Homestead_GilliandCLAIM FOR HOMESTEAD PROPERTY TAX
" CREDIT /STANDARD DEDUCTION
State Form 5473 (R51 1001)
Prescribed by the Department of Local Govemmant Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
FIB
I (We) y' N CIO / Ca/Fertify that on the 19?ay of qMach 0 I (We) occupied as our prin ' place of residence th flowing described real property for which a Homestead Pr max lG it is aimed
I (We) owned ❑ Are buying under contract GIBSON C�OU\TY AUDIT
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.
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_NTRAC _TRECORDEU�g��g.^�,�,�°+'�:��h
It buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
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County
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Cou
Township
Signature of ant
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Taring (dry, t wn, to !p)
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P/ar)�N
description
Is the progeny' ,question:
//�u2mber
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Real property ❑ Mobile Home (I.C. 8-1.1-7).
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 uhT¢ed to produce income.
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_m"r,'�3.L`.a n -t't�. �.- 3' �{" e��,> �- P .ROP.ERTYaOWNED;BYcCL'AIMANT:IN OTHER 'COUNTfES��t�.tu�i..��`°tr- �. �i'+ -�.0 -; _
County
Township
County Township
hereby certify the above statements are true, correct and complete.
Signature of ant
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n ss (number and 7t, dry''; sf1ate, ZIP e) / .,[
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ASSESSDR�USEONLY `"°z
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TRUETAX
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`ASSESSED VALUE.
"'AT.(100 °A_OFTTY
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HOMESTEAD
_ VALUE
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NONAESIDEN L
'VAL•UE`x''I- `'' r,
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Land not exceeding 1 (one) acre immediately
surrounding residential improvements.�r
(t)
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Other land
2c?
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
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��R
Garage
(5)
tj
Other improvements
(6)
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Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line n
(6)
hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation or $6.000
$
Signature of Auditor I Date signed
SIArE FORM!.”w iR fl-ryt - ''c,I.WIEa FORM TS-IA
ArTRIWED BY SLATE fNPDOE A Tv*.TS.:nx PAFYWBEO BY PIE DEPARTAr OF KCAL ri,va'nFNr FI:ANTE IC 11-I-1-ra,
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and 'carried couples arc limited to one homestead aandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incenme than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to.erifv that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lept confidential and can only bc 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
Gilliand, Timothy W/Carolyn M
R2 Box 167
Flaubstadt IN 47639
2698
Timothy W Gilliand
105 N West State Parcel Number Legal Description
HAUBSTADT IN 47639-8171
1111111ttt1t11tttlIItIlIttIttIlttr��� Itr11111t1tt1111111t11 26-18-36-402-000.131-009 013-00131-00 PTSE36>311 .318AC
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
r/
� l vyla7��it y
"ti in e gi (i / 4vt
*g.Address(number d street,city,stare,and ZIP code) EI Same as property address
D git T
Spouse First /-V,'f Middle // '/ Last
rC�lyN / IAI( L C 7.1f/ (�l 'r(.A
Mailing Address(Number and street,city,state,and ZIP code) flame as property address
/OS /1/1 GJes F Jared- /-464.4 s/2o/y- ,V 4'7G set
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 SS ^aturc Date '
•