Homestead_Bogan Stitt DORM 5)A.it*/NMI TREASURER W0.4 11a
APPROVED BY NEIL.BMRD OF AM.UTS.Yrx PLEA-RIND BY THE DE/MTV:ER(1F LOCAL CaWRnMrAT FINANCE IC 6-I.1.$:J.I
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 lctumes
MOM beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2069 requires taxpayers who teethe the homestead standard deduction to verify that they are elicible to receive the
benefit and to preside additional identifyin_ information necessary-to allow county govemment to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tolls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Prnpertv Address
Bogan, Gerald W/Mary L
RI 13ox 21 A
Oakland City IN 47660
1810
Gerald W Bogan
R1 Box 209 A
OAKLAND CITY IN 47660-8422 State Parcel Number Leal Description
26-13-26-200-001.351-006 003-01351-00 PT NE NE 26 2 91.53 AC
IIiu llulllllnllluilntlnlnlninitlnitltlluullnlltll C-1
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
OsxnerJ First Middle Last
k,(2.A- vD ybL 5)6
4,2 Address(number and street.city,state,and ZIP code) �t ❑ Same as property address
d 7 C�3 &. St eb 57 alGil b l�'k- p'i (7 7(06 O
Spouse First Middle Last
( %\24 es.& B o 6
Mailing Address(Number and street,city,state,and ZIP code) Frame as property address
Son-4.4.__ 1 11
'
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.
q-20,0 Owner 15 t n Date
.
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 (R51 1"l)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. FILED
CERTIFICATION STATEMENT
AUb 2 1 2002
1 (We) certify that on the 1st day of March, 20
I (W
(We) occupied as our principal place of residence the folio described real pro) for which a Homestead ff;erty Tax Cr it is4erebycl me
'y
LJl(We)owned ❑ Are buying under contract
I
— 1 U F3
GIR TV AUDIPTO
ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prope SON Qi e
Y or is uying un r a con act
'�_."CONTRACT'RECORDED't,;,
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
�
.7 'A -PROPERTY DESCRITON
'1- . FI
County
Township
Tracing district (city, town, township)
Pa
L I descnption
Is the property in question:
ess nu be a street, I Add y, to ZIP cod V
a A
_U) i, n -a-9
❑ Real property ❑ Mobile Home (I.C. 6-1.1 7)
If any portion of the residential structure or the nd not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
/. 5 3
7X
40(0
PROPERTYOWNED SYCLAIMANT IN OTHER'COLINTIES,'_'-:'-:�'
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature laimant
ess nu be a street, I Add y, to ZIP cod V
a A
r I
ASSESSOR USE ONLY--,W,
-TRUETAX
ASSESSED VALUE
t" HOMESTEAD
�.�,_"U-NOWRESIDENTIAL'--^
7 �r
VALUE
AL
AT OF,T.TV�
VALUE
$
7X
Valuation or $6,000
Land not exceeding 1 (one) acre immediately
Signature of Auditor,
surrounding residential improvements.
(1)
Other land
(2)
Total land (fine I plus line 2)
(3)
Dwelling
(4)
14
Residential improvements
"�JJ-42 jig-,
Garage
(5)
Other improvements
(6)
Tctal 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.
Verifying action - Signature of Auditor
Date signed
TANDARD:DEDUCTION ALLOW C
AN E
20 Pay 20
Lesser of 1/2 Homestead
$
Valuation or $6,000
Signature of Auditor,
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Dal !Zn