Homestead_Caskey I
,TATE FOR !YN Ile r YMI M St:1112 FOAM:}IA
B
APPROVED BY MIL IYURp Of∎Cn“NIN.4ri+ PRFYAfBEDBY air BEPARTMDIT OF LOCAL GOVERNMENT FINANCE n'♦I.1_rl
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
L PRINCETON IN 47670 Individuals and married couples are limited to one homeucad aandard deduction.As the receipt of this deduction becomes
di more beneficial,there is more internist than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2909 requires taxpayers who receive the homestead standard deduction to verily that they am eligible to reecho the
benefit and to provide additional identifyine inforrnauon neceoary to allow county government to better monitor homestead
filings.This information will he kep.confidential and ran only be accessed by authorized county officials.The Depanmeat of
Local Government Finance will we this information to create txvls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION;
Taxpayer Name Property Address
Caskey, Stephen D/Cathy L
Rr1
Oakland City IN 47660
4330
Stephen D/Cathy L Caskey
1082 S 1075E State Parcel Number Leea1 Description
Oakland City IN 47660-8657
II'I IIII It Itllt ttl lttl ltttl ttlt tl It tt lt'tltttl lttlt tt ltlt tllll 26-13-13-300-001.308-006 003-01308-00 PT NE SW 13294.77 AC
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� � `��///1 PART 2:TAXPAYER INFORMATION
Owner I `" ' / First Middle /� �� Last
•g Address(number and street,c state,and ZIP code) ❑ Same ass pprolr n addles;
10%a I0'16 E ) J41 i ,i-k , _TA x{'1(0(00
��� First Middle (14(S Last
IIVI, /Mailing Address(Number and stree city',state,and'LIP code) !� ❑ S ame as property• dress
S nirn6
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 th- tomestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,h. •r/,• may be liable for ba-k taxes and substantial financial penalties.
Owner I Signature / Date
,
Oy
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Foam 5473 (R6 14-03)
Prescribed by the Departarora of Local Government Finanee
INSTRUCTIONS., See reverse sidle Ibr f l iu8urbyy.
CERTIFICATIONSTATEI
I (We) t ) A /1 n�nM ICJ ��`^ -1C-V t/1
I (We) occupied as our pAncipal place of residence the following,0escribed real property
ESW (We) owned ❑ Are buying under contract
FORM
HC10
\M YEAR
cerbfyppt tl aGorfah61IMy of March, 20
a Homestead Flroperty Tax Credit is hereby claimed:
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
under a contract-
- CONTRACTRECORDED` a^ r, +'_-.�`at`�r��'���,y= �l�tv�3eop �'.• - n-�� -- n,-.--
,. :r
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
_ - v. ,.,..�- 'n;.es..`+`,yn: • x' y,•Lt iPROPERT.Y!�ESCRIPTION -' .4,� W�.}`°'"?"�'i, °�_'.rtu
County
Township
Taxing district (city, town, township)
Parcel number
Legal description
Is the property in question:
—QJ
-m..'
f5i� property ❑ Mobile Home (I.C. 6 1.1 -7)
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.
'7 7
7
,(�/
t /
' o.J' ✓' O'Ll/ r jdf- e 6
u
y>IASSESR USE N Y +' QTR
County Township
Cou ITmnship
I hereby certify the above statements are true, correct and mmplete.
ign r a' ant
1'ldress (number and street, city, state, ZIP code)
u
y>IASSESR USE N Y +' QTR
Er sv
.>ASSESSEDVALUE
HOMESTEAD
NON;,RESIDENTIAL =n
ht'�.,..".'-
s.]sd.�>'T.r�.a•,�°rx%.,.,�K .°�-j
""VAIUE.,tt
._AT 100 %.OFTN�VALUEii:
-m..'
6.- `',c.VALUE.i.a Y:rt�`°.
Land not exceeding 1 (one) acre immediately
,..,�
BOB,
surrounding residential improvements.
-Yt..?
Other land
�' 'f"" `iC�•
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
• ^ � s �.� ->jr �x
(Residents] Improvements or Annually
}y-lr^s+
-
Assessed Mobile I Manufactured Home
Garage
A'—
=y„ -°
,>_ a" � Y
Other improvements
(6)
<J:i� eerier
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
mmplete.
Verifying action - Signature of Auditor
Date signed
STANDARd .DE000TIOWALLOWANCE,*rx,' •+„'kT?•�ti. ±` 8+'„zr^s' :9 `°rr ,`c � 3Te? '" t`,x' , =.s
20 _ Pay 20 _
Lesser of 12 Homestead
Vatuattgn or 535.000
Signature of Auditor
Date signed