Homestead_KeenanCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Government Finance
FORM YEAR
HC10- —`
I (We) certify that on the- 1st'day of:March l2 IJ
(We) occ i ur pnn ' I place of residence the folio wi escnbed al property for which a Homestead.Prope�rty�TGr it; hereby, daimed
❑ I (We ed Are buying under contract
aHave 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.
'�✓n�" ^c"'r"+8'i`i:.s ' 2: ctcr* 3, CONTRACTRECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
<a 31 u'r.iFE`r�' PROP, ERTY< OESCRIP, TION? 3` t?. q'' ,arr?- ;- '�,r.¢'f.zi= '_`- <',s?^s
County
Township
T di (city, town, Ig i,.hip)
I hereby certify the above statements are true, correct and complete.
Si nature of claimant
r_ EBt�
Par n
Legal d cription - the property i uestion:
Z)L
etj Real property ❑ Mobile Homo (LC. 1. 1-7) -
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that cture is used to produce income, describe the use and portion
of the property utilized to produce income.
- : %rx>a- ., _. �, .- - ' bx .��a- „.,'"fPROP,ERTY,OWNED'.BY CLAIMfIN' OTHEfLCOUNTIES�S° �. s'- .f;��a- `�.�,-- �”- r°c.- ,`,� -f'6
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Si nature of claimant
r_ EBt�
ress (number aM street, cdy, state, lP code)
C
"' ms's r,'� ✓�>•,5.+ 'mss°} 'c
-�'-` ASSESSOR�IISE ONLYuxr f- :
i+.,.•. +`y
4�� �T,RUETAXs
ASSESSED VALUE
e- .0..�._
�
HOMESTEAD c
f .�NON_RESIDENTIAL
r_ EBt�
_AT 100 %rOF.aem.,dt
wVALUE
,�gi0.rzi VALUE.,,�oi.'.y..t
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
<...
+��s
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
()
t T rz
Other improvements
(6)
30....
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
verifying action - Signature of Auditor
Dale signed
20_Pay 20_
Lesser of 112 Homestead
Valuation a 535.000
signed
MATE lOft w10.'p,. - WAD:Ant POR41IA
APPROVED BY SiSME BIMRDnf Ann,*"41 4”n PtrwlmBmnY Tilt DEPARilR`ar Q REAL CAT'c R.`IMl17 rM:ANCEuc I.1--raI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couple's arc limited to one homestead standard deduction.As the receipt of this deduction becomes
Air
IIIP more beneficial,there is more incentive than e'er for homestead fraud.Ilonestead fraud causes higher tax bills for all:therefore.
HE.\ 1344-2009 requires taxpayers who remi'c the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
—. Taxpayer Name Pruperty Address
_ Keenan, Jeffrey J/Bethany J
432 Bradley Lane
Haubstadt IN 47639
10827
Jefrey J Keenan
432 Bradley State Parcel Number Leal Description
HAUBSTADT IN 47639-8157
26-23-06-300-000.675-009 013-00675-00 SUNRISE ACRES 15
I rI II tIt II nn II tI tI rtI nI nn V II tI tI tI tV ttI tI 1 I
J D-9
r
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last keeigm
sg Address(number aid street,city,state,and ZIP code) ---- - - -- - me as property uddna-- ` —-- -- - -- '--
q 32 E r acAi2 pct a ?, ;t/ (-(74-,?5>
SpD First �n�,t�n Middle /f��)/ /y�'// Last
`{ - ✓tEfin Sep"U( e_ ' /ee49/
Mailing Address(Numb{r and street,city,state,and ZIP code)
Wane as pmpeny address
PART 3:CERTIFICATION
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.
(Tuna 1 . u be Date
PART 4:ADDITIONAL INFORMATION