Homestead_Corn (2)•
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APPKOVEI BY cl ATEIXiwm(FICCaNT(._`nw WARMED BY nit DErA0.TNFYi(FLOCAL GOVERNMENT FINANCE If 0-I.I-L'4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead snndaN deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net-for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1347-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to cruise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confdemial and can only be accessed by authorized county officials.The Dv-panatela 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
Corn, Jeri E
Rr I Box 47
Oakland City IN 47660
"R9
State Parcel Number LeEal Description
Oakland City IN 47660-8633
I tIt rIIrtt ItIIrtr IIr rIIIrtlttlI rllttr tllrrt llt lttl ninon! 26-13-11-400-0/01/.300-006 003-01300-00 PT S SE 1129.91 AC
V
Spouse First Middle Last
Seri S1/4/ 4. e dorh
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
/con- 6 so S , Oakland C_l •
, .zn/ v7660
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
IP or
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
Slate Form 5473 (R6/4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS See reverse side for liling mslnrcfions. Ij -11 l J
descWed real property for which a Homestead Property Tax Credit is hereby claimed:
t.. /n
❑ ](We) owned ❑ Are buying under contract
Have a beneficial interest in the entry hat is liable for the roe taxes on the roe .,.pro p t sr ° i C r a:c
tY property rtY property rty and that owns the property or is buying under a,contract.
4 enh= `.:'CONTRACTRECORDEDtiw2 = `��Z °t'+- ?= aftL�:?'i'::a °�..'."Xt
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
., '.: '-' -:? '.' �•.s' +'i ` k 'rt<' -zt r'":aw PROP,ERTY.DESCRIP.TION'4?'
- -
County ( Yl ->Ir1
T sip x
!Ls -4..
Taxing di ' t (tl , awn, fownsh')
Parcel number
Legal description
Is the property in question:
Eft Real property ❑ Mobile Homo (LC. 6-1.1-7)
N any portion of the reLdendal 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.
013 o D
cat
- !-LVa'rFk rb- = „tPROP.ERTKOWNEDBY CI' AIMANT ;INATHER'COl1NT1ESf.:,i?'`4:: 3?�?`•'s= , +- }''"�.
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Signal a of cl ant
dress (number and street, city, state, ZIP code)
�- ' r> - i' ” -
-. ASSESSOR,USE ONLYU;r �
,4 TRUE TAXf t
.
ASSESSED VALUE
HOMESTEADIx'
+e NONLRESIDENTIAL
..:: �v` RfiA2a�s ."._�',- .,."a<.,f�'r*„Si�`•
VA_LUE",rY- '.• ?sr.
.AT 100 %,- y�F,.TTVri`3VALUE`
Land not exceeding 1 (one) acre immediately
O
"�'
surrounding residential improvements.
•° t= .
Other land
(2)
-';
Total land (line f plus line 2)
(3)
Dwelling
(4)
E
'- 4�"'''
Residential improvements or Annually
'�'''"'
Assessed Mob% / Manufactured Home
Garage
(5)
,
- -:.-13
Other improvements
(6)
t T•v� -'r
s
i .
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 1/2 Homestead
F71
of Auditor Y ( -y / / I Date signed