Homestead_Bartley (4)•
MATE COBS!IY,R:I 4N1 17tFASUREa FORM TS-3A
AIIRI*n1 BY MIL R ARD(F AMPOSTC.rin. FRf3TImED BY n1[DEPARTMENT OF LOCAL 4wiRVMFTT FIANCE IC 6-1.1t4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals 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.Ilomesteal fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.-this information will he kept confidential and can only be accessed by enthralled county officials.The Department of
Local 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
Bartley, Johnnie F II/Jennifer L ((��
RI Box 240 L%
Oakland City IN 47660
4678
Johnnie F Bartley 11 II
1836 S 950E State Parcel Number Legal Description
OAKLAND CITY IN 47660-8443
Itlullutltllutiludlntlululu�t�u lulinrl1u11r t1r 1rr� 26-13-23-100-000.689-006 003-00689-00 N SW NW 232920.00 AC
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
JDhr rVI e. �RAnK `?Dsiz-I le.4 TL
0 g Address(number and srtmt,city,state,and ZIP code) 'Same as property,address — - ——___
1C?=.3 LP S G• E c x I a rrk, CG- -Lt 1-- n_1 "I 1 tp L.o d
Spouse First Middle Last
.. .nri t Ve_`IZ LA n rat -E-7_4-I eLl
Mailing Address(Number and street,city,state,and ZIP code) '0 Same as piepeny address
I S 3Le s qsa e bakland C.5 j i-/1/4-1 . ,c-tnitikLDD
Each undersigned certifies,under penalty of perjury,that the above and foregoing on informatr i is true.and"g5iirect and that he or she is eligible to
,_y,
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 Signatur. Date
I- ..
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
S & State Form 5473 (R4 / 8-00)
un
INSTRUCTIONS: See reverse side for filing instructions.
P%
FORM YEAR
HC10 L .
F' -t�,r,
I (we) C! that-or (he 1s day of ardi 120_
I (We) occupied as ouncipal place of residence the following des 'bed real property for which a Ho teadP�roperty�ax ,Credit ins, ereby daimed:
❑ 1 (We) owned ❑ Are buying under contract
Wave 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.
- 2s�r,,.) i�., S' GONTRACTiR ECORDEDv'r�'-i,"a�-s,.`..
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTYr — f_'— '�
.`•��.- ',,"t- �� _,: OWNED.BY7CLAIMANT,IR
e -.-
n
7awnsldp Tadng district wnship)
Parcel number
Legal desrxipeo 3 _C) r]to
If any pofTon o -the residential structure or the land not exceeding one (t) acre that immediately surrounds that structure isl used produce income. describe the use all Potion
of the property utilized to produce income.
PROPERTYr — f_'— '�
.`•��.- ',,"t- �� _,: OWNED.BY7CLAIMANT,IR
---r- ._— .�... . _ _ �'`rSr..d' ,��..
OTHER _COU_NTIES' _ �-
County Township
County - _
Township
I hereby certify the above statements are true, correct and complete.
aimanl,
rAddress (number and street, city, stall, ZlP cede)
0 r
rR�a }T ASS SES�SO�•RtUS�E'O Y ,., '' `
A.._ f�' -. >r,
...2 .ter. v.c.' .•.io+.s,.t
UFT'b'X^ 'tr
'VALUEips «xS,v
, u,.u.
ASS,ESS�EDyVAETUE
�AT:'100Yo'O.F TrNYS`
S..scir� -w.-`?
*;aHOMESTEAD
VALUE
...,%a`t-.�a:«:cs —.�
y ON- RESIDENTIAL_ -
Land not exceeding 1 (one) acre immediatelyy
surrounding residential improvements.
- '
4e-
$ -`
Other land
(2)
fuC*
gam}
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
�' ' 'L "`-
Garage
(5)
,
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 phs line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature ofAssessor
Date signed
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or $6,000
S