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