Homestead_Greene • STATE FORM 535•(RP 2.10) TREASURER FORM 15-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY TEM DEPARTMENT OFEUDAI.COVERNMEV1 MNAr IC 61.1.222,1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS .
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
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. benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Deparanent of
FILELocal Government Finance will use this information to curate tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORi IATION
Taxpayer Name Location Address
APR 1 5 2011 Greene,James R/Lou Ann •
CR1150E
IN
OAKLAND CITY IN 47660
1556IBSON COUNTY AUDITOR _fin James RGreene �� 111111111!VIII_fl111111 DIIUIIIIL1 11111 III 11�111VIII�1111DIVIIIII-1111- II
211951150E
OAKLAND CITY IN 47660-7629
1111111111111I11ii11111i111111111111111i111111111111111 11111111' State Parcel Number / Legal Description
26-13-24-400-000.302-OO6'/ PT E SE 24-2-9 2 AC C-1
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
'A' _: A. 'A ' 1 ', 1.
• a First '° Middle Last -
� m p s Cl ■1 n 1'N mil g e e r-)
Mailing Address(number and street,city.
L _o ciity.srstate,and ZIP code) ` - 1 e as property address
•21 `1 S k SO UQ OW\ d (t F� I � (0 to 0
Spouse First Middle Last
L� - (
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r\ n ( cce n e •
Mailing Address(Nu nber and sir e4 city',state-,and ZIP code)`___ _ _.__ _,—at Same as pioperty 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.
ow;>er Isignature Date
CLAIM FOR HOMESTEAD PROPERTY TAX �� FORM YEAR
CREDIT/STANDARD DEDUCTION Hcto
State Form 5473 (R614-03)
Prescribed by the Department of LocW Government Finance
INSTRUCTIONS. S" reverse awle for MW k"6ial:60ML 7- ?r IVA 1)
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.-11-7-ERnFICATION STATEME?!JT#,4-��,!.!?"
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1 (We)_ LA I-f 0 (kAao ertify that on 6io 12 d%y%1 March, 20
1 (We) occupied as our Iiiiiincipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ 1 (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 ni-TOR
or Is bu�n a contract.
--nTA C. jrund4
NTRACT.-RECORDED
If buying on contract, Fee Simple owners name
Reccrder's office where contract is recorded Record number Page
A
%�.iPROPERTYDES CRFRTIGN
County
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0 ffT—EZ
T i (ci I whip')
Per rjumbeir
no 1-57
Legali&N,4yo
V T, a: c� yc.4-5
Is the Property in question
property ❑ Mobile Home (1.C. 61.1 -7)
If any portion of the residential structure or the Land not exceeding we (1) acre that immediately storounds that s*cture is used to produce income, describe the use and portion
of the property utilized to produce income.
:�;Z7, —
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Signatur of claimant
J)
A ran (number and street city, state ZIP code)
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FAI
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aTRL1E:rAx`i,
c.-iPIqe
'ASSiS ED i
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M4,VALUE&%
0
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
R-NOW
'Retsidential Improvements or Annually
Asaeeaed MobBe / Manufactured Hor11e
Garage
(5)
r -'po ---Y,
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
10al value (line 3 pits line 7)
(8)
certify the above is true, correct, and
Signature of Assessor
Date signed
Fhereby
complete.
con
V-tong action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead
Valuation or 535.1300
Date