Homestead_Maikrantz STATE IORS 5!'MIRC INMI TRRMSUUR FORM 73-IA
.APPROVED BY M OEDC RUM'1M1TtsTS]ru Rl3RIBmnY n1E DEPARTHEYT(ftOtAL GOVERNStrF7 FB:.NTE le I.L1-r4.1
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 e'er for homestead fraud.Homestead fraud causes higher In bills for all:therefore.
® HEA 1344-21109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pnwidc additional Idenafyrne information necessary to allow county govemment to better monitor homestead
filing,+,ibis information will be kept confidential and ran only be accessed by authorized county officials.The Ikpannxnt of
Local Government Finance will we this information to create ids that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pro'erty -
_ Maikranz, Brian W/Lisa A
RI
Oakland City IN 47660
4749
Brian W/Lisa A Maikranz
2625 S SR 57 State Parcel Number Legal Description
Oakland City IN 47660
26-13-26-200-000.073-006 003-00073-00 PT NE NE 26 2 9 4.2939 AC
C-1
PART 2: TAXPAYER INFORMATION
Owner I First Middle I Last
f.
•
�ag Address(number and s r m Y.city,state,and ZIP code) `j c n s propene ndd2s5
z (Dz5 S SL571 Oa ((( d �'�--� ((/I 4 � 7 (z, (p
Spo w First Middle v Last
i sc� Oa( via Z
Mailing Address(Number and street,city.state,and ZIP code) Same as property address
HO nJ
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.
Owner I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
i CREDIT /STANDARD DEDUCTION
State Form 5473 (11215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
I (We) fy th t the 1st day of March, 19 �i
�1 occupied as our principal place of residence the following described real property for whit Ho`\m`\eStr�d�Pr"Tax is hereby clai L 11 (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 Pro under a contract.
` VVIYIr1XVr IfCMVl1V CU �`"
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded - Record number Page
ASSESSOR USE ONLY
PROPERTY DESCRIPTION
County (`
To hip
'-
Taxing district ( 0 yfy7. township)
Township
0 eby certify the above statements are true, correct and complete.
a re of claims t r
(number an str
_e e !
Parcel number
Legal description .
6//')L�/ ✓Z' 0007.3 _ D 0
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
ASSESSOR USE ONLY
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
HOMESTEAD
VALUE
Township
County
Township
0 eby certify the above statements are true, correct and complete.
a re of claims t r
(number an str
_e e !
t city state, ZlPCCde)
21 Z
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL. '-
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature of Auditor
Date /signed Q
(O — -�� /
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
-
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plis line 7)
(S)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
_Verifying action - Signature of Auditor
Date signed
- STANDARD DEDUCTION ALLOWANCE -
19 _Pay 19_ '
Lesser of 112 Homestead
V I nor 52,000
$
Signature of Auditor
Date /signed Q
(O — -�� /