Homestead_Strickland SlnrE FORM.1!..R`(NEN larASUrlR r0RN t3-IA
VPNrrN Si EMIT WORD OF Mrr*LxTS._n+ PEESRIBD EY nil DFYMINr.`ITIF LOCAL rI,vEY.NNrwt FINANCE IC 6.1.1-r-n
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 eser for homestead fraud.Ilomestead 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 teethe the
benefit and to provide additional identifying information necessary to allow counts'government to better monitor homestead
filings.This information will be kept confidential and ran only be accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county official.eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Strickland, Robert E Life Est
P 0 Box 287
Somerville IN 47683
8480
Robert E Strickland
P O Box 287
020-00246-00 PT SE 2 3 910.57 AC
to ur t I I I r I I r I I II nI rI ur I I a I tI ot III t I
\X/ D-8
PART 2: TAXPAYER INFORMATION
Owner I First E 1 Middle �jT C•l L r / 4 A
Last
�g.Address(number and street,city,state,and ZIP code) L �Qa \ I e TA) U Same as property addresss'nI -\ - —
Po t. ®<x 31cg 7 vv <—t-z 6? I
Spouse Last
Middle r� vst
l
LP A
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address
pi. O\ ��x g_$ 7 5 4_,1 l l L 2...P 47 ZS
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is tote 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 late
PART 4:ADDITIONAL INFORMATION
yf Rx>fQ -
s� CLAIM FOR HOMESTEAD PROPERTY TAX FORM
o' CREDIT /STANDARD DEDUCTION HC10
, State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
YV
CERTIFICATION STATEMENT- '
�n{ / 2j 5 /
I (We) _! J O /3CeT 4f �T� rC /Ct-/d n[' certify that on the 1st day of March, 19,
e9)'occupied as our principal place of residence the following described real. property for which a Homestead Property Tax Credit is hereby claimed:
Z�'j-
. " ti
01 (We) owned ❑ Are buying under contract ;_)P
❑ 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 -
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- - PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
'•.° - PROPERTY DESCRIPTION -
County
C�/i�So
Township ..
•-
Taxing dista (city, town, township) . .
�a�n��v7� -c
Parcel number
CIRO 00
Legal descnp
7-
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
Weby certify the above statements are true, correct and complete.
Signat a of laimant
G.
Address (number and street. city, state, ZIP cod )
oo. �a �0 % - �oi"eavll Ie!, 1i./
'976 P3
ASSESSOR USE ONLY -
TRUE TAX
.VALUE
- ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
111
'
Otherland
(2)
-
Total land (line 1 plus line 2)
(3) -
Residential improvements
Dwelling
(4)
Garage
(5)
_
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7) -
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed -
19 _ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
DEDUCTION ALLOWANCE
S
Signature of Auditor I Date signed
�y