Homestead_Garrett (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5-92) _
INSTRUCTIONS: See reverse side for filing instructions.
I A
G
FORM
HC10
YEAR
'jCETIE1C6T1ON T EMENT
I (we) a he 1st day of March, 19_
(We) occupied as r principal place of residence the following descdbetl real property for which a Homestead Propff9Ta>jted2DNreby claimed:
El I (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 th roperty r is u i under on ct.
COUNTY AUDITOR
GIgGON
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded -
Record number
Page
PROPERTY DESCRIPTION
County Township
Toting district (city, r wns ip
Partel number Legal description
l3 -oo ? lI -�
If any portion of the residential structure or the land 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
ereby certify the above statements are true, correct and complete.
e claimant
Address (number and street, city, s ate, ZIP code)
ASSESSOR USE ONLY
TRUE T
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
_
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuat or $2,000
5
Signatu itor
Dates 6
•
SPOTS FORM!JR. iR_r'-NI TRFASIlau FOAM;-IA
.APPROVED BY MATE a OARDOF ACIMON73,11n. PPISCRIRFD nY 71Ir DEPARTMENT Orr LOCAL(i0VEEANMFA'r FN'A\CE M 6-'.1r'4.I
Gibson County Auditor
101 N Main N IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWERS
PRINCETON IN 47670 Individuals and married couple.; are limited to one homestead sandard deduction.As the receipt of this deduction becomes
more beneficial,there h more incentive than net for homemead fraud.Homestead fraud causes higher tax bills for all:therefore.
IP HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they an eligible to remise the
benefit and to provide additional identifying information necessary.to allow county government to better monitor homestead
filings.This information will be kept confidential 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
Taxpayer Name Property Address
Garrett, Michael D/ Irma J 3o(0 S 6, f}1/2
Evansville IN 47711 ```///
3149
Michael D/Irma J Garrett
306 S 6th Ave State Parcel Number Legal Description
HAUBSTADT IN 47639-8213
lilnllnt�tllnullr�tinlnlntitlntllnllil lituull I�� 26-19-31-400-000.711-009 013-00711-00 BRIARWOOD 16
_ ____ _ - _ _. _. _ —y. _ _. - - —
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
Allr �lae. ) peon G rreJ
�g Address(number and street,city,state,and ZIP code) ® Same as property address
Jo(L 5. lotil Ave ' hauLstct_d7/ DV y7G39
Spouse First Middle Last
__Yrrna %TVr11° 6)arre II
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
----- _ — _____ ---
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 Signauar Date
7 r
