Homestead_McCullough War lORN!!V*I R'OAK/
,ro En BY MATE lNOOf✓�aM(_M1 r IFAUIU FORM 13-IA
: A t m ET
FINANCE MVI.1-LAI
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.I Iomestead fraud causes higher tax bills for all:therefore.
• HEA 1344--3009 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 government to better monitor homestead
filinrei.This information will he kept conldemial and can only he accessed by authorised county officials.The Dcpannsent of
Local Government Finance n ill use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
McCullough, John K/Tanyar
6- R I . .
Oakland sty IN 47660
4328
John K McCullough
10653E 125 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8639
26-13-13-300-001.042-006 003-01042-00 PT SW 132-91.21 AC
C-t
X
PART 2:TAXPAYER INFORMATIOtN -
Owner I First Middle Last
John ke McCuJloucl
g A d d r e s s(number and street city,state,and ZIP code) - 'S a m e as property h d d i c s c J — --- - - -- —
0 5 3 e Lass S DOLLla ,i C' -47 IA) '74; e0
Spouse First Middle Last
1a nL/a_ 7en�e Met Cu (�cruy h
Mailing Address(Number and street city,state,and ZIP code) . El Same as property address
I(7t75�' C in S 19tOand CI + "i Zlv Ch(ol00
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.
(NIrer I Sicnaure Uatc
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing insinictions.
e fif that o�he 1st of March. 20_
(we) as as our principal place of re!sidenc�e �afollonvmg dos d real property for Lh a! Homestead Property y Tax Credit is hereby claimed:
❑ a) o ad ❑ 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 or is buying under a contract.
ONTRACT�RECORDED�-�-'-,-'-'-�
11 bUylng on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
60 Vv$�� - - `IJMRIP.TIOWVj�;Z� :� .'t � t--- :-
�'-*-WiPkOPERTY
County
Township
Tani district (city, to", township)
Parcel number
() _ U
Legal description
1
Is the! W��Ymqe�-tion
1
.3 0 4 a - (20
(VReal property ❑Mobile Homo (I.C. 61. 1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately wmaunds that structure is used to produce income, describe the use and portion
of the property ufitizM to produce income.
te� - Al -/3 - d6r.)
.� ASSESSOR USE ONLY
County
Township
County —P--
nship
I hereby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state, ZIP code)
.� ASSESSOR USE ONLY
TUETA�Xlf�
ASSESSED -'-VaLjE
'd
2AH0ME*'S`T--ED'
x
�NONMIDENTAt
Mt4a
W
§YALUE� &
:�AT I 00%F
-
Land not exceeding 1 (one) acre immediately
surrounding residential Improvements.
Other land
(2)
M
Total land (fine I plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
- si
MEW
Other improvements
(6)
4� W11,
Total improvements (fine 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(8)
I hereby certify the above is true, correct. and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20_
Lesser of 112 Homestead
Valuation or S35000
=t77 _ In 3