 21\;1. "Troy 10Q r Aled t
Mailing Address(number and street.city,state,and ZIP code) Q'Same as properly address
Spouse First Middle Last
ark"?CA/ KR-"e y nVAR,5,hq,l 1
Mailing Address(Nult. r and street.city,slate,and ZIP code) l�fi)Sam c as property address
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 /1 Date
-
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Form 5473 (R614 -03)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing insinuctions.
FORM ,'1 YEAR
HC10 j\�`J
certify that oon thQ 1St ti" March, 20_
1 (We) occ ie as our principal place of residence to folio to ascribed rea property for which a Homestead RLoperty Tax Credit is hereby claimed:
❑ I (We) owned ❑ Are buying under contract 1- �a-
Have a beneficial interest in to entity that is liable for the property taxes on to property and that ovms'ti�+tSd(JhIGJgFIttQder a contract.
c°'•l'sssitr1%t'3i +Si NTRACT!RECORDEO�?'`"-
u xr-' -art
If buying on contract, Fee Simple owner's time
Recorders office where contract is recorded Record number Page
?-4-to :. P.ROFERT.XDESCRIPTION's<'a'
Cou ty
Township
Township
Taring district (city, to
'p)
PAW number wo
Legal desGti io �/ /O
Is the grope
l p°opem 0 Mobile Homo
if 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.
150/ S Wo -5hIn -bn Aeec�t fob l ,ed (/q--o36-a(*-co
.�_.. --F` PROP. ERTY. OWNEDBI 'CL'AIMANT;IN'OTHER'COl1tJT1ES
County
Township
County Township
I hereby certify to above statements are We, correct and complete.
" n r f daima t
dresss� (number and street city, stare ZIP code)
KQA,)
i'�r ASSESSOR USE
. zxx?; -'rt �r e ..LL:iZ, ✓ ;3,.:
t5l- RUETWu
r yVALUE - .�"�,'"
ASSESSED VALUE
_ATf100%.OFTTV�
�wHCMESTEAD�
y VALUE
�NON4- ESIDENT6AZ
VALUE I
Land not exceeding 1 (one) acre immediately
o3'y- „yrrc-
r ti' I c2' `1 t ,
surrounding residential improvements.
(1)
3 T '� +^
Other land
(2)
”' =+�0 I
3$'Irya'., 'R,1
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
'Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
6
()
.y
I4
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(g)
1 hereby certify to above is We, correct, and
Signature of Assessor
Date signed
complete.
Vert" action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead
valuation or 535.000