Homestead_PierceCLAIM FOR HOMESTEAD PROPERTY TAX FORM PEAR
" CREDIT /STANDARD DEDUCTION HC7o
t State Form 5473 (R51 1001)
rw Prescribed
try the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
b`}' CERTIFICATION'STATEMENT.1'
I (We) certify that ff T It !8y2002rch, 20_
I (we) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ I (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 o n er act.
0 GI S N U. % AUDI n 1
'rs_.•.` -+ ice'- '�aT. =s'"= {CONTRACTRECURDED
If buying on contact, Fee Simple owners name
Recorders office where contract is recorded Record number Page
income.
`2PROPERTV;OWNEDBt ANTN'RO ` ` " r =ll r ? , ll MOC
_ge
County Township County Township
hereby certify the above statements are true. correct and complete. Signature o aimant
tdress (number and street, city, sta , ZIP code)
/�Y w /nar>; Pfr6i 4x Y7 cJ� c/ 7 r
d
TRUETAX "ASSESSED.vALuE �-HOMESTW �'�NON`- RESIO�EHTWL zci
tiv cSSESSOR�USE O ---- -- r XVAL'11E�'"-� `%M400 %OFITY VALUES ,r�,. VALUE -'�" " �,.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. (1)i{. g
Other land (2) W-'
Total land (line 1 plus line 2) (3)
Dwelling (4) - � m - a
Residential improvements
�r_''tr- "" ^.a
Garage (5)
ANNE-004
+'
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
1 hereby certify the above is true, totted. and Signature of Assessor Date signed
complete.
Vedtymg action - Signature of Auditor Date signed
STANDARD:DEDUCTIONALL'OWANCE -� "AW-
20 Pay 20
Lesser of 1/2 Homestead
Valuation or $6,000 $
Signature of Auditor Date signed /
0 P,ROPERTY<DESCRIP.TIdNV".
Cou T
Township a
axing (city, own, township)
Parcel number L
Legal description Is the pro i question:
Harty portion of the residential structure or the land not exceeding one (1) acre that immediately wrtounds that structure is used to produce income, describe the use and portion
of the property utdaed to produce
`2PROPERTV;OWNEDBt ANTN'RO ` ` " r =ll r ? , ll MOC
_ge
County Township County Township
hereby certify the above statements are true. correct and complete. Signature o aimant
tdress (number and street, city, sta , ZIP code)
/�Y w /nar>; Pfr6i 4x Y7 cJ� c/ 7 r
d
TRUETAX "ASSESSED.vALuE �-HOMESTW �'�NON`- RESIO�EHTWL zci
tiv cSSESSOR�USE O ---- -- r XVAL'11E�'"-� `%M400 %OFITY VALUES ,r�,. VALUE -'�" " �,.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. (1)i{. g
Other land (2) W-'
Total land (line 1 plus line 2) (3)
Dwelling (4) - � m - a
Residential improvements
�r_''tr- "" ^.a
Garage (5)
ANNE-004
+'
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
1 hereby certify the above is true, totted. and Signature of Assessor Date signed
complete.
Vedtymg action - Signature of Auditor Date signed
STANDARD:DEDUCTIONALL'OWANCE -� "AW-
20 Pay 20
Lesser of 1/2 Homestead
Valuation or $6,000 $
Signature of Auditor Date signed /
d
TRUETAX "ASSESSED.vALuE �-HOMESTW �'�NON`- RESIO�EHTWL zci
tiv cSSESSOR�USE O ---- -- r XVAL'11E�'"-� `%M400 %OFITY VALUES ,r�,. VALUE -'�" " �,.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. (1)i{. g
Other land (2) W-'
Total land (line 1 plus line 2) (3)
Dwelling (4) - � m - a
Residential improvements
�r_''tr- "" ^.a
Garage (5)
ANNE-004
+'
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
1 hereby certify the above is true, totted. and Signature of Assessor Date signed
complete.
Vedtymg action - Signature of Auditor Date signed
STANDARD:DEDUCTIONALL'OWANCE -� "AW-
20 Pay 20
Lesser of 1/2 Homestead
Valuation or $6,000 $
Signature of Auditor Date signed /
STANDARD:DEDUCTIONALL'OWANCE -� "AW-
20 Pay 20
Lesser of 1/2 Homestead
Valuation or $6,000 $
Signature of Auditor Date signed /
'Ex1E total!1•4+004n1 TREASURER mPN TS-IA
.Vranven BY[T5TEINMADM MMOI.Ta.9x MAIMED BY nn DE,MnMEYT(w LOCAL GOVERNMENT FINANCE M 11-ii-r4.l
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
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 ma for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
ai. HEA 1344-2109 requires taxpayers who receive the homestead standard deduction to verify that they are clieible to remise the
benefit and to provide additional idenlifyin_ information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized count'officials The Department of
Local Govertunent Finance will um this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
_ Pierce, Luann
PO Box 47
Mackey IN 47654
8674
Luann Pierce
PO Box 47
Mackey IN 47654-0047 State Parcel Number Legal Description
Itlnllntltllntlt�nln illntllnnlnlln tltlnllttt lt tltll 26-20-15-402-000.008-002 015-00008-OO MACKEYADON 5/6/7/8/9
X
PART 2: TAXPAYER INFORMATION n
Owner I First Middle Last
l uw11) a Nrnr pie6ce
_ ' ig Address(number and street city,state,and ZIP code) —-- — --- 0 Same as property address
po o oet �P rhe.c key 4 ,) ylLe cy
Spots ITS Middle Last
Mailing Address(Number and street.city,slate,and ZIP code) ❑ 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)
Sea
I PART 3:CERTIFICATION i
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 �C Date Telephone
( )
PART 4: ADDITIONAL INFORMATION