Homestead_Caldwell SIVE FORM!Mt.t Cd nwr TREASURER FORM SIA
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Gibson County Auditor : IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main _
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction be orates f'
more beneficial,there is more incentive than exer for homestead fraud.Homestead fmud causes higher tax bills for all:therefore.
0t 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 identifyine information necesary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance aill use this information to create tools that will help county officials eliminate homes1cad fraud.
PART I: PROPERTY INFORMATION -
Taxpayer Name Property Address
Caldwell, Dan R/Evelyn S (488t & /00 S
RI Box 86 B
Oakland City IN 47660
4314
Dan R/Evelyn S Caldwell •
10881E 100 S State Parcel Number Legal Description
Oakland City IN 47660-8654
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,PART 2:TAXPAYER 1NFORNIATION t
Owner I First Middle Last
_ ` . , _
mg Address(number and street,city,state,and ZIP code) -- — ---- — j•Snme as property adds -`--—
Spout First Q--4r- Middle Last
Mailing A (Number and street,city.state,and ZIP code) ,ram/eyas property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,h or she may be li ble for back taxes and substantial financial penalties.
Owns I Si ore Date
_
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
® (_\ CERTIFKATION xSTArTfMENT n
FORM
HC10
a
I (We) V(l f ity that on the 1 st day of March, 19_
I (We upied as our principa place of residence the follow described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under contract
❑ Have 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.
CONTRACT RECORDED
If buying on contract. Fee Simple owners name
Recorder's office where contract is recorded
Record number
Page
PROPERTY DESCRIPTIO
County
Township
Taxing distri (ci fawn, o shrp) '
I r O �
Lpy I description
If any portion of the 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County Township County Township
Sign claimant
reby certify the above statements are true, correct and complete.
Adtlre nu be and street. city, state, ZIP ode)
7ASSESSOR
USE ONLY
TRUE T
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)',
Garage
(5)
-
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000