Homestead_McDaniel • _ • slit FDRM!a.-M,RJUn∎ MEASURER RAW TIA
.,rrnWED BY MAIL IXwRD(*Arcot(Nrc.2tn PRES(WBED BY TIE DEPARTMENT(W REAL GOVERNMENT FINANCE/C1.1.1.2:4,1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINrFTQNE7 i Individuals and married couple.are limited to one homestead toad.h deduction.As the receipt of this deduction bttnmes
J®qg��L 1{-t 1 1y®iJ I,� more beneficial,there is more incentive than net for homestead fraud.Ilameoead fraud causes higher tax bills for all:therefore.
• I HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confdemial and can only be arce:sed by awhnrieed county officials.The Depannent of
APR19 ZUM Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
`,,,, �y_-. Taxpayer Name Property Address
040.��( +� McDaniel, Christie L
GIBSON COUNTY AUDITOR
917 Railroad ST
Princeton IN 47670
1629
Christie L McDaniel
917 W Railroad State Parcel Number Legal Description
PRINCETON IN 47670-1335
26-11-12-204-000.659-028 019-00659-OOEMBREE ENLG 13PT/14
PART 2: TAXPAYER INFORMATION
Owner I� First Middle Last
_ .//ii 17'76 /V/2. 72 777-C71 F/
e Andress lnumber and street city;state,and ZiPP coder -— - — - ❑ Satre m properly uddras —-- - -- -
�/2 / 70/CY fi�� �f h %t/
Spouse First Middle Last
Mailing Address(Number and street city,state.and ZIP code) [] Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
slaw
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
•
CLAIM FOR HOMESTEAD PROPERTY TAX
-� � CREDIT/STANDARD DEDUCTION
SUte Fortn 5473 (R8/7-07)
`�u. � Prescnbed by Ure DeQaMneM d Lool Govemmeni Finance
INSTRUCTIONS: See ieverse side /or filing ins6uc6ons.
� FORM YEAR
y,^ HC 0
'•♦
��^'e>.--( /4LR,n�� S� � �� certtyma� *7 �st� March,20_
1(We) oaupied as our prindpal place oi residence the tollovring described real propeAy fw which a Homestead Prop�rty�edit�reby daimed:
� I(We) owned ❑ Are buying under contraa GIBSON COUNTY AUDITOR
�Have a benefidal interest in the entiry ttiat is liable fw tl�e property taxes on the property and that awns the property or is buying under a contraG.
If Mrymg on conVap, Fea Simpe ownefa �me
Recordefe office whare cdrtrati is recortled
Caunty Tawnship
Parcel number
It arry ponion of ihe residential swcture a the land na exceeding one (t )
of Ihe V�WaKY Ni6zetl tn produce inmme.
� �-1 i-� a - a 6 �-/ -roo
Recortl number � Page
Tazing
I Is lhe praperty in quesUon:
TJ Real property ❑ Maa�e i-wme ��c s-�. i-�
wrtounds �hat slructure is used to pmtluce incortre, describe Ihe use and portion
�5� "°a�
-.. . . : . .
County Twvnship County Twvnship
I hereby ceRify Ne ebwe shatemenfs ate W e, correct and complete. Signayure of daim m
X �
ess (number arM s6eeC city, stafe. and LPcotle) �
�. � � • .� • �
��'. •
Land not exceedirg 1(one) aae immediatety (�) . ".,+,�.�-' �_ -
surtoundilg residential improvements. - � � . �
Otlier Wnd (Z� ;
Tdal land (line 1 plus line 2) (g�
Residential imprwements wMnualy �elling (4) -;;,. �i 3� '�� r i =�y-.�
A55e558d Mobile / Manufathifed Home �,,,c '".:.:.. �..=sv,,, : :-
,rp_.:�.x.:' ;' �,£`'.,.
GefegB (5) .:.� ..xz J::1 �.: ..,%e.'
•;,.
Other improvemen6 (g) L?*,: ���-, . _�- r
Tatal improvements (fine 4 through Gne 6) (��
TUaI value (line 3 p!'s Grre � (g�
I hereby tertify UB above i5 We, correct, and Signature ofAssessw Date signed (monN. aay, yea�
camplete.
Verifyirp acUon - SigmWre of Autlilor Date siqned (mmth, daY. Year)
�.-� � � • •
�� PaY Z� _ qs.ppp (or 2007 pay 2008 42.000 for 2070 pay 2011
�er a�n q4,000 for 2008 pay
Homestead Valua6on PeY 2009 47.000 for 2011 2012 $
« 43,000 for 2009 pay 2070 40,000 payable after 2072
Signeb�ra oflwdibr Daie signed (�rimN. dsY. Y��