Homestead_McClanahan .SlAnE FORM•)4YIR_/ +nl 1RLASUUI FOk"l r}IA
AFrrrwrMM'MAIL R4MROOFM11AOTs.inn PRcxWBm BYnlr DFPMneT(wLOCAL GOVEPNMOrr Fac,NCEMSLLDI.I
Gibson County.Auditor
101 NMai,-- IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
�
PRINCETON IN 47670 Individuals and married couple.s 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.
• FIFA 1544-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to r oche the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flings.This information will he kepi confidential and can only h:accessed by authorized county officials.The Depannem 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 Property Address
McClanahan, Randy L/Jocelyn R
6467 F.250 S
Francisco IN 476-19
1840
Randy L/Jocelyn R McClanahan
6467 E 250 S State Parcel Number Legal Description
Francisco IN 47649-9061
III I I I I I I I I I I 'I I I I I III 26-13-30-200-000.383-004 002-00383-00 PT E NE NE 30 2 9 1.810 AC
___ ___ t n nr r set u r n r u rot —i nut tat __ X D-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
g Address(number and sacra,city,state,and ZIP code) Ea Same as property address
(QLl (e-? Et aso S. , rfcty.clsco , IN L4,7 (e �{ �t
Spouse First Middle Last
•
Mailing Address(Number and street,city,state,and ZIP code) [Q Same as property address
(� 4tc7 EP aso S 'FR&Acisco, JN, �+ 7,4c1
---- ----- —_---- –
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 • strut Date
•
tyf R`I�I
CLAIM FOR HOMESTEAD PROPERTY TAX
lf' CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
0
b=
MAR 2 6 1991
�) occupied as our pri fjpal place df fesidence the f(Vowing described real property for which a Homestead Property'T CYedit` T&q dhimec
LJ l(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- _-
II buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- -
PROPERTY DESCRIPTION.
County Township
County
ing district (city town. township) '
- - _600 -
3 -66
Ad es (number and trees, city state, ZlP code) �
Pare' n�myGt _393 -0O Legal description
� AJ__Q,
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that stmcture is used to produce income, describe the use and portion
of the property utilized to produce income.
.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
®-eby certify the above statements are true, correct and complete.
Signatur daim
Ad es (number and trees, city state, ZlP code) �
ASSESSOR USE ONLY
-
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature of Auditor
Date 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 pfrs line 7)
(g) .
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 1/2 Homestead
Valuation or S2,000
S
Signature of Auditor
Date signed