Homestead_ColvinCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDMSTANDARD DEDUCTION HC10 OG 0
State Form 5473 (R6 14-03) eeettt
Prescribed by the Department of Local Government Finance ry ()
INSTRUCTIONS: See re`erao &We for HYw im6uc6am Jf{i J r C
I (vve). _ Li j ff.( EA.V k 7 LR.0 /1 v - ��� X r f, \ 1 certify that on the 1st day of March, 20
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Prop—�;VITax.Creffilis hereby claimed:
0 1(We) owned ❑ Are buying under contract GIBSON 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.
ONTR.4CT'RECORDED
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
County
County
I hereby certify the above statements are true, correct and complete.
(number and sheet, city, state, 21P
�-
; -M`,;; P,ROP.ERT.YDESCRIPTIONT�,%`ks� �TSY'`°#.. -; '..` t,'tirs'19..'. t=,';rf.
Court
Township
iHOMESTE F
T "ng d' ' t (city, con, township)
Parcel number
L escri
n
Is the m
P De Question:
'11
— UV
a VALUE ...3T+
3 9
Real property ❑ Mobile Home (I.C. 6-1.1 -7)
If any portion of the residential structure or the Land not exceeding one (1) acre that immediately that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
�ds
/
T dam
County
County
I hereby certify the above statements are true, correct and complete.
(number and sheet, city, state, 21P
�-
;`iASS~ E ORU ON YY 7
4 TRUETAX `
- ASSESSED VALUE.
°A'OFjj
iHOMESTE F
"'>+ iNON�!ESIDENTb4L `Sg
4�
_ATg100 TV
?y.VALUEM,
a VALUE ...3T+
Land not exceeding 1 (one) acre immediately
{ .,"-'„.;': �v-,�, '3 , h,'�r.',
surrounding residential improvements.
Other land
(2)
=-r'
2F�
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
S� L'-Zr` , a
Residential Improvements or Annue6y1�'t''
Assessed Mobile I Manufactured Home
Garage
c 00
Other improvements
(6)
a y i
&N V.Xi ' ^. ir
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARDAEDUCTI0N"ALILDWANCE;;
20 _ Pay 20 _
Lesser of 112 Homestead $
vausbon or f35.000
signature of Auditm Date signed
'lAtE F OVA A■!bOC/,0•11 TRFtiUIFA FORM TS-IA
.MYRCNED BY Mah MOD OFMx YRPIt.Y,w. PIFYNBRI BY OW DEPAATVINIff LOCAL(10,7211VMMT FNASCE C-II-24.t
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 remise the homestead standard deduction to verily that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flings.This information will he kept confidential and can only be accessed by authorized COMM'officials.The Delmontent of
Local Government Piaance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY L\FORMATION
Taxpayer Name Property Address
Colvin, Sharon S
104 S Division
Mackey IN 47654
8637
Sharon S Colvin
P O Box 106 State Parcel Number Leant Description
MACKEY IN 47654-0106
till IllilllLlltttIlIllItrlll III 111111111 III 11111 26-20-14-301-000.127-002 015-00127-00 PT NW SW 1439.45 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
S//PEON St COL VIN
.Ig Address(number and street,city,state,and ZIP code) - - AISatue as property address _. - --- : --- - _ -
Pr of anX / off rnR-cite
Spouse First Middle last
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
suit
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 •
Spouse Signature Date Telephone
( )
PART 4:ADDITIONAL INFOILMATION •