Homestead_Yoder ,r
111 STATE FORM 5356s(NI&10) TREASURER FORM TS.IA
APPROVED RS STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL COVERNMEYT FINANCE IC 61,1-224.1
Gibson County Auditor IMIPORI.4NT NOTICE TO HOMESTEAD PROPERTY OWNERS " .
8----... 101 N.Main Street - Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever 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 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 help county officials eliminate homestead fraud.
I� PART 1: PROPERTY INFORMMATION •
Taxpayer Name Location Address
0 g1 Zo\ . Yoder, Stephen W/Sylvia .
0 SR 64
c'I .r\ V V OAKLAND CITY IN 47660
1614 CCoo II 1
Ste fW YoderNjy A�p1tp0. I II I�III CIII 0111 III�ID�II�II�II]IIuIII]CII]III111111LUll11 IIIIIILIIIILILII��II�
13363 E SR 64
•
OAKLAND CITY IN 47660
State Parcel Number Legal Description
- 26-14-17-400-000.849-006 PTE 17 2 8 6.808 AC C-1
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.•(--1 • , , PART 2: TAXPAYER INFORMATION -
O:. I First Middle Last
STEP NEk.5 (.0 4906 9)01)-e_CP___,
Mailing Address(number and street,city,state,and ZIP code) .Same as property address
•
/3 aLP 3' g' g—r/yrE Rocca LQ14
•. .
Spouse First Middle Last
3L? Lv1(r r Pt fa.LE, IVC R - 1, i -' o-o t
^` Mailing AOdrtss(NUmber and sheet city,state,and ZIP code) - - - 4 7 dv'•as Mrnper I,ow.va., . _ -_
_.
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.
Own.- I ignatme Date
/ - .
•
I`
CLAIM FOR HOMESTEAD PROPERTY TAX G FORM
YEAR
CREDIT /STANDARD DEDUCTION HC10
♦ s =ate Fonn 5473 (R7 / 5-M
P-esaibetl by the DeFartrrharht of Loral Gorerreriord Fowue i Fn
INSTRUCTIONS: See reverse side for Ring instructions.
n n' CERTMCATION STATEMENT _
I (We) W� _ certify that on N&4 &yOf Nor i. 2
I (We) occupied as o principal Place of.residerice4te following desclOtOed real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under contract �x�H�
Have a beneficial interest bh the entity that is liable for the property taxes on the property and that owns the
�] pr%� 3 R d
.
CONTRACT. RECOMED -
ff buying on mhiract, Fee Simple owners norm
Pemrdefs d6ce where contmd is recorded Record number Page
. .... {
. •.ASSESSOR USE ONLY'. '
PROPERTYDESCRIPTION-
County
Township
`. `NONiESIDENTUIL.�.'.
-
Ta ci ng dtstril (ay, town, to' —dV)
Parcel nmibar
L
.•... VALUE .'
' ,.,, ..r,; VALUE.. .
Is the property in Question:
❑ Red property ❑ Mobile tome (LC. &1.1 -7)
C arty portion of the rgiderdial sWCCxe a the nal m¢eedirhg orne ( „ace the inmadattly surranmds thto atrucfae is used to produce income. describe the hoe and potion
of the property utilized to produce ihmrra.
. .... {
. •.ASSESSOR USE ONLY'. '
,:'TRUE.TAX 1.
-
ASSESSEDVALUE
.-.HOMESTEAD'
`. `NONiESIDENTUIL.�.'.
-
VALUEy ... ,'
;AT 100%OF.T7,
.•... VALUE .'
' ,.,, ..r,; VALUE.. .
Land not exceeding 1 (one) acre imrnhedately
surtoundirM residential improvements.
(1)
trher land
(2)
..
Tdal lard (lime 1 plus fine 2)
(3)
Dwelling
(4)
- "yh
Residential improveents or Annually
m
Assessed Motile / MarMarLaed Horne
Garage
(5)
Other improvements
I (6)
Tdal'unprovernents (fare 4 Itmiglh 6ne S)
Tda1 value (fore 3 plus fine 7)
(C)
I hereby certify the above is true, coned, and --
I Signaeae of Assessor
We signed
ate
--- -- - -`-
Vailying adian - Signature of Au6tor
I Date si toed
STANDARD DEDUCTION ALLOWANCE
20 _ Pay 20_
Lesser of 12 Homestead
Valuation or 535.000 5
Signature of Auditor
Dale signed
1