Homestead_HuntsmanCLAIM FOR
CREDIT /STANDARDTDEDUCTION PROPERTY TAX
� I• State Form 5473 (R21 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
CERTIFICATI N STATE ENT
I (We) QtAfj+lhat e 1 a
I (We) occupied as our principal pace of residence the following described re property for which a Homestead Property Tax CnIcUl It r y i d:
C] I (We) owned E] Are buying under contract AF - S �
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property . buying and r a tract.
CONTRACT RECORDED GIBSON COUNTY AUDITOR
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number -
Page
PROPERTY DESCRIPTION
Count i
T shi
Taxing district (city lo) , totm)
Parcel mber
o0
Legal description
If any portion of the residential structure or the land not exceeding one (1) acre that immediatety surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township County
Township
Signat
.reby certify the above statements are true, correct and complete -
a of claimant
Address (number and street, city,. state, ZIP code)
aDa 5E M, cL PfcTor-A -r-,j `-17G4
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 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)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
ser of 1/2 Homestead
V fti or $2,000
5
Signature of Auditor
Date ignedd
d-��/
u
r
STATE FORM!IYA IR::s.1+1 TPlMUUR FORM:S-IA
. ARPR(S ED BY STATE WARD OF MVTUNTC.'_uy PRfYAIBEn BY THE BEPARPAENTor LOCAL IXIrRNMEP.T FDA•CE IC bLt-r4.1
Gibson Couty Auditor -
10114 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.
el" ILEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
g benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
r q®g filings_his inlnrmation will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this infomation to create tools that will help county officials eliminate homestead fraud.
PART 1:,PROPERTYL\FORMATION -.i • .
— JUN 1 2010 Taxpayer Name Property Address
Huntsman, Christy D
??7?Agt. 202 Mill
GIBS70gN COUNTY AUDITOR Patoka IN 47666
Christy D. Huntsman
202 N Mill State Parcel Number Legal Description
PATOKA IN 47666
26-04-24-300-000.179-020 018-00179-00 WOODS ENLG 55 PT/56
_ PT/57 PT
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.
. PART 2:1TAXPAYER-INFORMATION
Owner I First Middle Last
CJ� ' . paw IQ l�
rl . y Un+S lr-)01 r1
•tg Add mum• and street,city,state,and ZIP code) ❑ Same as property address
00,26,) x: 11 ?o Qox97 Pa+cKa T1,) 4/76 66
•
Spouse First Middle Last
0• • :l.------ Qa )e flu trQ/7
Mailing Address(Number. -- city,state.a.: IP code) . ❑ Same as property address
02o2 A) 01;ii .4. 0 1;- • 7 Pa4z, Ka_ r�, 87666
.):- /- -- P._ .T31. E•, 1 • :A • 4. -
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
PART 4:ADDITIONAL I NFORMATION -