Homestead_Cargalri
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIUSTANDARD DEDUCTION
State Forth 5473 (R7 / SW
Prescribed by the Deparlinart of Local Goverivnert Fnarice
INSTRUCTIONS: See reverse side for riling instructions.
thatlet Mor"I"'
let
cl�nred,
l(ww:), as of rrmsi==tf,3�5,imving desc�,�l �W�0�p�f;�;Ihmh certify
(We) ❑ GIBSON COUNTY AUDITOR
We) C3 Are
Have a beriefidal interest in the enIJtyZs!IieUe for the property taxes on the property and that owns the properly or is buying under a contact
d F:
in buyffig on contract, Fee Suriple owners nam
Pamordeft office where contract is recorded Record timber Page
.... . �'OkoPERTY.d"t6 ImCLAtmAkfimbimm
pk6pEjjfY .DF 4 OK�
_SClj" Oj4kq, _ . j�� , 1 " --45
C-Alty
Township
Tacing distrid (ciy, t--, townstup)
I hereby certify the above statements are true, correct and complete.
TF'V
,1100%'OF., -g
W&
Is the property in question:
I 'Real
o3 —&T
7�1-1 C ft� in
- 11 property ❑ Mobile Horne (W. 61., -n
if any portion of the m acre thal immadatety surrounds Bud structure is used to produoe nmrrre, descrbe the use and portion
of the property uti(®d to produoir umorne.
.... . �'OkoPERTY.d"t6 ImCLAtmAkfimbimm
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
TF'V
,1100%'OF., -g
-A
(number and street oFlysiateZfPcode)
Or 6i(p
7�1-1 C ft� in
Lend not exceeding 1 (one) acre immediately
j:
.-ASSESSOR USE ONLY'!-
IRtJE,7Ak,! ,
Asksibi 4AC6
-'AT
-, HOMESYEAD
Lesser of 12 Homestead
TF'V
,1100%'OF., -g
zz
-A
Lend not exceeding 1 (one) acre immediately
wriouncling residential Improvements.
OGWNIA
Other 1"
(2)
-Z
Tdaf land (Im I plus line 2)
(3)
w
Dwelling
(4)
Residential vWrovenienbs or Annually
Assessed Mobile I Marmirladimed Florne
7); Z, 7� R gory'
Garage
(5)
�
Dow priptor%,arnents
(6)
Total anpm%rernents (roe 4 ffmotio fine 6)
(7)
Tctal value (firm 3 p" fine 7)
(8)
1 hereby tenth' the above is true, cared, and
complete.
SignatureofAssessm,
Data signed
Vatfying amen - signature of AxRor
Data signed
% — rr %%%
,STANDARD DEDUCTION ALLOWANCE
20_Pay2O_
Lesser of 12 Homestead
Valuation or sm,000 $
Squiture of Auditor
-A
% — rr %%%
•
lei L m em .1'I.IR'I f el THESO[EA FORM TS-IA
APPRrwEO BY SrsTE BOARD Of ACCOUNT,.J.. PRF.ANnw BYnl!oEPARITIEYr OF LOCAL C1rt'V.rAT FINANCE IC 11.I.1-E'4.1
Gibson County Auditor
101:N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual 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 tax bills for all:therefore.
® HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verity that they am eligible to remise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be Lepl confidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Cargal, Joseph J/Meagan A McAfee 9ii a4 E. ,'Y A" cf.
1 Po Box 26
Mackey IN 47654
3260
Joseph J Cargal
9624E Main St State Parcel Number Legal Description
MACKEY IN 47654
26-20-14-103-000.037-002 015-00037-00 PT SW NW 14 3 9.545 AC
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 `1 n First `\\ Middle '/�1 Last an/eS
•g Address(rum and street.city,stare,and ZIP code) ...1)0 (307,cR(p J Same as prupe Bd
11
S.,. , First �1 � Middle �`�!/`� ' vt last
Mailing Address( mbcr and street,city,state,and'ZAP code)—Po 4507.BZ ameV as property address Goy. /`
' & Z�f U Tma ; -i s-t RIck C) TN �r-7695c/ pi0115
l7Cl /
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 be liable for back taxes and substantial
financial penalties.
Owner $ su
OIL
PART 4:ADDITIONAL INFORMATION