Homestead_Srickland®r CLAIM':FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
V State I= 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See ninherse side for riling instructions.
I
FORM YEAR
HC10
I (We) certify that on the fat day ciffTrarch. 20_
I (We) occupied as our principal place of residence the following described real property for which a Homestead Mortfse0jUV hereby claimed:
4 1 (We) owned C3 Are buying under contract
ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the r4W'qg under a contract.
on contract, Fee Simple owner's name,
Recorder's office where contract
Record number I Page
OR'OPERT7Y.OWNED`,BYCLAIMANTIN'OTHER-COUNTIESr,:Z�i� r:Zl�--'°- '-Z;-
PkOPERTX,61ESCRIPTION .,
Ckxinty,
Township
Taxing district (city, to". township)
Signature of claimant
,gal description
Is the property in question:
00
V MUE-1
C1 Real property ❑ Mobile Home (LC. 6-1.1-7)
If any portion of the residential structure or the land not exc+ding one (1) am that immediately surrounds that structure Is used to produce income, describe the use and portion
of the property utilized to produce income.
OR'OPERT7Y.OWNED`,BYCLAIMANTIN'OTHER-COUNTIESr,:Z�i� r:Zl�--'°- '-Z;-
County Township
County —17o`mshiip
-HOMESTEADS
V�-'-F�WV
I hereby certify the above statements are true, correct and complete.
Signature of claimant
ss (number and street. city, state, ZIP code)
;2}}'..'`',Y `.rAr6jf� �'.e`R
TRUE TAXI
ASSESSED VALUE'
-HOMESTEADS
V�-'-F�WV
Lesser of 112 Homestead
V
ALU_ E.��
V MUE-1
Land not exceeding 1 (me) acre immediately
Signature of Auditor -naa4.4A 13
NO, i�'
se-0. , W-25; g, wk'�
surrounding residential Improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
------ IF—
ME ��AN
Residential improvements or Annually
(4)
IC -Mn� -
MWIRM 1Z�-
Assessed Mobile I Manufactured Home
Garage
-`.'M
(5)
W-Z
-JV7
(4bet improvements
(6)
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
DAR Dc D E DU CTI 0 WALLOWAN C
14W 20 _ Pay 20
Lesser of 112 Homestead
Valuation or 535,000
Signature of Auditor -naa4.4A 13
signed
03--
V V
................................................
surf FORM!)K1R'/fwt TREASURER FORM 15-1A
APPRt'ED BY<r■LanMD Of M r1'ay1v`uv Rr3FnYD BY TIE DEPARTMENT<F Wr:LL GOVERNMINT FR:.A\etesI.l-2:4.1
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 lax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receue 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 cm only Ns accessed by authorized county officials.The nepannent of
Local Government Finance will use this information to create WAS that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Propene Address
Strickland, Michael Is/3/t " S7cn e 4-Q^$'a--
POBox462 ( "
Poseyville IN 47633-0462
5785
•
Michael Strickland
P O Box 163 State Parcel Number Legal Description
Griffin IN 47616-0163
�t�u��u r�t�� 111111111 ��r��rnr��n��un��r�r rt�� 26-16-30-777-701.139-023 OCO P1139-00 CAMPER 30-3-13SED LAND
- - PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
•/lI,cr,�a, Q,l TO ..S eQk 3R'rcC,tfa- el
I'7ng Address(number and street,city,state,and ZIP code) — — --- 1nl Same as property address
O. �o x I (Q3 G r t 4 rJ1f ���i o -
1
•
Spouse First Middle / i Last
l IllcL lea A) Sf rfcCa,,�
Mailing Address(Number and street city,state,and ZIP code) ® Same as property address
i
eo Bol Ilp 3 r; r-(� .a/ 1 5. /7 .(b
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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.
PART 4:ADDITIONAL INFORMATION
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