Homestead_Rowland (4) STATE FORM''M IR-I Serve TREASURER FORM 73-IA
■PPROwED BY STATE BOWIntW MO-ROTS.`rvv PALYAIBW BY THE DEPARTMENT OF LOCAL GOVERNMENT FtraNCR MF-I.r-r-sr
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.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
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Rowland, Kevin L
GEN DEL
Oakland City IN 47660
— _ _ _.__ . _ _
5421
Kevin L Rowland
12293E 100 S State Parcel Number Legal Description
Oakland City IN 47660-8138
�t�r t��rtr�T��rrt��t t��ttt�tt�tttt��rt��r�tr�t�t�trtt��t t�t�t� 26-14-18-402-001.368-006 00301368-00 PT NE SE 18283.7386 AC
C-1
S
PART 2:TAXPAYER INFORMATION
Owner I First Middle � el
e ✓, /1 lee A.
--•le Address(number and strut,city,state,and ZIP code) --- - - - — —1KI‘Seme as property addrss— – - - — --
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Seat
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 I Signature Date
•
e CLAIM FOR HOMESTEAD PROPERTY TAX
s CREDIT /STANDARD DEDUCTION
State Form 5473 (11215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
r
_c4:1111INUArrcmsrAlrmt141_r. _ . 1A -.:1 N-14SH
I (We) ��� y certify that on-ibe 1st day of Maa"l, 19
I (We) occupied as our principal place of resld ^e ce the following de ribed real property for which a Homestead Pro f Tax Cradit, ,Ver_f
We) owned ❑ Are buying under contract GIBBON
C' OLINTY AUC!TC'
��Li 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.
_ CONTRACT RECORDED >.
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Township
Taxing dis
'ct (d0; town, Twnship)
Parcel number
Legal description
VALUE
Ci - o t 2 � -aa
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
surrounding residential improvements.
"C - //f oa - 6<t�l/.
5zog- evz
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
' hereby certify the above statements are true, correct and complete. Signatu f claimant
dress (number and street, city, state, ZIP code)
U' (l o
&
TRUE TAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL;" -;
ASSESSOR USE ONLY
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
- -�-
Otherland
(2)
04
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct. and
Signature of Assessor
Date signed
complete.
verifying action - Signature of Auditor Date signed
- STANDARD DEDUCTION ALLOWANCE" , --
19_ Pay 19_
Lesser of 1/2 Homestead
$
Valuation or $ 2,000�'T1p
1� 1�
Signature nature of Auditor . / ..\I . \t
Y n ✓ 1 D . e 1).o V
Date —'