Homestead_McCartyCLAIM FOR HOMESTEAD PROPERTY TAX
= CREDIT /STANDARD DEDUCTION
State Form 5473 (R5110-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
FORM rn YEAR
HIM I
8
I (we) ' C - certify t on the 1 st d y "r:ebyme
I (We) occupied as our principal place of residence the toll g scribed real property f which a Homestead P T it ❑ I (We) owned ❑ Are buying under contract GIBSON COU
ffhHave 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.
cis.'" cry'` F. ii--*.-•.=_ rA` T. ���c£; :#�"- _��°+'�'.o'?r�`�k.'."..,.s ONTRACT.RECORDEDt9"_
If buying on contract. Fee Simple owner's name
Recorder's office, where contract is recorded Record number Page
n `'a la -'�'= ROP, ERTY; OWNEDBYCEAI
MA— NtW16THER 'COUNTIESV0:
-: —!PROP.ERT,Y;DESCRIPTIONO2,'g
County
Township
County
Taring d' ' t (a , own, f ship)
Pal n bar
Legal description
Signatu f
Is the property in question: -
V
(4 121
Real property ❑ Mobile Homo (LC. 6-1.1 -7)
H any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that strbdure la used to produce income, describe the use and portion
of the property utilized to produce income.
r
n `'a la -'�'= ROP, ERTY; OWNEDBYCEAI
MA— NtW16THER 'COUNTIESV0:
County
Township
County
nship
I hereby certify the above statements are We, correct and complete.
Signatu f
an
' ress (number and street, city, state, ZIP code)
D 5. s OGL v .0 r -,
(4 121
= � 55 SSOR USE ONY
�,_ra�';�y+
+` rTRUETAX 'i P
HOMESTEAD _
'y V1 NO- a
t' 3i'%."aiaUh- i
wASSESSE
10 0 %'OF�TTV
'y VALUE
LsNi VEASLIUDEEaaT.'IA%
. rP.;F&`r..!- ?�. -.r:
•yVALUE`,irk,i
Land not exceeding 1 one acre immediately
surrounding residential improvements.
Other land
�s
(2)
Trial land (line 1 plus line 2)
(3)
Dwelling
(4)
}y
h:4Yimall T ��.y.i
-
g,. ., 1
—�'�
Residential improvements
Garage
(5)y.
s'
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
-.`STANDARD DEDUCTIOWALLOWAl10E� :a'.+;�Y";rat..o.4�Z*.:f
qW 20_Pay 20_
Lesser of 1/2 Homestead
Valuation or $6,000 $
Signature of Auditor Date signed
•
•
-
MATE raw my.fie f o 1 TREASURER FORM 72.1.1
?MEWED BY sTAIE WHRUrtF'AmRsLTt 9r, PARYIIRFDOY Tm'DEPMr4EYT OF LOCAL COVERVMEAl FDsNcEw FI.I-_-P.I
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 ewer for homestead fraud.h omestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeeice the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
-filing..This information will be Lip.confidential and can only be accessed by authorized county officials.The Depannrem 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
McCarty, Richard A/Tammy J
103 S Damosa DR
Haubstadt IN 47639-8159
7342
Richard A/Tammy J McCarty
103 S Damosa Dr State Parcel Number Legal Description
Haubstadt IN 47639-8159
Itlrtl III IItl lit ttIItl lItIIlrltt IIIIII lIt ltd IIII Ili tl tl tl 26-18-36-403-000.299-009 013-00299-00 WEST HGTS 3RD ADD 203
I
•
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Q1rl�f217 /llLt�V — — - -
•g Address(number and street,ct sate,and ZIP code) _ --- ire as property�m dies— ---
/03 S. Tl Aixosi4 Dt /14 7/3St46, 7- S1/
Spo First Middle Last
/icCAgrY R g/V
Mailing Address(Number and street,city,state,and ZIP code) ' Epertras property address
/03 5Th v oSa �2 N/4[//3 Mb r
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 undersiened.also understands that,by claiming additional homestead deductions ----
--
unla r Ily,he or she may be liable for back taxes and substantial financial penalties.
owner 1 Sig *tract DaateTelephone
1 I 111L L-7-22-P-10/°
— )
PART 4:ADDITIONAL INFORMATION •
11
II
U