Homestead_SharpCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
i
State Form 5473 (R21 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT
I (We) �- certify that on the 1 st day of March, 19_
I (We) occupied as our p cipal place of residence the following describ al property for which Homestead Property Tax Credit is hereby claimed:
[A I (We) owned ❑ Are buying under contract
❑ 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 DESCRIPTION
County
Township
Taxing district (city, town, t sip)
Parcel number
L -a�
L gal description I
x� ao- 3- 13
If any potion 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 of ized to produce incorne.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Oereby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I 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 Assesor
Date signed
verifying action - Signature of Auditor
® STANDARD DFDIICTDN et 1 DWelar`c
Date signed
19_ Pay 19
Lesser of 112 Homestead
Valuation or 52,000
STATE roni55ft• r■741 EREASIIER 10PM:11A
APPROVED DT ST ATE MAROC*ACmcertbu e.EYRTEDBY fir DEPMWMENT OF ICI'.LL r.ovr4'MG'r FR:ASCT r.-1.I-r-A.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eter for homestead fraud.Ilomestead fraud causes higher in bills for all:therefore.
• HEA 1 343-21x0 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifyine information necessary to allow county government to better monitor homestead
filing.This information will he Lev confidential and can only be accessed by authored county officials.The Department of
Local Government Finance will use this information to create tools that will help went officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Sharp Family LLC
RI Box 39
Griffin IN 47616 �� t
2672 /
Sharp Family LLC
CIO Wayne Sharp
6646 S 1675 W
GRIFFIN IN 47616-9309 State Parcel Number Legal Description
11111111111111 1111111 111 r��t��ttt�t1 tt t�tt1 t11 t tt 1 t1 t� 26-16-20-200-000.166-023 D008-oolss-OO PT NE 20 3 13 1 A
PART 2:TAXPAYER INFORMATION
Owner I r First Middle Last
mirAddtcss nber and'atroe— city.state.and Zi code) -—_ _ — " - — inmc as property taltia s _ _ ___
S CC) *' 1 �75 \n11 Gil PFrn -�
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 Pan 4 below)
Sag
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.
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