Homestead_Vanmatre STATE/ORM X34 ifs ur.I MASURER IORVSIA
.SrrtesED BY•t SEE.KRPOOWNVYR-"1S._1. PRFAAIBED BY THE BEt flOYI OF LOCAL COVER:MrTT FINeNCE K VI.I-LJI
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 net-for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
FIEA 1343-2000 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept confdential 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.
PART 1: PROPERTY INFORMATION
Taspaeer Name Property Address
•
Vanmatre, Amy
•
P O Box 64
ac-ev IN 47654
3263
9546E Main St
MACKEY IN 47654 State Parcel Number Le9a1 Description
26-20-14-103-000.074-002 015-00074-00 PT SW NW 14-3-9.40 AC
- _ ---_—_ _ _ —_ __ — x
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.
Spotu Fits[ Middle Last
Mailing Addr A - (Number and street,city,state,and ZIP code) 0 Same as property address
P.o kox 64 40 06,11 I IA Li 7,
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.
PART 4: ADDITIONAL INFORMATION
•
" CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
State Form 5473 (R12/6-09)
Prescribed by the Department of Loral Govemmenl Finance
INSTRUCTIONS: See reverse side far filing instructions.
•il � � YEAR
RV
AUK 2 g 2009
• G T
I (We) certify tlf'ati.lgvj) �pied as my (our) prindpal
place (are) buying following described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under bad on the date this application is filed, (date of filing):
I (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
Have a beneficial interest in the trust or the tight to occupy the property under the terms of a qualified personal residence trust
INFORMATION
a)
v
Social Security number of daonanl (last g.%)
Drivers license I IdentFration I
Issumg
of claimant (last five dgiic)
Name of claimant'
Social Security number of claimant's spouse (last rive digits) Drivers license I Identification 1: lhan
CONTRACT RECORDED,
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY
Count' Township Taring district (city; town, township)
mum r M
t0W 0 •
al tlescription
�&
Is the property in question:
❑ Real property ❑ Annually assesseri mobile Ixxne (IC 61.1 -7)
If any portion of the residendal stnxwre o the land not exceeding one (1) acre that immediately surrounds that stmcbrm is used b produce income, describe the use and portion
of the property utif¢ed to produce irlmme.
PL-&w IU w I LF3 -q • 40 ft&
PROPERTY OWNED BY
County Township
County township
I hereby certify the above statements are true, correct and complete.
ig m q&aiman t '
Addr in mfcera street, so' Ole,) I /_
ASSESSOR USE ONLY
Land not ex diately
su nrounding redin Ilaone)improvements. (1)
Other land
(2)
%ei: =Yen
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
i'i-3r x "`i' -`'fir" srsrs •v`ku
n -`„r ^'`�3"a -•Tit ;�y lyc'
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
t-E�24:c
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct,
Sgnim a of Assessor
Data signed (month, day, year)
and complete.
Verifying action - Signature of Auditor
Date signed (rnonth• day, year)
1#4 MCI F-A 111 BY-.I 1
20 _ pay 20 Lesser of 60% of the assessed value of the homestead or $45,000
Notwithstanding any other provision, the sum of the deductions provided in IC 61.1 -12 to a mobile home that is
S
not assessed as reel pmpedy or to a manufactured home that is not assessed as real pmperry may not exceed
one -hatl (12) of the assessed value of the mobile hone or manufactured home.
Signature of Auditor
Data signed (manor, day, year)