Homestead_Heldt t - AUE 1URMWt IB:Iw+I TFStrrAIXMVaIA
AflKEWEO BY MATE.BWMu OF AMA KT}.Tit rREYNBED BY nn DEPART/Yr(4 LOCAL COVERNMFT7 FINANCE M 6-I.I-"11
Gibson County Auditor
1,01 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead gander('deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
• HEA 1374-3009 requires taxpayer who receive the homestead standard deduction to verify that they am eligible to reeene the
benefit and to provide additional identifying information nest ry to allow county government to better monitor homestead
filings.This information will he kept confidential and ran only he arcesed by authoriied county officials.The 1lepanntent of
Local Government Finance will toe this information to create tools that will help county officials eliminate homestead fraud.
I T E T 1LJ� PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Vowells, Terry W/Debra L
OCT 5 2011 Box 38
C.� P,\ %- Francisco IN 47649
4601 `^"v�-rw\
cria 4owellsY AUDITOR
P O Box 263 State Parcel Number Legal Description
FRANCISCO IN 47649-0263
III taI I I I I n I I nnIII' uI I I I I I I I I 26-13-20-101-000.361-005 012-00361-00 PT NW 20 2 9 2.061 AC
o
t of r t n r r r rr n tut t nt
Spouse First Middle Last
Mailing Address(Number and street,city.stale.and ZIP code) N Same as property address
• 0
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 •.y be liable for back taxes and substantial financial penalties.
Owner I Sign. . Date
PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
i
CREDITISTANDARD DEDUCTION' HC10
State Form 5473 (R6 / 4-03) YV
Prescribed by the Department of Local Go,,enmnem Fntanct
INSTRUCTIONS: See reverse side-lor filing imshtn;lirer.
which a Homestead Pro . perly Tax Credit is hereby claimed:
❑ j 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.
4ZUW� -,P CONTRACT' RECORDED-?-'r,,'.
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
fi PROPERTY.-DESCRUPTION
-0
County Township Tmng district (city, town, township)
I -
Is the property in question:
-o jr-4-m—og-0-a —9 1 El Real property (--I Mobile Home (I.C. (: 1. 7-7)
If any portion of the residential structure or the land not exceeding one (I) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PRbkkty-6WNEd BYCILAIM41SIT IN'0THER'-00LJNfIESI,,--� 4
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Signa
dress (number and skeet, city, state, ZIP code)
ASSESSOR USE ONLYA2��t-
JRUEiTAX ,�,,-��
ASSESSED .Vfi di
HOMESTEAD
p,.-'�NOWRESIDENTIAL
,7-
00*/VOF N
0�
VAL u
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Otheriand
(2)
siqA
Total land (fine 1 plus fine 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
I
Verifying action - Signature of Auditor
Date signed
m,- . - - I -1' -- T, ---
STANDARDMEDUCTION ALLOWANCE
20 _ Pay 20
Lesser of 112 Homestead
Valuation or 535.000
Signature of Auditor r Date si
1-/