Homestead_Ewin STATE Po0.m!■S 1n:!Ynl ERrAS11mmm Po0.4 TS-IA
t APPROVED BY SIAM BUMROM AMOUNT,._1/M PAE]1lm13FDaY THE DTPARTVENT OF LU'AL GOVERNMENT FINANCE M•I.1-n-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Iomestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Depannrent of
Local Government Finance vv ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ewin, Randall W
PO Box 7
t Oakland City IN 47660
2286
Randall W Ewin
12729E 100 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8119
1t1rr11rrr1r11rttll ��t rr�rr�r rrt��rrt���r�rrrt�r��r�tr�t rt�� 26-14-17-300-001.478-006 C;SW SW NW&PT NW SW 17281.00 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1 AJ A LL \L) A∎(Al E r6-- Lo t ,v
g Address[number and street,city,state,and ZIP code)- _ _ . _._ _.._ El'SulnC as property-addr.=v — _._. - -
l2-R2°/ E TOO OhKG7,Atua CaCy I (u CIe2b6()
-
Spouse First Middle Last
iti0L9
Mailing Address(Number and sweet,city,state,and ZIP code) ❑Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
se=
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.
Signature II (�/;�,�, /� Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Stele Form 5473 (R7 I &M
Prescribed by the Departrnard at Lo®i Governrrmt Fn
INSTRUCTIONS: See reverse side for ffib7g Instructions
V OU F 2 a 2006
YEAR
I (We) on oe" that onAtie 1st day'af March. 20
- - - j — � , nmN
1 (We) occupied as our principal place of residence the b5owing described real property for which a Homestead Property M199-e-by claimed:
M1A,(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 buying under a contract-
If buying on contracL Fee SmWie awnees name
Fbmmrd&ls once where contract is retarded Record numbs( Page
r PROPERTY qEsm;y.nOhl,',-"
IWOTHER COUIVnES,
? Ak% .,U,-
Tomnship
Taxing district (cly, &TJn, I
County
Parcel %Wbff
Legal deso PlJon
is the property
IF —
Q 03
prop"
Mobile H. (LC. 61. 1-7
If any portion of the residential structure or lhe land not ex0eading one (1) acre that onffeckstely svnasnds tlh>d stnactrae is used m prodtee kxxane, describe the use and portion
of the property utilized to produce exxxne.
&'a -'q-a26-14-17-j0o-W1. 4-fi- 00(0
PROPERFY OVfflEb BY CLADWiT
IWOTHER COUIVnES,
? Ak% .,U,-
County
Township
County
VALUE :
Township
I hereby certify the above slaternents are true, correct WW complete. SWMRMZ� aq
TRUE TAX P-,4'
ASSESSOR USE ON
RAW.
VALUE :
Ye��TTV,
VALUE 2"
Land not exceeding 1 (one) are i rnrnediat*
surrounding residential improvements-
Other Land
(2)
Total land (Im I pAus bris 2)
(3)
W41 tx'dff Y' is
Residential improvements or Annually
Dwe lling
(4)
Assessed Mobile I Mamdactured Horne
Garage
(5)
Other unprovernents
(6)
Twit unpravernents (fine 4 through fine 6)
(7)
Tbtal value (Ibe 3 phs fine 7)
(8)
I hereby certify the above is true, cornect, and
connPlate.
Sig mh" of ASSessar
Date signed
%"ng action - Signsbure ufAudllor
Date signed
20_Pay2O_
Lesser of 112 Homestead
Valuation or 535,000
Dsts.brmd
fo .23