Homestead_Montgomery SLUE/ORM S)Y+IR_t'-rt TS:SULFA rn0.V Stn
.APPROVED BY STATE WAR D OFMCOIXN.2u• PAF3111Bm BY PIE DEPARTMENT. OF LOCAL C VER:MINT FDcMCE IC 6-1.1-224.1
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 becoms
more beneficial.there is more incentive than ever for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 an tp ovidet additional taxpayers identifying who rin in the home homestead standard allow deduction to verify met they are t elimMe or homestead s the
benefit and to provide additional who
receive
information temvty to allow county veiemraerll to better monitor to cei-.ehe
FILED
flinty_This inanimation will be kept confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use thin information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
JUN 4 ZU1U Taxpayer Name Property Address
Montgomery, Barbara
22r a2 9l./674 10949 1:125 S
GIBSON COUNTY AUDITOR Oakland City IN 47660
1674
Barbara Montgomery
10949E 125 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8643
26-13-13-300-000.177-006 003-00177-00 PT SW 13-2-9.894 AC
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5
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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Barbara Maria_ Monl-gemen..-+
allAddress(number and street,city,state,and ZIP code) 121 Same as property address
Ibg4R E l25 S Da1[-l.and. a 1 k -47(.,60
Spouse First Middle Lzst
(3 ames _Nrere k cilork4 Diller/ I L-.
Mailing Address(Number and street,city,state,and ZIP code) p Same as prYperty 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.
Owner I Signature Date
R n CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC7o
State Form 5473 (RS 1 10-01) 1i
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for (ling instructions.
I (We) \ certify t on the 1st d ofnW)arch, 20
I (We) occupied our princip place of residen e e following described real property for which a Homestead J�M�b d
—40(We) owned El Are buying under contract GIBBON COUNTY AUDITOR
`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.
NTRACT'RECORDED' -`ia
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
�k..,....:. �%- �_--' �a�- � '.�S�v�}'`,t�f�'1re�f�`.::, -:,� �a PROP .ERTY:0E5CRIPTION�'+.r,.'"_•`.F �!- �n�;'aF^€�s. +;3iF��` - .t- ��`ra -,'"=
County
Township
Testing district (' , town, township)
Parcel number
Legal description
Is the property in question:
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al property Mobile Homo Q.C. 67J -7)
22-
If any portion of the residential structure or the land not exceeding one (1) acre Nat immediatety surounds Nat is used to produce income. describe the use and portion
of the property utilized to produce income.
- 3 - -Q04• /77 -00�
KV- ia`-'MM' - `�M!&7 N '��= PROP.ERTY OVYNED BV'CLAIMANT;IN OTHER` COUNTIES ., `;' „yt `� `:'' .�' `.. > -t!
County Township
County Township
I hereby certify the above statements are true, coned and complete.
'gnature f claimant
dress (number and street, city, state, ZIP code) n
kk ! V74,40
x�ASSESSOR USE ONLY
2�' :
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ASSESSED VALUE
'y'AT�100 %'�OF "TTV�
+HOMESTEADS
fir} VALUEr'�.
NON = RESIDENTIAL a xn
..sx `�
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
rn•y"r'0 '
Other land
.max • .
Trial land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
. }y
'} .�}' r e.3,t .'
r• `"(�• -rz�
Garage
( 6 )
Frti :-.rr Ti
Other improvements
(6)
r «�= N,t"t��• "i '�
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
Z- STANDARD '.DEDUCTIONALLOWANCE._q?E
qW 20_Pay 20_
Lesser of 1/2 Homestead
Valuation or $6,000 $
Signature of Auditor Date signed
