Homestead_Morris il.itE RR)1 M!1N1tit'AM 7REASIJ DER 108.4 75-IA
.APPROVED BY iritt MNn1%AMAINI).q.. PRIYRIPrn BY MC DEPARTMENT OF LOCAL CMiR.VXQ.l Pa:421C 4-1.1-2:4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
‘}llo more beneficial.there is more incentive than no.for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2009 requires taxpa)cn who receive the homestead standard deduction to verify that they are eligible to receue the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
d n N.This information will he kept confidential and can only Iv accessed by aulhori.ed county officials The Depanment of
1 41 Gov< I n Ft)='yy officials F
ill use this information to create tools that will help county ocials eliminate homestead fraud.
rirr■- . PART 1: PROPERTY INFORMATION
�
Taxpayer Name Property Address
_ APR 7 LULU Morris, Margaret A
K 2 Box 229
776e- , /et Oakland City IN 4766L60 �7
4985 GISSON e®UNTY torso T9p 9-''4%. /� 2 //` / �J
Margaret A Morris
942 S 1275E State Parcel Number Legal Description
OAKLAND CITY IN 47660-8128
IIIIIIIIIIIIIIIIIIIIIItIIIII(IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 26-14-17-300-000.861-006 00 C-1 3-00861-00 PTE17-2-878.20 AC
K.
PART 2:TAXPAYER INFORMATION
Owmf h I ( L Fist Middle Y Last
02 tn n P. /�{ O^er r/`7�-
ig Address(number and stmt,city,state,and ZIP code) — - - —.._®-Same asirropertyy address' - - - - -
9 21 A 2 t-- 7s c c az , y7i o
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) [] Same as prupeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
snit
PART 3:CERTIFICATION '
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 1 Signature Date
•
CLAIM'TOR HOMESTEAD PROPERTY TAX FORM
CREDIT/STANDARD DEDUCTION - HC10
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
YEAR
a) certify that on the 1st day of March, 20
I (We) occupied as our principal pla6 of residence the following described real property for which a Homestead Property Ta(Credit is hereby claimed:
'=It (We) owned ❑ Ave buying under contract
Wave 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.
CONTRACT-RECORDEW
I buying on contract, Fee Simple ownees name
Recorders office where contract Is recorded Record number Page
1,.PROPERTY4ESCRIPTIONP-
COUNTIES -'--
County
Township
County Tmnshfp
Taring 7ct (ck,)own, township)
Parcel number
tion
Is the property in question:
Land not exceeding 1 (one) acre immediately
'Qzpeal Entice ❑ Mobile Home (LC. 6-1.1-7)
If any portion of the residential structure or the land not exceeding me (1)
kcre that immediately surrounds thilip6ticture 1, used t7produm income, describe the use and portion
of the property utilized to produce income.
surrounding residential Improvements.
(1)
-.2'is''--M.'FiR-60E-Rt,��6WNt6,dy—,dL;urAANT;IWOTHER'
COUNTIES -'--
County
Township
County Tmnshfp
I hereby certify the above statements are true, correct and complete.
Signature of claimant
9�s (number and street city, state, ZIP code)
7
im-TRLIE-TAX71"*-�-I'ASSESSE
ASSESSED VALUE
HOMESTEAD,. 1'
.4-NONLRESIDENTIAL'9.c
As
Land not exceeding 1 (one) acre immediately
Valuation or $35,000
WAIX
surrounding residential Improvements.
(1)
_1M 2
Other land
(2)
Total land (line I plus line 2)
(3)
Dwellin g
( 4 )
Residential improvements or Annualty,
I �r-
Assessed Mobile I Manufactured Home
Garage
W
�J'V 7 4`
(5)
.?Ibet improvements
(6)
d
Tdal Improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD, DEDUCTION ALLOWANCE-,
20 _ Pay 20
Lesser of 1/2 Homestead
S
Valuation or $35,000
Signature of Auditor
Del signed
Ol