Homestead_Alldredge`�' CIAIM FOR HOMESTEAD PROPERTY TAX
� — s � Ct�EDIT/STANDARD DEDUCTION
State Fartn 5473 (RB f 7-07)
1�n. ` Prescribed by Uie Depanment af Loca1 Govemmenf Finance
INSTRUCTIONS: See revarse side !or filing instiucfions.
FORM
HC70
FIL,E
YEAR
I(We) certify Ihat on the 7 sl day ot March, 20_
1(We) ocwpied as our prindpal e of residence Ihe foilovring d 'bed real property fw which a Homestead Pro y�pT� Cre�iy}e hereby daimed:
.' !i •ra.� FJi7�g
�� 1(VJe) owned ❑ Are buying under contrad GIBSON C UNTY qlI' 1Tna
�!ave a beneficial interest in the entity tt�at is liable fw the property taxes on the propeAy and that owns ihe property or is burng IIROBf� Lrontract.
if huying on oonuact, Fee Simple amefs name
Recordefs otfice where contrad is recorCed
Counry Twmship
Tacing district (cify, town, township)
Recad number � Page
P m I number legal tlescnpli I Is tha proparty in quesGon:
n � �� Q Real property ❑ MoWle Fbme (IC 6 1 1 n
If any portion of the residential stnicWre or Ihe land not enceeding one (t) ac2 ihal immediately surtounds Ihat sUUCWre is used lo pmduce income, descnbe ihe use and portion
oi Ihe property utiGUd In Produce income.
a L�-va -�58-o3a -ooG, aa o-oi8(
.,
�-.. . . .: . . .
County Twvnship County To«nship
I hereby cerfrfy Ne above statements are true, correct and complete. Sign ure daim .
��a°e`����aZ,P`���.0�, 4��ao I
,. . . . .. . .
,, .
Land not exceeding 1 (orre) ame immediately - - ' � "_ �' Y`� • � -
surroundirg residential improvements. (�) - �' � � ' �� "
Other land �2� � .
Tdal Wnd (line 1 plus line 2) (g)
Residential improvements wMnually �elling (4) ::
Assessed Mobile I ManufaUUred Home
Garage (g� � �
Other improvements (6) . .
Tcial improvements (line 4 through line 6) (7�
7otal value (line 3 plls line � �g�
I hereby tertify the above is We, correcl, atW SignaWre ofAssessor Date signed (rtanfh, day, yea�
complete.
Vaifyirg action - Signature of Auditw Date signed (manN, day, yea�
STYE FOrstnt"IR:/YNI MWILFR?ORM 75-IA
APPRO.'EB BY SIATL anNnnr AM.MS..Zino IAESIImm BY nir DEPMI-HEST(K LeCSt Caw^rtMMFAT FtNAS'CE M VI.I-2'JI
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 e'er for homestead fraud.Homestead fraud causes higher tat bills for'all:therefore.
^�1 HEA 1344--2019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeehe 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 ran only be accessed by authorized county officials.The Depanmem of
Local Government Finance will use this information to create tools that will hap county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Alldredge, Andrew J
4th/Mill ST
Hazleton IN 47640
25
Andrew J Alldredge 74-oz -1/45R-03 07- CY:YS ago 0/8'
302 Mill St State Parcel Number Legal Description
HAZLETON IN 47640
26-02-59-032-000 110-019 014-00110-00 PT MD 321 10.75 AC
u
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.
211 - - • \ PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Alndre , JL4 s 4,4 A 1/dre c
Address(number and street,city,state,and ZIP code) Same as property address -pp
8l1c18 N Ct.nn1.'9Acppl Rd Paz/c710-7, q-1-76c10
Spouse First Middle Last
(1P—bs4 /hat- e Al dredje
Mailing Address(Number and steel,city,state.and ZIP code) Same as property address
89y8 • Cc,n2lciaH d f-Wt/e-fun, 4fltYO
- - _ PART 3:CERTIFICATION
— Each undersigned-certifies,.under-penalty.ofpenury,lhat-the ahnve and foregoing.information.is.true.and correct and.that he or-she.is elieibleto_ ._
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
_�ti