Homestead_Allen (MATE FORM SW I TPFASLRIR PAM 7S-IA
'i• .APPRlt.ED BY[11T F BOARD OF AtMUNT'.31w PL(.YWBFD BY Mt DEPARTNUNT(FL(R'A1 onVER.YMI-KT FOCSSCE m.1.I-3_4 I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples 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 are eligible to recent the
benefit and to provide additional identifying inforrnmion necessary to allow county government to better monitor homestead
tilint_c.This information will be kept confi eminl and can only be acre sed by authorized county officials.The Depanment of
Loral Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Allen, Carla
RI Box 248
Oakland City IN 47660
4245_ __ _ — __.__ _ — - __
Carla Allen
8820E 50 S State Parcel Number Legal Description
Oakland City IN 47660-8453
I I I I III I I I I 1 1 1 1 1 1 I I I I I I III 26-13-10-300-0 1.402-006 003-01402-00 PT S SW 10 2 9 4.00 AC
to rat nt a ntnnnrtm ntr nntr C-1-D-6
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last -
_Car/el L , / 19/7,A)
g Address(number and street,city,state,and ZIP code) - - �I Same as property iddTg; - ---
/20 F SD S OaK/9J ei fiY -J' / 4/74/D
Spouse First Middle Last
,e,fie Age",
Mailing Address(Number and street,city,state,and"LIP code) Same as property address
(P67o F so S on/«S e,i , y 7/d0
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 Sign tore Date C)`
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
t ar State Form 5473 (R5110-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I(we)
FORM YEAR
HC10 01
of March, 20
»occupied as our principal place of residence the following described real property for which a Homestead j T0redit is hereby claimed:
I (We) owned El Are buying under contract IV U Y 1 L
Have a beneficial interest in the entity that is liable for the property taxes on the property and th4cwns the prople"is buyA ur)der a contract.
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number I Page
�-x4'_ � - .. PROP .ERTY,OIAINED;BYCLAIINANT.IN, OTHER .COUNTIES;+�.v`_'.- "r,z_�` ���`^a'�s"� -'�`�e
County
Township
County
hereby certify the above statements are true, correct and complete.
Township
Taring s
" (ci town, low hip%
�ce,4P
/IIff•/myy
I O
Legal de�rip0o
Is the Pmpetn�y-j�RReal
� '
/O -
property ❑ Mobile Homo (I.C. 6-1.1 -7)
portion of the residential structure or the land not exceeding one (1 a that immediatety surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income. 'Q -G_:.'
a&l - -
o� -aa /. /6- 0j '/'
surrounding residential Improvements.
�-x4'_ � - .. PROP .ERTY,OIAINED;BYCLAIINANT.IN, OTHER .COUNTIES;+�.v`_'.- "r,z_�` ���`^a'�s"� -'�`�e
County
Township
County nship
hereby certify the above statements are true, correct and complete.
Signatu of cta' ant
Address (number and sheaf, city, state, ZIP code)
ERR ' � � L'
A'SSESS�D, U LY-
TRUETAX �'�
AtiSESSED VALUE
NOIdESTE/J�`�
-N RESIDENTIAL ~1
.,,
{ &
&A L!
jAT 100%OFTTV
VALUE
`";VALUE
�.+
gT
Land not exceeding 1 (one) acre immediately
w: -
surrounding residential Improvements.
(1)-
T
Other land
(2)
ai..
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
�p „ '
'c�"'
Residential improvements
Garage
-
5..
Other improvements
(6)
ti^
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
Signature of Assessor
Date signed
Complete.
Vedtying action - Signature of Auditor
Date signed
nt t7— VSTJWDARD:DEDUCTION 1,
�' ALLOWANCE.,.,.- :HSw,.iP':.,- - -
20 _ Pay 20
Lesser of 112 Homestead $
Valuation or $6,000
Signature of Auditor Date signed