Homestead_McEllhiney (2) s19E FORM ,RU!AM TREASURER FORM 31.(
ArrWNEn BY RRE BOARD OF COUNTS.1l' PilhilUDID BY m[bFPMnWNT(F LDLAL rswrRNMENr FINANCE n'6-u.IS4.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
,
PRINCETON IN 47670 Individual and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than excr for homestead fraud.Homestead fraud causes hider tat bills for all:therefore.
HEA 1344--7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to seethe the
benefit and to provide additional identifying information neces ry to allow canny government to better monitor homestead
filings.This information will he kept confidential and can only h:accessed by authorized county officials.The lk anmeni of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1:PROPERTY INFORb1ATION
Taxpayer Name Property Address
_ McEllhiney, Brett UTammy K
RI Box 113
Francisco IN 4764@
2119 fl
Brett t, iney 00��
'1 Bo State Parcel Number Legal Description
Francisco IN 47649-8908
III I III I III I I I I I I I I III 26-12-01-200-000.527-004 002-00527-00 PT NE 1-2-10 26.66 AC
I n ut t nt n r n u t t n nr nut nn nt C-1 D-7
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
— 'VT MIL.-itt.J<-1 LAME -- — — — in c.ELt_)-F PS —
ng elddre s(number andstrst;city;state,-and ZIP code) — —12<Sxmc ac pmpem.nddreti.
1031 n1 5Sc Fas,-ac=Sco 47144
Spouse First Middle Last
TR+°rfn 7 VA.-1 M ca Lk_1-1-2.0 F�1
Mailing Address(Number and street,city.sate,and ZIP code) R-Same as property address
1
01 1 tJ 5-S o e c-243. C i s cc s,., Li t (ee-1
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
rtf ^� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (132 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
-
CERTIFICATION STATE
�e) occupied as our principal place of residence the following described real property
MAY 10 1993
certify that on the 1st PDolfTlvfarch�l9 %`
a Homestead Property Tax Credit is hereby claimed:
NJ 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 under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
" PROPERTY DESCRIPTION '
County
Township
Taxing district (city, town. township)
Parcel n ber
Legal descripYOn
- oos�7 -oo
)JE_
It 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.
Otherland
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
Township
County
Township
.areby certify the above statements are true, correct and complete.
Si of claimant
A d (number and street, city. state, ZIP code)
dOx IQ> FR- ANCZSCO 4S
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuati n or S2.000
Signature of Auditor
Otherland
(2)
Total land (line 1 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 plus line 7)
(6)
I hereby certify the above is true, correct. and
_complete.
Signature of Assessor
Date signed
ing action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
S
Valuati n or S2.000
Signature of Auditor
Date ign
3