Homestead_Besing (2) .. CLAIM FOR HOMESTEAD PROPERTY TAX
eLf .e. STANDARD!SUPPLEMENTAL DEDUCTION FORM
tLtYEAR
Sate Farm 5473(R17/1-16) HC10
Prescribed by me Department of load Gwarama Franca
INSTR(ICnoNS:See reverse side forhTmg insbucbone
NOTE:Telephone,Social Sean*doer'aderse.stab ide 5500 and ffeed`eraali n numbers are confidential under IC 6-1. 7.
place of a am are Wf^"r" C 4tbed ceridw that I(we)occupied
(are)buying the following real property under fa which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed. (date of signature).,tye):O LlI 0 2011
❑ Own. ❑ Am(are)buying under recorded contract
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. n'
❑ Have a beneficial interest in the trust a the right to occupy the property under the terms of a quaffed personal
❑ Am(are)the shareholda, partner,or member of the entity that owns the property.
GIBSON el 07_AUDITOR•..
Casty Toemtdt Tait'dNt(My,la.n township)
Pam router Legal desapem , (j 6 4 C. I nmopcoestr in question
ft ►.! E iI - 3 - 9 Real=Pali ❑Amaaaaasessed=as trot(IC e-1.1-7)
It errs palm a de=den=Mime or to laid not nceediy an(1)axe Oat in edatlysurands that wamse's need to motce Mane,Mate to use and pores°
Ce tie property tatted in produce income.
aCo - Ao - a - aoa - oco . & 50 - 003
_ . . H1 -Y- - -. - _ .
s' s ` _ .PROP.ERTYOWNED ELSEV:HERE BY CLAIPaANT _ . -- ,"
Stag Camay,and ToCip Is datnent vacating a homestead?
❑ Yes ❑ No
swi,ea=Mat
I hereby certify the above statements are tole,correct,and complete. N't �)7 •
Addeas awMaa(nrmerend meet cry,sate,end VP code) Ce -vacated tvmsbad,d any s 1 end Sauce(ay,acute,art LP ads)
30 1 L E . /e dcc le_s+ OeL k1,.r,d C. 4 T !J ..47 66 0
- ASSESSOR USE ONLY _ - I-- ;ASSESSED VALUE -. _� ' .,HOMESTEAD VALUE_ . .tOi1.RESIDENTIAL
Land not exceeding one(1)acre Otutre6Nteiy` Y ,; .d1X
sunnudmg residential improvements ( ) -' °6• ? +--_-
Omer land (2) s >fe '=.c
Total land(line 1 plus line 2) (3)
inanely al improvements or DweOrp (4) ¢BLS=.' .-i= ei`cE5?:v>:r_
mnufacuredbedmoWN/
manufactured home Garage (5t' : %-..�,::}' ...� r
Other improvements (6) t- _.,f .r1D� _
Total Improvements(line 4 through line 6) (7)
Total value(line 3 phs tine 7) Of
I hereby certify the above is true.correct, CeASVSSOf Date ss eat(nail{day,lea)
and complete.
vetting am-Sgaeve of/mitt Data signed(math MY.lam)
20_pay 20 Lesser of 60%of the assessed vdoe of the homestead or 515,000.
NMsi78bndug any Other provision,the sum of the deductions padded In IC 6-t 1-12 tr a mobile home $
thatls not assessed as real poperty orb a manufactured home that Is not assessed as real property may
not exceed oue-hhaa!!((tt Z off the assessed value of the mobile home or mamdmriaed bona.
Sptatre a// ' ' - — ( 7/C/J///�� Wbslgal(morxh�Y.yaeA
asTRisumON:Odgoal-Casey AOdlrr,Foe- reed //
1 VVPage I of 2
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R7 / 5 Ob) b�
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. TIL F r)
I (We) prin certify that on the 1 st day of MaW, �0
I (We) occupied as our nap& place of residence following described property for which a Homestead Property Tbw.Q�it is hereby claimed:
I (We) awned ❑ Are bying under contract tf GIBSON C O.
Havea beneficial interest in the entity that is liable for the property taxes on the property and that owns the properly aris
M:� C 0 N TRAC Tc RE C ORD E 13,1P,
If hWM on contract. Fee Simple owners nerne,
Recoder's ofliou where contract isreccx Berard number Page
Jl:'. PRdPEJRW.bWNEb s*,cLAigANttk.6*ER,couW-nEs'.,'rd,.��,,
County Tmmship
PkdPEkTYDESdR1PT1qLe
CoLin
Tmnship
Taxing district (ciy town,
Lesser of 12 Homestead
LLU!Et"�
Legal description
Land not exceeding I (one) acre immediately
Is the property in question:
❑ Real property Mobile Home (LC. 61.1-7)
I
If arty portion of the residential stwture or One lard not exceeding one (1) acre that immediately surrounds that stnx%se is used to produce trrcorme, describe the use and portion
of the property utilized to produce income.
Jl:'. PRdPEJRW.bWNEb s*,cLAigANttk.6*ER,couW-nEs'.,'rd,.��,,
County Tmmship
County
Township
I hereby certify the above statements are true, correct and complete.
(number tad sheet, oft: state. Z]Pcode)
W o. box3o-) --rrj'/Wo83%
F :STAN D ARD'D ED U C TI 0 N iAL LIOWAN CE,
I
-146MESTEAE).
NON41ESIDENTIAV.-R.",
Lesser of 12 Homestead
LLU!Et"�
Land not exceeding I (one) acre immediately
(1)
$
rI
'"t ;"h ",£
Ku` &-.. *W
stirrotrnding residential improvements.
i�
MO
M R
Other land
1Dates' Z--0q —071
(2)
Tclaf land (firm I pkis lire 2)
(3)
Dwelling
MEN- WAWK
Residential improvements or Anwally
(4)
Garage
ON"
Assessed Mobile / Mararfachured Home
(Si
14
Other improvements
(6)
Total improvernents (line 4 through Eno 6)
(7)
Total value (line 3 pits Em 7)
(8)
I hereby certify the above is true, correct, and
Signature ofAssessor
Date signed
complete.
Varifying action - Signature of Auditor
Date signed
F :STAN D ARD'D ED U C TI 0 N iAL LIOWAN CE,
I
20_Pay2O_
Lesser of 12 Homestead
$
Valuation or $35,000
1Dates' Z--0q —071
/ I I - - "V' -T--1 I I
STATE FORM 53569(83/5-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-8.1
' 0 ' PNO IC :IKQ)I1C ►(� ) ' ' O YOWN'E"° S
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
Ocauses higher tax 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 government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
MMus PROPE',- Y aZ_
Taxpayer Name Property Address Slate Parcel Number Lepal Description:
April R Stuckey 10301 E GLENDALE ST 26-20-I 1-202-000.250-003 PT NE 11-3-9.65 AC
SON1ERVILLE IN 47683
Complete and return to: IIIIIIIIIIIIIt]OIIIIL lDEll1ll101111U11111:I[!DUhI➢1IEI.IILUhI
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
• • - - gvagsruzgiffiztan INFORMATION -
Owner 1 First Middle Last
April /2 SAC%
Maisng Addr ss(number and street,say,state and ZIP code) 1 l
s property address
ayouse First Middle Last
Ma°mg Address(number and street.city,state and ZIP code) Same as property address
Serial Security Number(last 5 digits) Driver's License/State ID Number(last 5 digits) State Other(please specify in Part 4 below)
Igaalig3 6ER IFICA'BQM
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 1 Signature Date
Spouse S' we Whet Date Telephone
a
PART •sp�IITiI �L ILNFORMATION ,
I
' i
• NOV 9 7012
v
GIBSON COUNTY AUDITOR