Homestead_BowdenL
4
CLAIM FOR HOMESTEAD PROPERTY TAX
e
CREDIT /STANDARD DEDUCTION
r State Form 5473 (8215.92)
INSTRUCTIONS_ See reverse side for riling instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT
I (We) 'r v e —, L t the tsUtd�a
]5,19 I (We) occupied as our principal place of residence the following described real property for which a Homest roof L dcu' iiss laimed:
❑ I (We) owned ❑ Are buying under contract BFI 1,
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pro ffAor�s vyjOrder a contract.
II-- �IAAII(( UU (Ll�l
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
C-1 SON COUNTY AUDI
Recorder's office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing distri (city, town, t ip)
S-0 ✓
s -ry1
6 s
Parcel number
Legal description
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used t produce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County Township County Township
Signat eotclaimant
certify the above statements are true, correct and complete. \ /
ereby
i( 06 BTArIPp/i�/
Address (number and straet, city, state, ZIP code)
/ASSESSOR
G
USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
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
Signature of Assesor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of1I2 Homestead
S
V atio o�S2,000
Signature of Auditor
Date signed
- Z— d cu
�'
—5
STATE fORm'tY12'/fell 1➢E4WEra PoRM 31A
.APPROVED BYS FATE OM'M'CYM l5TS 1/v Ptr_YAQi£D BY nu DEPARTMENT OF LOCAL raw?R.Yxoxr FINANCE M'41.1-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY,OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of This deduction becomes
more beneficial.there is more incentive than ever for homestead fraud homestead fraud causes higher tax bills for all;therefore.
S HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information nemsan'to allow county gm-eminent to better monitor harms-read
filing.This information will be kepi cordial-atrial and can only he accessed by authorized county officials_The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homeaacad Gaud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pro e • ddress
_ Bowden, Randal W/Felicia
`
5135 word i
_ __ _ _ _-_ _._ ._ _ - - - --EvansvillrlN 47715. --
8302 -
Randal W/Felicia Bowden
607E Haub St State Parcel Number Legal Description
HAUBSTADT IN 47639-8207
IlIIIIIluIIlIlrrrtllrlrlrrlrrlrrrlriIIllIIlllIlIlulIiluIIlttll 26-19-31-400-000.716-009 01300716-00BRIARWOOD9
D-9
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
(2, 9 a � v r) c... gowden_
_- ' Tg Address(number and street,city,state,and ZIP code) --- '- ---- O.cnmc as property oddre — — --
. ' (Q 01 C� � ", /4AbatTA-a) /4 7(a 3 ?
Spouse First Middle Last
F'elcu?ti M ch«20... go0cl e-v•
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
IP 03 E ft akub Ss) I iaux-Ss-F , h\.) 47 (03
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 Signmurc Date
II