Homestead_Epperson (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614 -03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR _
I �HatD ETA
JL JLJ yLJ
APR 5 2007
I (we) certify that on tfit y of March 20
r
I (We) occupied as our principal place of residence the following described rea property for which a Homestead:Qraperty' TaxlCreiiit i�hereb�daimed:
l(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 the property or is buying under a contract.
'
.f"a- .Y;r.�i
If buying on contract, Fee Simple owners name
Recorders oft
ce where contract is recorded Record number Page
.- -- rt's-= .`tR.?rc - is`'.�'�'i?.P+`y+t!�..si.
"
V' r�w1P.ROFERTY,DESCRIPTION - -:• '
X �rY 3
County
7avnship
Twin district (city, town, township)
Parcel number
a4-f9- 31- 400 -oo0, `7o5 -co
descd Le al
9 P j n
n
/ V
Is the property in question:
'Real property ❑ Mobile Homo (I.C. 61.1 -7)
H any portion of the residential structure or the land not exceeding one (1) ace that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
P ��+ ��'te� %�P ROP- E.R..T_ Y,O.. W - N ED_ ' BY . . CLAIMANT-IN CI TH_ ER. 'COUTIES
County Toxnship
County Toomship
hereby certify the above statements are true, correct and complete.
S(gnatur laima t
dress (number and street- c' , ate, ZIP code)
t„��' SSESSOR US ON Y I2?�rifiUEaTAX'�
. sLr. K"."1.,-+i_8f31rS_:!- �'r� -"'.ss s6g..'Tc-
.
VALUE -.
r SSESSED VALUE
AT.100% OF'TTV*�VALUp"{SL�;
''iHOMESTEAD }`
`�NON�- RESI➢ENTIAL
VALUEi,�.��y
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
-- qij
Other land
i.`�'�-
(2)-
Total land (line 1 plus line 2)
(3)
v.-
ME
Dwelling
(4)
PY
Residential
(Residential Improvements or Annually
Assessed Mobile /Manufactured Home
Garage
(5)
Other improvements
(g)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 112 Homestead
Valuation or 835.000
signed
•
AVIE FORM 37.e./i,rvl f EASUlG FORM 31A
APPROVED BYSISIE nnuonram.nsts.am PrinamnY nit DEPAIMFE4TOF LOCAL rognorerNT FINANCE IC 4_I.I-224.1
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
more beneficial.there is more incentive than ever for homestead fraud.Ilomesread fraud causes higher tat bills for all:therefore.
HEA 13-14-2009 requires tavpayen who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying infon nation necessary to allow county government to better monitor homestead
filings.This infnrnuition will he kept confidential and can only be accessed by authorized county officials.The Ikpanment 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
Epperson, David A/Paula M
20441 Old Princeton RD
Ilaubstadt IN 47639
8301
David A Epperson
201 S 6th State Parcel Number Legal Description
HAUBSTADT IN 47639-8212
26-19-31-400-000.705-009 013-00705-00 BRIARwOOD 10
llI nIIll lIllluulll IIlululntltl utll ullI II 1111..11
A
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
All AI leA/
tg Address(number and street,city,sate,and ZIP code) - - R.—Fee pm driv — _ _
10i S r 6 � 4s-& W TA/ 'f76 3�°","
Spouse First Middle Last
vPALL/ Y4 Mite E EPPE So ki
Mailing Address(Number and street,city,state,and ZIP code) ESune as property address
0701 �. L* A kJ E //ASTir► 0
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.
Own< I Signature Date