Homestead_Swope4 ti� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
J State Form 5473 (RS/ 10.01)
u,. Prescribed by the Department of Local Government Finance r
INSTRUCTIONS: See reverse side for filing instructions. '
FORM YEAR
HC10
I (we) certify that on the 1 sl day of March, 20
(We) occupied as our pdncip I pla of residence th ollowing described real property for which a Homestead Property Tax Credit is hereby claimed:
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.
,.k' `..a db, t;- WCONTRACT. .'RECORDED :ic_ zs' ''4^`.`fr`: -xi"f- '''x :.: "'�^ >.?Ftr"xr.'
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
,- e.sf+ r :h4.1Y44'wr' rS x.;if'� y PROP.ERTY.DESCRIP.TIONs'F>
County
Tcwnship
T distdc (lily, to , township}
Parcel number
Legal description Is the property N question:
cat property ❑ Mobile Homo (LC. 67.1 -7)
H any portion of the reside I structure or the land not exceeding one (1) awe that immediately surrounds that structure is used to produce income, describe the use and portion
of the property util¢ed to produce income.
aASSESSOR USE ONLY
County
Township
County Tovnship
1 hereby certify the above statements are We, correct and complete.
Sin
ure aim t
O"L
^dress (number and street, city, state, ZIP code)
aASSESSOR USE ONLY
TRUETAKi
ASSESSED VALUE
ti.:
aHOMESTEAD: -
y
NON = RESIDENTIAL
�
uVAI:UE.A-
AT.v100'WOF TV -'
- V 'UE�
„uE VALU b. �f x_,
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
} "'r' `'%�. Z e% -•N
s ?• ? 'IN
Other land
(2) ,
z'�T "`,.,t''
Total land (line 1 plus line 2)
(3)
Dwelling
legi
i !, .- '•"}..F _
Residential improvements
(4)
'" --s �4� vim'
Garage
O
gp
;
Other improvements
(6)�"
f�
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 1/2 Homestead
Valuation or $6,000
L
Signature of Auditor 1/ _ �p ^ ^ (Date
SISFE FORM f3?vontS-t i 1RL SULER tORN 73-1A
nrrRm o or MAIL brvaDnt MflLNTS.b+ MEsCEIBm BY THE DEPARneJT OF Mat GOVERNMENT rn:&SCE tee-id-:_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 tax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and can Only be accessed by authorized county officials.The Depanment of
Local Government Finance will urc this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Swope, Nancy J
TII.I.Y Estate Apt 5a
Bicknell IN 47512
8
Nancy J Swope
309 E School St State Parcel Number Leal Description
Patoka IN 47666
18-110437-08 WOODS ENLG 4
-- 2(0 - -09 -35o ceo a6V oad .
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:TAXPAYER INFORMATION
Owner I First Middle Last
ap.g°Adddrr(ess((nnum r and stt/reet,,city,state,aRnnddd ZIIPP code) g-7;5749> // Same as ppropelN addrec
N tY! 4:: /// {' tie r/ ! , / (/ /�J/'lC ///iii...
.
Spouse {fQ; First Middle Last
g/
Mailing Adtlte;sJ/y�/Number and street,cif)',state,and ZIP code) 0 Same as property address
Social Securiyy///'Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
/t State
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 Sig Lure Date Telephone
i,�C seI si,"›.���t7.-�i : / ,y-/6yp . )
Spouse tgnamtf� Date Telephone
/ i y - - - ( ) .
PART 4:ADDITIONAL INFORMATION
, SUAR FOAM!SR.jr:f-rvi MEASURER FORM 7S-IA
APFRP:D BY STATE BOARDcw Anrixt Ts_run PRF4NBFD BY TIE DEPART ITe.LOCI GM?0.MMO7 rNA[E in-1.1-224 I
1 Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of dtis deduction become,
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all;therefore.
® HEA 1374-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necesry to allow county government to better monitor homestead
filing.This information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Goverrunent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1:PROPERTY LNFORMATION
Taxpayer Name Property Address
Swope, Douglas A/Nancy J Stephens
309 E Vine
Patoka IN 47666
65
Douglas A Swope
309 E Vine St State Parcel Number Leal Description
PATOKA IN 47666-9236
llliillliilillliii 1nt1111 trim s ltlullullu llmiltlnulill 26-04-24-300-00 .364-020 018-00364-00 WOODS ENLG 15
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:TAXPAYER INFOR\1ATION
Owner I ] l - -�J I First y�/J'///f� Middle .����,,�,, Last
7d e n (1/ (/(t/f Y// \--7.5
oprty�$ss
etg Address n and suee[,city,state,and ZIP code) � Some asst property
‘ �Vlf1 J4 , er i - . / g7/4 - _. . .
Spouse a First Middle Last
Mailing.Add('ess(Number and street,city,state,and ZIP code) E-5afiras property address
/ / 7--?/ /�/f�
Social Security tuber(last 5 digits) Driver's Lice� ta( a ID Number (last 5 digits) Other(please spex.ify in Part 4 below)
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
t' ..rier_
;/ ( )
PART 4:ADDITIONAL INFORMATION
/