Homestead_Scraper e .
aIATE FORM VM•IRS/✓.MI TREASURER FORM 75-IA
Aron En BY STATE WARD Of.ATAI;TS.21..r FRE9(Wnm BY ME OFPARTtr'T(4LOCAL OOVER.YMEAT FPA%CF.MLI.1-L'J.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 becomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud caul higher tax bills for all:therefore.
• HEA 1344-2000 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
filing.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will h:Ip county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Scraper, Cory
— 935 f/ I_
Oakland City IN 47660
1672
Cory
-rstrx Q3 S I I 5-0 E
OAKLAND CITY IN 47660-8606 State Parcel Number Legal Description
Itlnilnt�tllntfiuilntlnluilttliuu11u1t1tut11tt1t1t1 26-13-12-400-000.494-006 003-00494-00 PT SE 12-2-91.7937 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 First t Middle Last
(Iorq kJ Iv ,dre.ui &raper
�g Address(num d street.city,state,and ZIP code) g Same as pr perry address
q3 II St, E Ua'R‘and C 11M 4lLthI)
Spouse First Middle Last
GQssie Sue, Scraper
Mailing Add (Number and street,city,state,and ZIP code) I ti l Same a property address
Add s IDS = Oak(ancui 1IN t �1eLeo
' __ - ----- - -_-- - , --
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 gnature Date
0
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
♦ w,r State Form 5473 (RS f 1001)
Prescribed by the Department of local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
FORM YEAR
HC10
IC . 14 , . , M, l/
CERTIFICATION STATEMENTS.?'7-.r' -*�.,�
I (We) certify that on the 1 at day of March, 20
I0'1(We)owned (We) occupied as our cipa place of resided the following described real property for which a Homestead Property Tax Credit is hereby claimed:
Are buying under contract
r' Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is a contract.
bb�uyyi�nrgyu�nder
n r
_"�+.'.li W.' YXP s' .I W,
NTRACTRECORDED�.�.,,� ,mar. ,sue,
SsA 5 0
If buying on contract. Fee Simple oumers name
Recordefs office where contract is recorded
Record number
Page
surrounding residential improvements.
n A
IC . 14 , . , M, l/
A� " �s �-'.`�',:`e`PROP.ERiY, OWNED; BYnCLAIMANTiINOTHER
WO��.-R'"� PROPERT' +�.._ - - -�'.
� -. ,ranCn -NTY' U rtQR VNE
County
TwmsNp
T " g d dry, town, to ship)
-rte q,7
n r
'UEE'_.VALUE`-i'�Z'.C'.-
description Is the property, in
Red property ❑ Mobile Home (I.C. 6&1.1.7)
If my 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 utillzed to prod duce income.
d(O — — .
A� " �s �-'.`�',:`e`PROP.ERiY, OWNED; BYnCLAIMANTiINOTHER
County Twvnship
Township
hereby certify the above statements are true, correct and complete.
Sign ure of claimant
dress (number and street city, state, LP code)
Q I go O t /4,l ef-
-rte q,7
ec
i��AS5E850R�USE ONLY'r
= TR E AX
°ASSESSED VAI UE.
HOMESTEAD
- N- iESIDENTUL�' a
�r1m. ,_
VALUErtAT.
i100%. OFTTVVAL
r a .
'UEE'_.VALUE`-i'�Z'.C'.-
r"�.`,
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
r}'
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)�
Residential improvements
_ VOL
Garage
(6)
N.RJ
.
Other improvements
(6)
Trial 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.
yen" action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of V2 Homestead
or $6,000
Signature of Auditor /_ // A / I / / ` _ An I I l / .? 1 / I Da signal V� r"