Homestead_McKannan STATE total nu-Anita FORM 73-IA
APPROVED BY[FATE 11049,13 Of YYYa4\T[-!0N PR:SCRIBED BY Mt OEPKTHiNT(F EMAI GrAtIVirwr FtraNCE M•.1.13_4.1
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 exer for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
• HEA 1314-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to rcceise the
benefit and to provide additional identifying information nemsary to allow county government to better monitor honttead
filings.This information will he kept confidential and ran only be aeeeascd by authorized county officials.The Department of
Local Government Finance will me this information to create uvls that will help county officials eliminate homestead fraud.
• PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
McKannan, Anthony D/Mary J
�,/�P 0 Box 422
- — — - _ �-'llaubstadt IN 47639
8189 - - - - -
Anthony D McKannan
P O Box 422 State Parcel Number Legal Description
HAUBSTADT IN 47639-0422
ltin11ut1t11unll plulu 11nu1u1u1t1u 1t1n1t1u li 11t1n1 26-19-31-303-000.033-009 013-00033-00 E PARK ADD 348
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
AnITIot34 Mck�IvNrnJ
-- - ig Address(number and street.city,state,and ZIP eode) --- --- — Same as property address - ---
- 0. &)( 2 . 101 ELM ST '44,AUBSTAT r 1N) `47639
Spouse First Middle Last
NAN 'k McKANt1
Mailing Address(Number and street,city,stale.and ZIP code) 2 Same as property address
Pro' Nix, q22, tAAtte3STALT iN 1416 39
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.
Owner I Signature Date
PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HCtO Clla3
J� State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
1 - - nC0TI1ZV`AT1nM CTATC\IC\ •••ffi�ffi�.d77
We) -I ��u,4 M �° C�/Y1/V) �6�y� certify t at on the 1st day of March, 19 ..
occupied as our principal place of residen I e following described real property for which a Homestea�T x redV"w t�tet E? claimed:
❑ I (We) owned El Are buying under contract _ _ AUDITOR V
❑ Have 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.
. CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township - -
Taxing district (aty town, township)
Parcel number
Legal description "/•` d )
It 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 COUNTIES '
County
Township
County
Township -
Oeby certify the above statements are true, correct and complete.
Signature oficlaimant
C
Address (number and street city. state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON-RESIDENTIAL
Valuation or $2,000
.VALUE
VALUE
VALUE
VALUE -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Otherfand
(2)
-
Total land (line I plus line 2)
(3)
Dwelling
(4)
-
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line b)
(7)
Total value (line 3 plus line 7)
(S)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
ing action.- Signature of Auditor
Date signed
1
- - STANDARD DEDUCTION ALLOWANCE - -
19_Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
$
Signature of Auditor
Date ned
ig
-N- 0