Homestead_Fulcher MATE FORM:!H IR:rfJM t TFrASIALER FORM SIA
1 .ArrROCEr nY`.1.31.11000 OF AnrNTS.2P PRcYAIBEm BY ME OEPARTxmNrOE LOf:LL&AWER.MMrHT FINANCE w 1.I-r-s.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 eser for homestead fraud.homestead fraud causes higher tax bills for all:therefore"
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identity-me information necessary to allow count'government to better monitor homestead
1 J Loral.Iris information ill kept his in or al and ran only be s that J by help aunt county officials.in.ehe homestead of
Local Government u t info ation w will ke this information to n only
axes that will out comity officials eliminate homesead(mud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
APR 9 LU1U Fulcher, Steve/Karen A
1300 hi
a`/}` Oakland City IN 47660
5642g$ON COUNTY AUDITON
Steve Fulcher •
1644 S 1300E State Parcel Number Lethal Description
Oakland City IN 47660-7874
26-14-20-10000-001534-006 003-00313-00 PT NE 20-2-8 1"81 AC
' 1
PART 2: TAXPAYER 1NFOR\1ATION
Owner I 5- eve_ First r a Middle FU l eV, last
&rd re rek _ u
•,g/A/ddress(number and
amid street city,staterr and ZIP coode) / ( Same as property oldies ""
/441/ Som- 7 / 7od I/ Oaf,, ) CIA jlL� . y / ‘,�O
Spouse First ,� Middle Last
i\4rlP�n I A-1A Fu /CI 40
Mailing Address(Number and street,city,stale,and ZIP code) lam(Same as Upro/ppperttyy address
•
/( y1l SaM 1 /3 6Ea Oakland -175/ a-, - / / r:(r
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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.
Owne tgnature Date
1�
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (RS 17 -07)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) I b 1 certify that on the 1st day of March, 20_
1 (We) occupied as our principal place of residence the following describereal property for which a Homestead Property Tax Credit is hereby claimed:
(We) owned ❑ Are buying under contract
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.
YEAR
CONTRACT ••. r
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Re d number Page
PROPERTY DESCRIPTION
County Toms hip Taxing di (city. town, lownship)
Parcel number Legal description / I Is the property in question:
L - (j - L- - eel property ❑ Mobile Home (IC 6.1.1 -7)
It any portion of the residential structure or the land not exceeding one (1) acre that immediatery surrounds Ihat re is used to produce Income, describe the use and portion
of the property utilized to produce income.
1
ASSESSOR USE ONLY
TRUE TAX VAL E
U
PROPERTY OWNED BY CLAIMANT
County nship
Mi OTHER COUNTIES
County 7o mship
I hereby certify the above statements are true, correct and complete.
Signature of claimant
0s (number and street city, state. and LP code)
ASSESSOR USE ONLY
TRUE TAX VAL E
U
i AS�ESiSED VALUE
HOMESTEAD
NON-RESIDENTIAL
$
a 43,000 for 2009 pay 2010 40,000 payable after 2012
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre immediatety
.
surrounding residential improvements.
(1 i
s •., . , _ _
-
Other lard
(2)
Total land (line 1 plus line 2)
(3)
'V
Residential improvements or Annually
Dwelling
(4)
r,•
Assessed Mobile / Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (Tine 4 through fine 6)
(7)
Total value (line 3 pis line 7)
(8)
1 hereby Certify the above is We, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
r STANDARD DEDUCTION
Pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44.000 for 2008
Homestead Valuation pay 2009 41,000 for 2011 pay 2012
$
a 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Nate signed (month, day, year)