Homestead_ChandlerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
` State Form 5473 (R8 / 7 -07)
I
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC70
I (We) L m Ify th�on*,e4s&ay,6f�20_
e) occupied as our principal ace of residence the toll wmg described reat property for which a Homestead Proertx Tax Credit is hereby claimed:
(We) owned ❑ Are buying under contract 6 er1 8 2008
rHave 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.
If buying on contract, Fee Simple owners name
contract is recorded
Record number I Page
ASSESSOR USE ONLY
TRUE TAX VALUE
PROPERTY BY CLAIMANT
County Tavnahlp
IN OTHER COUNTIES
County Township
I hereby certify the above statements are true, correct and complete.
S n daimerd
PROPERTY
AT 100% OF TTV
County
Towns
T ng di
i (city, 1" )
Parcel number
dption
surrounding residential improvements.
Is the property in question.
Other lard
I eat property '❑ Mobile home (IC 6- 1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediatary surrounds that stnrcbae is used to produce income, describe the use and portion
of the property utilized to produce income.
760 -o0
9
ASSESSOR USE ONLY
TRUE TAX VALUE
PROPERTY BY CLAIMANT
County Tavnahlp
IN OTHER COUNTIES
County Township
I hereby certify the above statements are true, correct and complete.
S n daimerd
�1L'dress(number and street. city, .state, and LPcode)
® —707 F • C J,.- bC1d a C, 61, rti 1176 3
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSE�SED VALUE
HOMESTEAD
NON-RESIDENTIAL
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011
Homestead Valuation pay 2012
$
AT 100% OF TTV
VALUE 7
VALUE
Land not exceeding 1 (one) acre immediately
-
surrounding residential improvements.
(1)
Other lard
(2)
Trial land (fine 1 plus fine 2)
(3)
Dweffing
(4)
Residential improvements or Annually
-
Assessed Mobile / Manufactured Home
Garage
(8)
.
Other improvements
(6)
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day. year)
complete.
Verifying action - Signature of Auditor
Date signed (momih, day. yead
111111111113 F-1 " 0 T1 :4.1914,11192
_ pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011
Homestead Valuation pay 2012
$
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed (month, day. year)
al\LE FORM!l•Y+111_'/•-N1 TREASURES TORN�. IA
.AFFIRMED BY C'xit Bn\PDnf.N fl*INTC,y/x PtJAA1nRl BY Tim OEPARTNLYT OF LO1:LL OOVrLYNLAT rn A\CF.IC LI.1-2}l_I
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 e'er for homestead fraud.l lomestead fraud causes higher tax bills for all:therefore.
® HEA 1344--3009 requires taxpa)era who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government Co better monitor homestead
filing'.This information will be Lep.canlidential and can only h 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
Taxpayer Name Property Address
Chandler, Michael G/Kimberly J
707 Edinborough cr
Haubstadt IN 47639
3156
Michael G Chandler
707 Edinborough Ct
HAUBSTADT IN 47639-8232 State Parcel Number Leal Description
it�t t��t tt�t��r rrt��n�r�tr�t r�rt n�t�tt��ttr�r���ttt�tt r��r�rr� 26-19-31-400-000.760-009 BRIAR WOOD SEC 247 0-9
- - - — — — —
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
lollc(na4 6eiie Cho"deer
iiing Address(number and street,city.state,and ZIP code) 2-fame as property address
0-7 Ed ilbtlralneStt) Elm {tevls-ho t , TA) 1/71,39
Spouse First Middle Last
K/ ky. dtrry c [Gs/Ao//et/-
Mailing Address(Number and sweet,city,state,and ZIP code) Lsp f�- address
Sante as property addr
- -_---- ^� ---- --- -
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
•