Homestead_Beadles I STMT.FORM!Mt.tie/s-N1 TACASURt PORN SIA
APPRovEDON"clATE Dru.KDOt NM1RI\TS:Eno PRISAMED BY nit DEPARTMENT OF LIX'ALrnrtNMrNT FINANCE ro-I.I-!_J.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 eser for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
FIFA 1344-2009 requires taxpayers who receive the hmnestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necesmlry to allow county government to better monitor homestead
tiling'.This information will be kept ronlidential and can only be accessed by authorised county officials.The Depanntent of
Local Govcmment Finance still use this information to create tools that will help conty officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beadles, Jed A/Teresa L
—
GEN DIl.
Oakland City IN 47660
4987
Jed A/Teresa L Beadles
1427 S 1275E State Parcel Number LeEal Description
OAKLAND CITY IN 47660-7846
Irlullu tltllntllulln tlntllnlnlnlLilnnitilDtiDlltl 26-14-17-300-001.403-006 003-01403-00 PT E SW SW 17283.04 AC
Yi C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
. ied A- 6eQCQres
IIIAddress(number and steel,city,state,and ZIP code)- — - - -- -- - 1�j Same d.property oddres- - - - - — - -—'
1L+a7 S1 / a75 !!. Oakland c;-Fy :4A) L-F2esoce o
• .
Spouse First Middle Last
r
ev-esa, 14 7 h n Bead /e-5
Mailing Address(Number and street,city,state.and ZIP code) rl.Same as propeny address
/ a'7 S . I975E, Oa_Olahot C1`+ Y / ci7(0(0 a
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 atom / arnA Date /I/�/2
PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 IRS 110-01)
Prescribed by the Department of Local Govemmerdl Finance
INSTRUCTIONS: See reverse side for filing instructions.
EFORM, YEAR
MAR 0 4 2003
I (we) certify that on tWl-sfdaj"Oiiiarch,-20�t
I (We) occupied as oyr principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed
I
2r I (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.
NTRAcr-RECORDED
If buying on contract, Fee Simple owners name
Rewaler's office where contract is recorded Record number Page
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Township
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- (0 /yr)
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Legal description
Is the property in question:
I I [� TRaal property ❑ Mobile Horne (I.C. 6.1.1.17 .
H any portion of the residential structure or the Lend not exceeding we (1) acre that inarnedataty, surrounds that structure Is used to produce income, describe the use and portion
of the property utilized to produce income.
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e.J�1�1000WO]ffj;!X4
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I hereby certify the above statements are true, correct and complete.
Signatur of claimant
r (nKb4er $ a2�nk d 71city,
6 Z Ip P code)
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MASON. -
Land not exceeding 1 (one) acre immediately
surrounding ounding residential Improvements.
IRS
Other land
(2)
Total land (#no 1 phis line 2)
(3)
Dwelling
(4)
�ffl' ON
M-0-51 Q
Residential improvements
RM
Garage
(5)
Other improvements
(6)
MIN, I
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits &a 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20 —
Lesser of 112 Homestead
Valuation or $6,000
Signature of Autiftor
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