Homestead_Deputy (4) STATE FORM 53!M tAZ fWI T EMUam r0&M is-IA
.APVRrr.'EO BY SI\IE GI\\ROOF MYY.I'.\i(9v Rar][IUBFD BY tt 1E DEPMneetle LIR'AE tKSStL:.ET"i MP'ANCE IC 6-I.1-r-ti
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than exec for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verity that they are clicible to reeSe the
benefit and to provide additional identifrine information neccsary to allow county government to Netter monitor homestead
filings.This information will be Lett confidential and can only be accessed by authorized county officials.The Ikpammni of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
F �'
Deputy,
Taxpayer Name Property Address
�l Deputy, RoberUBetty
RI
APR '7 LULU , Oakland City IN 47660
4299
Robert Deputy
11218E 50 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-SON COUNTY AUDITOR
26-13-12-400-000.640-006 003-00640-00 PTW SE 122938.921 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
BETTY JE DEPUTY
tg Address(number and street,city.state,and ZIP code) _ - Same as property address - - -
Spouse First Middle Last
ROB6—RiT - OeQE2 SE3)
Mailinc Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's Licensc/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Stec
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 1 Signature , Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
t State Form 5473 (R5110-01)
uu Prescribed by the Department of Local Government Finance
See reverse side for riling instructions.
FORM YEAR
HC10
I Tit ��
I (We) Iv certify that on the 1st day of March, 20
I (We) occupied as our principal place of residence the 70 llowin�&nbed real p operly for ch a Homestead Property,TadGedit is (h(ereby claimed:
❑ I (We) owned ❑ Are buying under contract l^J`�
r`13�(1N COUNTY AUDITOR
-lave 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.
_. -.
_ ��• pis, u'; a' t� ^;r�u.",CONTRACTRECORDED`�+,_.: ate §e>�3:s�kfa'L�".r�:,t>�'*�•'.k
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
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PROPERT!AESCRIPTION�E�':E� =;'
County
Township
Testing district (city, town, to )
�.
VAI:_UE�
�ress (number and street, city, state, ZIP code)
l y766o
Parcel rl O �O��0
Legal de sc
pti
r&
the prc Ay in question:
U
eat DroParty ❑ Mobile Home (I.C. 6-l.1-7).
If any portion of the residential structure or the land not exceeding one (1) aae that immediately surrounds that s6ucture is used to produce intone, describe the use and portion
of the property utiIaed to produce income.
38 9,1.1 o�.c
3 / - D - ".. 1,4- we,
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`"V'P° •_
County Township
County Township
I hereby certify the above statements are true, correct and complete
atone of claimant
'"R USr � t e"
VAI:_UE�
�ress (number and street, city, state, ZIP code)
l y766o
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`"V'P° •_
TRUE T/1Xy
M
ASSESSEDVALIJE
`ATi100
HOMESTEAD+
NON- RESIDENTWL
'"R USr � t e"
VAI:_UE�
%.OFTfV
VALUE i'
..VALUE�-`�x&— cy
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
A 0
Other land
(2)
�.`...�r
_•�. z
Trial land (line 1 plus line 2)
(3)
Dwelling
(4)�^
3r
Residential improvements"""
et
Garage
(6)
2Ow—
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 1/2 Homestead
Valuation or $6,000 $