Homestead_McFetridgeCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (8614-03)
P. esct bad by the Department Of Local Government Finance
INSTRUCTIONS: See feva= &11:6 Ibr M5V msbucbonL
I (we) /I j dhj,�PLI zs/— '/Xi � %) I � Y—�� - certify that on th��'A*, 20__
1 (We) occupied as our principal place of 4nce the following described real property for whi a Homestead P'oeflftl. Wiqe%�)�d:
r# 61
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.
'c o NTRACT;RECORDED??'�,-WX,�A,,
If buying on oontract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
a1h gpr�!' 3
P-M
County
Township
County
As (cil, town: township)
(0, 1,6,j a7 -,
I
Sig ature I dairy
W
I (IT-j-'ric,
Parcel number
Leg fdpscription
Is the property in question:
00 5z 6 (V
I xuao
lUrd
Real property ❑ Mobile HMO (I.C.6-1.1-7)
If any Portion of the residential structure or the land not
6xceeding one (1) ateimrned' fey con .that Cure is used to produce Income, describe the use and portion
of the property utilized to produce income.
Total land (line I plus line 2)
(3)
m
County
Township
HOMESTEAD
County
Twmship
I hereby certify the above statements are true, correct and complete.
Row
Sig ature I dairy
W
I C
Land not exceeding I (one) acre immediately
IWA;iI
AWM USEr -1
ONLY- r
M
IMP
-TR
IM UETAX'
nmg
'ASSESSEDY
HOMESTEAD
NON, ESIDENTLAL
0 111
J� M
-NA
Row
--,VAL
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Otherland
(2)
Total land (line I plus line 2)
(3)
W
A§3
Dwelling
(4)
Residential Improvements
0
or Annually
Atpessed Mobile / Marudeclutrad Herne
Garage
ISM
ME
Other improvements
(6)
ns
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
I
Verifying action - Signature of Auditor
Date signed
-�A�-*�ZSTANUARI)IDEDUCTION-ALL'OWANCE
20_Pay2O_
Lesser of 1/2 Homestead
valuation or MOM
Signature of Auditor Date signed
O
.tlAI E I OK'd!) !IC I!..4141!..4141 MIASMA FORM TS-IA A
A1111111'ED DV sIATATt.ellARD Of ArR.l\Ta._uY P4ISOUB InY TIL DEPARTMENT OF LOCAL CAWERYSIMT FP:AWE w s-I.1.,.11
1CountyAuditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couple.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 tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to teethe the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filings.This information will be Lev confidential and can only be accessed by authorived county officials_The Deponent of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
` �^�,,
McFetridge, David A/Janice S 2O_ North Cf 9 &t
Francisco IN 47649
4599
David A McFetridge
PO Box 102 State Parcel Number Legal Description
FRANCISCO IN 47649-0102
I I I I I I I I I I I I I I I I I I I I I I I I r l l l .I I I I I I I I I I I.111111111 26-13-20-101-000.314-005 012-00314-00 SHOP ADD I4/15PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ -pax)t61/4_ 91Rn
resiFEET Id9
12 Address(number and street,city,state,and ZIP code) — g Same as property address
111111"t 0I Ilex J02..) i2O7 f\)or+h Cross Strut franc Ise°�:CNJ y-7CJ-]9
•
Spouse First Middle Last
:Xanlc12. Sup- IT Fa. r1dltC 5 .
Mailing Address(Number and stree4 city,state.and ZIP code) 3gi Same as properly address
P OtBcx 107- O%- North Goss She FranCLsea �N 4 70149
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.
ow I Signature Date
PART 4:ADDITIONAL INFORMATION
•