Homestead_Rhoden - STATE FORM 535M(0./8-It) MAMMA FOIw TS-IA
-" APPROVED BY STATE BARD OF ACCOUNTS.NIN PRESCRm19 BY THE DEPARFMET OF LOCA.1.00VERWEVT FIYAV(£IC 6-1.1.221.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples am limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670' more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional.identifying information necessary to allow county govemmesl to batter monitor homestead
�. filings.This information will be kept confidential and can Doty be attcssed"by authorized county officials.The Department of
111 Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. ,
• . PART 1: PROPERTY INFORMATION
NOV 7 2011 Taxpayer Name Location Address
.rJ.fr -Rhoden, Steven J
0 LINCOLN
GIBSON COUNTY AUDITOR SOMERVILLE IN 47683
8587
Steven J Rhoden III 10111]011101011 lUll]DI mil II II111_11_ill II 1UlI0011011_IIII00111
605 N Lincoln •
SOMERVILLE IN 47683
- State Parcel Number Legal Description
26-20-02-204-000.040-003 MOORES ADD 13PT/14PT/15PT/16PT
This formrMUST be returned-to°County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
_ 1 P l>'[ ,;_TAX'PQYk, .INFORMAT1O\..__
Owner I First Middle Last
Mailing Address(number and street,city.state,and ZIP code) ` 1 El Same as property address
176 /36k 3A n
SGnec J , `\i` Tr Li 769 3
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.
e Owner 1 Sign - Date '
PART 4: ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (Re IF 4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing insinictions.
FORM YEAR
11
FI-L'FIE
I (We)
certify that on the 1st day of March; 20
I (We) occupied as our principal plat fesidence the following described real property for which a HornSysided Property4ax,Credit is hereby daimed:
❑ I(We)owned el GIBBON COUNI .,,Ifo.g
❑ Are baying under contract
0 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
. K
ONTRACT.!RECORDED
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
V!Q �-�=Vw� ��
Mw-;f mwr�-.
Township
FfORIERTYbESC Rf"6N V U S
I hereby certify the above statements are true, correct and complete.
Si I I d ' int
T
Township
(number and street, city, state, ZIP code)
zoi'k Tn 1771,
Taxing di;trw (city town, townsk
VAW WSSOROSEONLY 'i G
,V. — � '1 M -V 3 iP
Wl-�W I
4 c'
VALUE.� A
'ASS]
— &NOWRE.N T, A L
!D�AW4 90W
Par number
L
Is the pro PT-11"tiesLion:
Other land
(2)
V Real property ❑ Mobile HMO (I.C. 6-1.1-7)
If an Portion of the residen structure or the land not exceed
y ftj surrounds that s6ircturels used to produce income. describe the use and po;i;n
of the property utifted to produce income.
STAIN16ARD'DEDUCTION"ALLOWANCEe
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Si I I d ' int
T
Ad�d;s
(number and street, city, state, ZIP code)
zoi'k Tn 1771,
VAW WSSOROSEONLY 'i G
,V. — � '1 M -V 3 iP
Wl-�W I
4 c'
VALUE.� A
'ASS]
— &NOWRE.N T, A L
!D�AW4 90W
Land not exceeding 1 (one) acre immediately
surrounding residential Improvements.
Other land
(2)
tj -
"z 4
Total land (fin, I plus line 2)
(3)
Residential Improvements or Annually
Assessed Mobile I Manufactured! Home
Dwelling
Garage
(4)
(5)
Other improvements
(6)
9K,
Total improvements (fine 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 Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STAIN16ARD'DEDUCTION"ALLOWANCEe
20 Pay 20_
Lesser of 112 Homestead
vaivation or 535.000
Signature of Auditor
Date signed