Homestead_Young (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (FU I &M
Presented by the Depintrient of Loral Governtnerd Fr
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
I (We) jp-s' - Krff --" i n.4 mr* that I TYPIM41" '
I (We) occupied as our principal place of residence rig deZfW real property for which a Homestead Property T#Credqgnereoy chimed:
I (Via) owned ❑ Are buyng under contract GIBBON COUNTY AUDITOR
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.
',CONTRACTRECOFWED.ly',:"'
If buyng an ombacL Fee Swnple ammft narma
ftrardefs office where cantred is recorded Pjxord number Page
OFiOPERTYUWkmBYCLA%LkNTEN6*EFtCouktms*'_t
PROPERTY DIESCMPTIOW':
Township
County
Townstun
TmmV dWrict ley, tmm. township)
I hereby certify the above staternents are true, correct and cornplete.
Parcel nurnber
Is the property in "Kon-
YA
I
�r 71 j 6J 7 1 - I ❑ ReW'Wp"
❑ maul. Fl.. (Lc. 61.1 -7)
If aby portion of the resklentiail structure or the lend not exceadrig one (1) acre Mat munedalety zu"ound3 that structure is used to produce emvne, describe the use and portion
Vproperty Wilized to Mod" b=one.
surrounding residential irnprovernents.
MM s4ned
2,&-0& -dt-140 -000-
qlA -0/7
OFiOPERTYUWkmBYCLA%LkNTEN6*EFtCouktms*'_t
County
Township
County
��,�j;V&,NOK4MSMENTIAO, g.
Tbvnship
I hereby certify the above staternents are true, correct and cornplete.
m N
ant
YA
( number and 'hr RBI. 7 -7 5 E
ran Cisco TN, H764
ASSESSOR OSE'OkY �'.b
ASVALUE
HOLMSTEAD',
��,�j;V&,NOK4MSMENTIAO, g.
Lesser of 12 Homestead
OF
?!�T'100% T71
1�
YA
Laid not exceeding I (one) acre i
Wituabon or $35'000
Signature of &A&Wr
surrounding residential irnprovernents.
MM s4ned
Other land
(2)
Tdal land (1km I plus Im 2)
(3)
Dwelling
N
Residential unproveinents or Annually
(4)
Garage
rf k
Assessed Mobile / Manu!achxud Ham
(5)
Dow anpruvements
(6)
Trial improvements ((ore 4 through fine 6)
(T)
Total value (Ikm 3 pis Em 7)
(8)
1 hereby certify the above is true, correct, and
cornpiete.
Signature of Assessor
Dats s'rgred
%AmTfp% action - SUnature of Aucftx
Data signed
,:STANDARD DEDUCTION ALLOWANCE
20— Pay 2O—
Lesser of 12 Homestead
Wituabon or $35'000
Signature of &A&Wr
MM s4ned
•
cum FORM!JR.*2r fwr TNF4SULER FORM 75-IA
APPROVED ersr.IE M moo( n*i..TS."no PAISCRImmBr mr DEPARTmYT(f LOCAL&)vrtsMr Kr FINANCE k'4-LI-3_-r.I
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 become!.
_ more beneficial.there is more incentive than ever for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This inlbrmatinn will be kepi conlidential and ran only be accessed by authorised county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Young, David L
It F-I3._8f
Francisco IN 47649
1110
David L Young
4258 N 775E State Parcel Number Le2a1 Description
FRANCISCO IN 47649-9257
�I�Il��llt�l��rrt�tl��t�rt�r�rltl�t�t�r�r�rrr�r�r�t�rr�rt�tt�� 26-06-21-100-000.912-017 009-00912-00 PT NE NW 21-1-9 5 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle U Last
Davi cL L. I Dunk
—•te Address(number mid street city,state,and ZIP code) — — — ----_ — —NtieLme m properly uddrssa — - __ .. _ _ _ . _
S8 N; 775E. Era na'sCO , ZN 1176Y9
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number past 5 digits) Other(please specify in Part 4 below)
slate
era 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 I Signature Date
Spouse Signature c Date Telephone
)
PART 4:ADDITIONAL INFORMATION
•
•