Homestead_Creedon SIDE IorM ON. /,WI MEASURE,PORN:IAA
.APPROVEDBY MAIL BMBM Of MTTWSTS.`YM PUUYYIBEW BY THE DEPARTMENT OF LOCAL rarr,,MENT FIANCE Ie VI.I-r4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homesead slandanl deduction.As the receipt of this deduction becomes
• more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are elicible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kept confidential and can only he accessed by authnriced county officials_The Detainment of
Local Government Finance will u.c this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Creedon, Kenneth J/Jerri A L
RI Box 100-25
Oakland City IN 47660
4683
Kenneth J/Jerri A Creedon / q ��
,It,}-0nx 100-25 J 17 5 W k I S�nJ''/' State Parcel Number Legal Description
Oakland City IN 47660-8663
II I 'I II I' I I I' II II I" I I I I 26-13-23-101-000.113-006 003-00113-00 WHISPERING HILLS 2
r u ul r nl n nr n n nl nn stn I I I u I `X/ C-1 D-6
PART 2: TAXPAYER INFORMATION
Owner I First Middle /� Last
/it fin e i �Sr Cl�f�la A)
rn ddress(number and street city,state,and ZIP code) liKrneni property address
a'72 eS 1✓kisP-e't erg JJE //s Ed- Qa,UQ-nd Cory ,r/c) (e71
Spouse First Middle Last
7e t? in 4nn eteen/04i
Mailing Address(Number and street,city,state.and ZIP code) �ame as/property address 1, /�
/O 97J%JEsf eei /✓7ltd t o! Dd er-nd etily .Z/') / 7 060
Each undersigned certifies,under penalty of perjuy,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.
Owner I Signature Date
CLAIM FOR HOMESTEAD PROPERTY TAX
i CREDIT /STANDARD DEDUCTION
•� ice State Form 5473(R2 /5-92)
INSTRUCTIONS: See reverse side for riling instructions.
FORM
HC10
YEAR
1 11 CERTIFICATION ATEMENT
I (We) certify that on the 1 st day of March, 19_
I (We u ied as our principal place of reside a the following described real property for which a Homestead Property lax 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 mg a t
CONTRACT RECORDED
jUN 14
If buying on contract, Fee Simple owners name 19991
Recorders office where contract is recorded
R r umber --1J)�
GIBSON-�_/efJ;17v A
Pa
DITOR
PROPERTY DESCRIPTION
County
Township
Taxing dist ct ( , tZo township)
arcs umber
,
I A
Legal 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.
DOD. 3
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES -
County Township
County
Township
�ereby certify the above statements are true, correct and complet .
Signature of claimant
Address (number and street, city, state. ZIP code)
00- 1WO
ASSESSOR USE ONLY
TRUE TAX
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)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or 52,000
S
Signature of Auditor
DaC .gnedd /