Homestead_StantonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
` State Form 5473 (R8 / 7 -07)
Prescribed by Ua Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10 �.
I (We) 6r ti certify that on �thye ,1' st day of March, 20
1 (We) as our principal place of residence the following described real property for which a Homestead Pro perty�ap'�yiiWIF claimed:
11 1(We) owned ❑ Are buying under contract GIBSON COUNTY AUr)ITfy
❑ 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.
CONTRACTRECORDED
If buying on contrecl, Fee Simple owners name
Recorders office where contract is recorded Record number Page
Township
I hereby certify the above statements are true, correct and complete.
dry, statq„ dLP code)
County
ASSESSOR USE ONLY 7
TRUE TAX VALUE
D
• s
NON-RESIDENTIA
PROPERTY DESCRIPTION
County
AT 100% OF TTV
Township Taring disinct (city, town, township)
Parcel number
Land not exceecling 1 (one) arse immediately
L aVejitzption
Is the property m question:
surrounding residential improvements.
eat property ❑ Mobile Home (IC 61.1 -7)
if any ponio of t ider dal structure or the land not ing one (1) acre that immediately surrounds that re is used to produce income, describe the use and portion
of the props b produce
income.
of4 /" - aa-
% ado. a�"C�q
Township
I hereby certify the above statements are true, correct and complete.
dry, statq„ dLP code)
County
ASSESSOR USE ONLY 7
TRUE TAX VALUE
D
• s
NON-RESIDENTIA
AT 100% OF TTV
VALUE
VALUE
Land not exceecling 1 (one) arse immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (fine 1 plus fine 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile l Manufactured Home
Garage
(5)
"..
•,.+„z}'".".1,+� rf. . �^
Other improvements
(6)
a.
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(6)
1 hereby certify the above is We, correct, and
SgnaWre ofAssessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month. day, year)
20_pay 20_
Lesser of 12
Homestead Valuation
a
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor I Date signed (month, day, year)
%TATE FORM.y't iR /%AM. TREASURER FORM TS-IA
T .VFRYWLD m"�rlrE VIsSO M'YT�a.TS.9� E RrA711ED nr nu DEEARrh1YT OF LIX'u rsavrLwrwT ra:ANCE IC 6-1.1-2:4,1
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 ever for homestead fraud.Homestead fraud causes higher In bills for all:therefore.
1 F I i HEA 1344-2009 requires uxpayers who receive the homestead standard deduction to verify that they are eligibe to receive the
benefit and to provide additional identifying infumtnuon necessary to allow county government to better monitor homestead
1 filings.This information will he kept confidential and can only he 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.
APR 9 LUIU PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stanton, John H
(/ 301 N Washington
GIBSON COUNTY AUDITOR
SOMERVILLE IN 47683
3211
John H Stanton
P 0 Box 357 State Parcel Number Legal Description
SOMERVILLE IN 47683-0357
ItltrllttritlIrtlttitrtllrll 11tt 1.1.1...1t1r1t 1tt t1(1t 1t1 26-20-02-401-000.252-003 020-00252-00 HIGHLAND PLACE 16
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
/jgR9 c-5)r44/7- A
e Address(number and street,city,state,and ZIP code) ❑ Same as property address
PD /?ox 357 (-57.0/77E/?V/41 E- . /!W r7b 13
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sax
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 Signature Date /�/D/
Spouse Signature Date Telephone
• PART 4:ADDITIONAL INFORMATION