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Homestead_Keeker •
STATE FOAM!Mt.t112'r!wl MEASURER FORM 73-IA
ArrsrwEn BY STATF.BMADE%MMOUNTS.9 v PAr:1111nrnaY air DEPARTMENT OE LOCAL COVERNsrNr FINANCE Me-1.1-`_41
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to ore homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county goemnlent to better monitor homestead
filings.This information will he kept cool:dential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help counts officials eliminate homestead Tiaud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Keeker, Scott D/Tracy E
_ -
Oakland City IN 476600
4272
Scott D/Tracy E Keeker
10196E 50 S State Parcel Number Legal Description
Oakland City IN 47660-8632
I 'n II I I� II II I I II nII I 'I I II I' I 26-13-11-400-001.407-006 003-01407-00 PT SW SE 112923.666 AC
I fit t io n io n u n tot t fit un t C-1
X
PART 2:TAXPAYER INFORMATION
Owner I :5) First Middle Last
•Ig Address(number and street,city,state,and ZIP code) 0 Same as property address -- -
lolg (9 E 6o S1 Oatiaald Ct-k, Ir= 41660
Spouve e—� First Middle Last
112i� N LA /f�� �1Z
Mailing Address(Nuns r and street,city,state,and ZIP node) ❑ Same as property address
10 11b E 60 S. U(kiciccnd CL c I u 1-7b(0o
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 orb taxes and substantial financial penalties.
Owner I Signsam Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
wa State Form 5473 (R5110-01)
Prescribed by the Department of Local Government Finance
M ldlaw
MAR 13 2003
E Rn CA 0 STAI��
4 pi 'n N, MENT
of�
I (We) pied as our principal place of residence the owing described real property for which a Homesteadr0f%�Qlj tdr��iri 6tA2r'e7G9Qclaj-med:
�(We)owned ❑ Are buying under contract
ave 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.
NTRACrcREGORDIED
If buying on contract, Fee Simple rromees name
Recorders office where contract is recorded Record number Page
IIARDIDEI[IucnomigtilowANCE
-.-�V-M 5STAN
20 _ Pay 20
Lesser of 1/2 Homestead
Valuation/ $6,000 $
Signature of Auditor (i),X] AQLJH�X ID3i!-nvl 3 —
County �—nship
County Twnship
County
7oxnship
I hereby certify the above statements are true, correct and complete.
if
TadnE��fo"' ,.town,
CMEP be
r-, IYO 7-00
Leo description
Is the property in question:
1
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t ES E
g4awgiff g6 7i
[--Real property ❑ Mobile Homo (LC. 8-1.1-7).
If any portion of the residential structure or the land not exceeding one (1) acre that immediatety surrounds that structure is used to produce income, describe the use and portion
of the property utiTi7ad to produce income.
6� —/3 //—
5 'ad —
IIARDIDEI[IucnomigtilowANCE
-.-�V-M 5STAN
20 _ Pay 20
Lesser of 1/2 Homestead
Valuation/ $6,000 $
Signature of Auditor (i),X] AQLJH�X ID3i!-nvl 3 —
County �—nship
County Twnship
I hereby certify the above statements are true, correct and complete.
if
Signature of cla- I
yber art, My, state, ZIP code) U
X 45A o
RE WNLYt
�UE-Tlft�
t ES E
g4awgiff g6 7i
's W
NO N4�S'MEWT BW
Land not exceeding I (one) acre immediately
surrounding residential improvements.
ME- 10- a-
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
335-MONVAMAR W-
?—&MW W :2
Garage
(5)
Other improvements
(6)
MEN MW
Tdal improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
IIARDIDEI[IucnomigtilowANCE
-.-�V-M 5STAN
20 _ Pay 20
Lesser of 1/2 Homestead
Valuation/ $6,000 $
Signature of Auditor (i),X] AQLJH�X ID3i!-nvl 3 —