Homestead_McCrary SIAle PORN 135 IR 0-..N1 T17.EA91R[RIOEM 3tA
APPROVED BY,TAIE'WOOF AMRINTt•n`I PRCYWBro BY nil DEPARTMENT OF LOCAL t VELW.R.l FaaveE It'4-I.1-r-.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited m one homestead standanl deduction.As the receipt of this deduction becontes
iii more beneficial,there is more incentive than eser fur homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifvine infonnotion neceoan'to allow county government to better monitor homestead
filings.This information will he kept mad-mint and can only he accessed by authorized county officials.The Depanntent of
Local Gmet-mcnt Finance will use this information to crease tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
McCrary, David E/Theresa L
HI Box I l I A C
Oakland City IN 47660
4790
David E/Theresa L McCrary
2669 S 775E State Parcel Number Lezal Description
Oakland City IN 47660-8506
26-13-28-100-000.826-004 002-00826-00 PT W NW 28 2 9 4.622 AC
t o ul It II r I I n I I nr I I 'l Ir II rut I I tat I I trI F I tau III
C-1 D-6
PART 2:TAXPAYER INFORMATION
Owner I 1).- il I ID First E D6- --4/L Middle / r n e A _is 1 J Last
fling Address(mmnber end street,city,state,and ZIP code) - _ — . —- Same aslpiopert nddddt&s r�—/\ Y—-----_-. - -_ _
9s 725E (2444-vb C1-7y ±77V 97660
Spouse -1-1-�Rf-SA First L Y/v 4 Middle / d eR / 1 fast
Mailing Address umber and street,city,state,and ZIP code) RI Same as property address
(SSE) 1649 S 77SE D.9X24uD or, T�v ii-7d 6
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 Si �'7}��� ,�t��/ Date
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
.` State Form 5473 (R2 / 5 -92) T1L��q•
INSTRUCTIONS: See reverse side for tiling instructions. If1 �j
i (we) }u t,e y / I / L5/t v .0 ij C/t r t certify at on the 7 st da of March, 19.
�) occupied as our principal place of residence the following described real property for whi a Homesiea EiU D'gd�by claimed:
LJ I (We) owned ❑ Are buying under contract I (((JJJ
❑ 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
It buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION -
County
Township
Taxing district (dry, town. Township)
PQ C)mok `OO Y�'
Legal description P-�_-, /0
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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
Iseby certify the above statements are true, correct and complete.
Signa re of aimant
Address (number andstreet. city, state. ZlPcode)
% /a
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(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 pUs line i)
(R)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
i, Veritying action - Signature of Auditor
Date signed
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 5
Auditor
ALLOWANCE