Homestead_Butcher (2) •
SIAM FORM!SW IR'lvN) TREAStJIF11 FORM StA
&PERMED BY Mtn IYWD Or Ymt...% ri IalYRJBW BY Till DFIARTSn.YtQ LO CAL GOVERNMENT FINANCE IC.I.1-r4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction l tomes
more beneficial,there is more incentive than eser for homestead fraud.I lomestead fraud causes higher tax bills for all;therefore.
• HEA 1344-3010 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying infomaron necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized 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
Butcher, Eldon R/Oleva R
1(3 Box 61
Oakland City IN 47660
4911
Eldon R/Oleva R Butcher
4353 SR 57 State Parcel Number Legal Description
Oakland City IN 47660
26-13-35-400-001.380-006 003-01380-00 PT SW SE 35 2 9 2.994 AC
C-1
X
Spouse First - Middle Last
O lever. R• ����B, etcher
Mailing Address(Number and street,city,state,and ZIP code) (ume as property address
4353 S. Sale Road 57
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.
•
•
G
0 } CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R6 /4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing inslmcfions.
(We) �
051%%
`Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property oi'1$'buying under a contract.
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number I Page
_ = a4 �xk�se'a_�"�.x�".,, sPROP. ERTY, OWNEDjBYCL- AIMANT, IN: OTHERCOUNTIES' z�.,,; �- �„;,` �', S_ ��y� ..��`.��"�'= ,�,x,.�'�`"�'-'" Fr'4z"t�ti
PROPERTYeDESCRIPTI6N4. -' '- '- •jj'"� �j�- r�i!;. 3��* ",�
County �j
e
Townshi
Testing tlislrict ,township)
Address (number and street, city, slate, ZlP code)
R2� �k�lo6� -8315
low
'Parcel number
Legal descriptlonQ
Is the property in lion:
Real property ❑ Mobile Home ( /.C. 61.1 -7) .
If any portion of (he residential structure or the land 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.
eJ "
— �/�
C�tr Cam/
_ = a4 �xk�se'a_�"�.x�".,, sPROP. ERTY, OWNEDjBYCL- AIMANT, IN: OTHERCOUNTIES' z�.,,; �- �„;,` �', S_ ��y� ..��`.��"�'= ,�,x,.�'�`"�'-'" Fr'4z"t�ti
County Township
County Township
hereby certify the above statements are true, correct and complete.
Signature of claimant, n L
[/ /'•VYI ^/ 'vL
j
Address (number and street, city, slate, ZlP code)
R2� �k�lo6� -8315
low
°`^°'•'-';`TRUETAX
ASSESSOR,USE ON Y -
"*.
VAL;UE•``;Q -N
'�t--
'ASSESSEDVACUE
a*AT 100 ° /a_.OF'TTV
�HOMESTIJID
'y.VALUE� x
W..,.,.
NON;RESIDENTWL
� " OF
�e VALUE7sz�s
ESi' p .'33 APr4` s
�..FA ,ti
-.,- .,�.tc2
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)7"`�,tiy'�..,�:
. 1•S�W
Other land
F'
Total land (fine 1 plus line 2)
(3)
Dwelling
(4).�:•t'Cf
Y=.e�iY.i�wFi
Residential Improvements or Annually
Assessed MobOe / Manufactured Hoare
Garage
(5)
)z+z
Other improvements
(6)
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.
Verifying action - Signature of Auditor
Date signed
*1�-i Z- STANUARDDEDUCTION 'ALILOWANCE
20 _ Pay 20
Lesser of omes ad
$
Vau or
Signature of Auditor Date signed