Homestead_McCoy STATE FORM 535M(R3 18-10) TRESSLInR FO1NRIA
APPROVED BY STATE BOARD OF ACCOWLS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOTn MENT FINANCE IC 61.1-134.1
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
I 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 Department of
Local Government Finance will use'this information to create tools that will help county officials eliminate homestead fraud.
J J PART 1: PROPERTY INFORMATION
NOV 2 2011 Taxpayer Name Location Address
McCoy,William J Jr/Valerie J
7205 7300 E
-
OAKLAND CITY IN 47660
50JBSON COUNTY AUDITOR - -
`William J Jr,Valerie J McCoy Jr. . .a 0000.000 III It II 0Ip 0I1110III 10II]I100110iiiIII101I ti I 1 I II 011 II_H o I
720 S 1300 E
Oakland City IN 47660-8131 -
"'llllli'il'III'II'I'I'illil'limit'I�'ll'illlllll'lllll"iillill State Parcel Number Legal Description
- 26-14-17-200-000A92-006 PT NE 17 2 8 12.39 AC C-1
-/.
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.
---- __...____=--_ _PARI2CLAXPA.'ER_IN FOILIN1141---_ --..----------_ .._ J----- -
O. I ,,1� )) First V N" �-' Middle Last
/11.4//74/VI �'��y �rA
Mailing Address(number and street.city,state,and ZIP code) ® Same as property address .
720 J' /30)5 0 KI s/d , IIJ. 9 7660
• .
Spouse First Middle Last
ALg,2aE Jlr✓E /4Ltoy
Mailing Ad dress(Number and street,city,state,and ZIP code) / M Same as Property address
r
o .5 1 300 1= • O$KLA.I� C[ry. If.J £e?GLo
•
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 t�taaxeesss and
d�substantial
� nancial penalties.
'
- --
<^ CLAIM FOR HOMESTEAD PROPERTY TAX
-y CREDIT /STANDARD DEDUCTION �(Q
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
pine)
i (We) occupied as our princi p e of residence the
Property Tax Credit is hereby claimed: IX
El property a beneficial interest in the entity that is lit
property or is buying it under a contract.
If buying on contract. Fee
contract
FORM I 1� YEAR
HC10
certify at the 1st day of March , 19v_-
oil wing described real property for which a Homestead
I (We) owned ❑ Are buying under contract
for the property taxes on the property arf TwIrl
CONTRACT RECORDED AI1G 02. loon
PROPERTY DESCRIPTION
Court Townr A l Mf l Taxing District (City, town, township) _ j2lu)
(Z
Pa (Number Legal Description a
)3 -0o Q2 -6)0 (1 1'7 a- .39
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struO
lure is used to produce income describe the use and portion of the property utilized,to produce income.
D- o? -GGIo
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements - Dwelling -
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Signature of Auditor
(3)
- (4)
-
- -
- -
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
Lesser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of Auditor
Dat Sign