Homestead_Ferry 'USE FORM.!Ma.rn- t I1IF4fUerA RAM 73-1A
APPROVED PY STiTE erKwor sox*'NT&?,x rLIY,IDn)av nir OEP Th T(FL(A'.LL GOVERNMENT FINANCE IC4-I.IS4.1
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 or this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA l544--2009 requires taxpayers who receive the homestead standard deduction to serifs that they am eligible to reecho 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 he accessed by authorized county officials.The Ikpanntenl of
Local Government Finance will use this information to create u,ols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ferry, John WilliamNada //;3 4/ 5R 57
—le-Box-3022
Oakland City IN 47660
4921
John W Ferry
1123 N SR 57 State Parcel Number Legal Description
OAKLAND CITY IN 47660
26-14-06-200-000.242-006 003-00242-00 PT SW NE 6-2-81.68 AC
C-1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
G4,2 , Ferry
__-_•ac Address(number and street,city,state,and ZIP code) — . - Same as property nddicss__ —' ._- -
Spouse First Middle Last
Dada
//e//. A- e kry
Mailing Address(Number and street,city,state,and ZIP code) ' RI Same as property address
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
3•'i. CREDIT /STANDARD DEDUCTION HCIo
State Form 5473 (R2 f 5.92)
`• ��INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT r„rrA.1 K 1006
on the 11S1 day of March. 1921f
occupied as oul6rincipal place of residence the following described(Iglal property for which a H�stead�j(ytle>�ed4I claimed
I i Ix(We) owned ((�/,, ❑ Are buying under contract AUDITO
❑ 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.
CONTRACT RECORDED
buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
I Taxing district (city. town. township)
Parcel number
03- D _00
Legal description
.CcL� w 6 -a -0 J. (0 8
If any portion of the residential structure or the land not exceeding one (t) acre that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township I County Township
Ieby certify the above statements are true. correct and complete. I signatu�reee of claimant
Address (number and street. city. state. ZIP Code) /``/ l
LI
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
I (1)
Otherland
(2)
Total land (line I plus line Z)
(3)
Residential improvements
Dwelling
(a)
'
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pius line 7)
I (g)
1 hereby certify the above is true. correct. and
complete.
I Signature of Assessor
I Date signed.
Verifying action -signature of Auditor
Date signed
z�
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or 52.000
/ ignature of Auditor
STANDARD
S