Homestead_Dunlaptin CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
`w r•N State Fonn 5473 (R4 / 8-00)
INSTRUCTIONS., See reverse side for filing instructions.
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I (We) xy certify that on the 1st day of March, 20_
(We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
(We) owned re buying under contract
Wave 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.
�'..`>i.a^�i`L�.& -"•f a,,,.v"3�,n; NTR4CTiRECORDED ,`.fgc'�"'.,a,?-' ='r`�`�.�4+:.b
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page _
.'' ''r'
County Township
PR-0— -jT SCRIP�T10Ngt�x
County
Township
Taring dist ritfro, t , towns ip) /
IL
Parcel number ^
D111 4�3 O
Legal tl 'ption •
y 1VcACUEx
If any portion of the residential structure or the and not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
".1—'�.Mmu"ti,k.'y}_'„".
County Township
County
Township
I hereby certify the above statements are true, correct and complete.
Si nature a' ant
dress�um6e�r {and street, riyyrly. sra e, ZIP code) , �5
N
-" .- -- = ss xs' �. " c
US ONLYa -'
TRUE`O ;"s
ASSESS D V/LL.0
�arNOMESTEAD� -�
ea -`'.F '`'` rNON= RMSIDENTI,4L.
-. ASSESSOR =:+.
aVALUE
{'yATi1110Yo'OFTN�?
y 1VcACUEx
Signature of Auditor
:ze.. 13�S
�°
Land not exceeding l (one) acre immediately
,r,"
surrounding residential improvements.
s.z ; x
Other land
Total land (line 1 plus line 2)
(3)
���*,c•.
Dwelling
(4)
Residential improvements
"s
Garage
(5)
BOther
improvements
(6)
3a-
Total improvements (line 4 through fine 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARb DEDUCTION
- 20 _ Pay 20
ALLOWANCE
Lesser of 112 Homestead
$
Valuation or $6,000
Signature of Auditor
Date signed
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STATE FORM!)!MIIL/YPI TREASURER FORM i3-IA
.\PrwwEO BY Sr AIL BOARD Or AC0IITTS..V!! PREalUDE)BY ftF DEPARTMEW OF LOCAL rMTR.NMLAT FINANCE IC 1.1.1.1:4,1
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
.x mote beneficial.there is more incentive than eta for homestead fraud.Itotltesread fraud causes higher tax bills for all:therefore.
• HEA 1344-109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tilint..This information will he kept confidential and can only h•accessed by authorized county officials.The Depanmmm 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
Dunlap, Daniel/Kathie
RI Box 128 A
Flaubstadt IN 47639
8304
Daniel Dunlap
304 S 5th Ave State Parcel Number Le!a1 Description
Haubstadt IN 47639-8222
I rlrrliu tlt IlnnlItltlnlrrinrlrlrrirlu it illuulultt11t1 26-19-31-400-000.730-009 013-00730-00 BRIARWOOD1
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PART 2: TAXPAYER 1NFORNIATION
Owner I First Middle Last
- ! e_k A '_ I. utJIP7
g Address(number and street,city,state,and ZIP code) - - —- ❑ Same as property od ..- ' -- - -
30Lf S . eue HIAutbs-f-J4 �!Ncl/Q,J4 L171a3%
Spouse (C First a Middle �J \ Last Al se
Mailing Address(Number and street,city,state,and ZIP code) / Same as property address
304 S. Sfh /Ave /14 ck rice�T- A1 C414i..)4 4176 3 2
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eliuible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she liable for back taxes and substantial financial penalties.
Owner ,gnature 1 Date
40/�/Ld r ,..5/-5/201 0
PART 4:ADDITIONAL INFORMATION
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