Homestead_Strickland (5) SIVE FORM!1V+IR-r 44/n - — tREASUtfA PORNTStA
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Gibson County Auditor _ _ --� IMPORTANT NOTICE TO HOMESTEAD PROPERTY-OWNERS
101 NMain_ - -
__ _ ---PRINCETON IN 47670 Individuals and married couples arc limited to one homestead aandanl deduction.As the receipt of this deduction biomes - _
more beneficial,there is more incentive than e'er for homestead fraud.homestead fraud causes higher in bills for all:therefore.
• HEA I344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to pnwide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by ouhnrited county officials.The Depanntem of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION'
Taxpayer Name Property Address
Strickland, Charles J/Sharon L
RI Box 2670 \/
Oakland City IN 47660 l/.'/�1—�
A276
Charles J/Sharon L Strickland
10828E Base Rd State Parcel Number Legal Description
Oakland City IN 47660-8467
Ir IIt II11t It IIItt IItI III tt lttlt tltTlt lit tl let It tltlltl ltr tl tll 26-13-12-100-000.934-006 003-00934-00 PT E NW 12-2-93.599 AC
C-1
9
PART 2: TAXPAYER INFORMATION
Owner I First Middle In Last
ljb a t s �t.0 All .E A �//i -/
se Address(number and street.city,state-and ZIP code) f. _ _ ._,_ _.-_ �i •me as property address -__ __ _ _ -_ _
is (2 gi So. bilL4 (� ) - 7 ,Z. .
---
Spouse First Middle Last
(
of • 6/)cal/.-1.ln 17 i A24 ,t4f g' --
Mailing Address(Number an street city,stale.and ZIP code) a t property address
/&901Y £ 624inj d - 9 7 640
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
F' unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature / Da./ug/
•
•
" °- CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
�I• State Form 5473 (R215-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
nnnn
JAN
CERTIFICATION STAT?Mg
,,
I (We) 'Yl �cert4that on the lst da of Ma 9 V
I (We) occupied as our principal place of re , ence the following described real property for which a Homestead Piopertz'Tax.CiedF�is erehB yjcfatmed:
LQ?' (we) owned ❑ Are buying under contract
❑ 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 owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
un
Townships -
Taxing digit (city wn, township)
C
Parcel numb
1063 w
Legal e ;;c con
i - C;?
If any portion of the residential structure or the land not exceeding one (1) acre that immediately sun ounds that structure is used to produce income, describe the use and portion of
the property milizedd to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
ereby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state. ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
$
Signature of Auditor
Date signed