Homestead_Deputy (2) •
MATE FORM 555S illI'"-Y1 TREASURER FORM 75-IA
kP trn'EO KY STMT.DOARDtW.RTRNTn.law PRIMED BY MT bFPMTffrC(f UEI GOVERNMENT FINANCE We-1.1-224J
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to roe homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eta for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
' al HEA 1344-2004 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying. information necessary to allow county government to better monitor homestead
filings.ibis information will he kept confidential and can only be accessed by authorized county officials.The Ilepanntent of
Local Government Finance will use this information to create tools that will help eolmry officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Deputy, Mark A/Kendra N
RI I1ox 212 Ab
Oakland City IN 47660
4748
Mark A Deputy
2621 S SR 57 State Parcel Number Legal Description
Oakland City IN 47660
26-13-26-200-000.032-006 003-00032-00 PT NE NE 26 2 9 1.4223 AC
C-1
\^V/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
- �g Address(number and street.city,state,and ZIP code) - - -- - - /1�l Same as property address '-
Spouse VI First Middle j Last
enolfQ n► coke. �u I�1/(
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
PART 3:CERTIFICATION
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.
Owner I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT/STANDARD DEDUCTION
State Form 5473 (R71 5-W
Prescribed by the Department of Local Ciovernrnerd Finance
INSTRUCTIONS: See reverse side for Ring instructions. T)
CIERTIFICA110ti:STATEM 1 W
I (we) A VO"kO— certify that on ftj "q odMNR7eQ_
I (We) occupied as our principal place of rasi8ence the fof&ng described real property for which a Homestead Property Tat Credit is hereby claimed:
"(we) owned El Are buying under contract
eve a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prol%?W"Rt e rtw
. . . . . . . . . . . -RECORDF URN; �WWDIWIWRI� teln"RIN" im4l-AtRWRVINT
ONTRAC�T,
if hryvv on contract Fee Simple owner's name
Recorders office . where contract is recorded Page
Record number
PROPERMOMED BY-JUMMANTMIO114ER COUI(Iil]ES !y?
Ks;" PROPERWOESCRIP.TION
county
Tor hlp
Township
Taxing district (ci�K fo�. township)
Parcel number
Q4- 13-4-40-WD- 03a-664
Legal deskrIption
PL-nc ro c
Is the property in question:
I [] Rest Property ❑ Mobil. H.. (LC. 6-1.1-7)
portion of the residential stiruckee or the land not exceeding one (1) that immediately surrounds that structure is used to produce knoorne, describe the � arx! portion
a5ra-01
of the property utilized In produce iioarnrr.
�9
i-.L1993 Ac
PROPERMOMED BY-JUMMANTMIO114ER COUI(Iil]ES !y?
County
Township
County
Township
I hereby certify the above statements are true, conect and complete.
re of dairtuurt
FT�m
I
urm
(n aw street star �g
M I ja
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ku
pg'
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�,-A'-TRUErTAX%J"rRN
'4699iiz,0
';gNON4;MSlDENTlA6--
WOZ
Ell
FT�m
-R,
Land not exceeding I (one) acre immediately
surrounding residential improvements.
6,
Other [arid
(2)
W,
I, t"' Z'l
.
TcUd land (fine 1 ptus [no 2)
(3)
Dwelling
(4)
Residential improvements � Annually
.0--
Assessed Mobile I Manufactured Home
Garage
(5)
Nv z , -I-
'M4 V R
A
Other improvements
(6)
ME,
Q
TctaJ improvements (roe 4 through fine 6)
(7)
Total value (toe 3 pis one 7)
(8)
1 hereby oerfify the above is true, conrecL and
Signature of Assessor
Date signed
complete.
Vaifyingaction - Signahr, ofAucfftr
Date signed
DMUCTION'AL-COINANCE
low 20 _ Pay 20_
Lesser of 12 Homestead
Valuation or MOOD $
Sgnature of XAtor Date signed
