Homestead_Barrett SLATE FORM L.OfoO er 5-,P11 TFASetfl FORM 11A
untrysen BT St\TE NWDOI:ACTT PUNTS.F"v rtIYRIBrD BY THE DEPARnur.sr(wLOCAL CO\2ratn,T MTANCE tt.-1.1-2=-..1
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 ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• 1 HEA 1344--2009 iequires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
7 g benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept conlidavial and can only he accessed by authorized county officials.The Depanment of
APR 1 2 ZO10 Local Government Finance will this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
7°G '' Barrett, Deborah A
GIBSON COUNTY AUDITOR 3459 S SR 57
OAKLAND CITY IN 47660
4772
Deborah A Barrett
3459 S SR 57 State Parcel Number Legal Description
OAKLAND CITY IN 47660
26-13-26-777-001.529-006 BLDG ON LSD GRD(26-2-9)SITS ON W
\X/ BARRETT 26-13-26-400-000.021-006
PART 2:TAXPAYER INFORMATION
Owner 1' First /'y Middle ]"anj�p A// .({/�{�{�/}tom Last
c Address(number and street,city,state.told ZIP code) --- — — ---® Sarno as property addteis -- — — —"'
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 (last 5 digits) Other(please specify in Part 4 below)
sea
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
F-A
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R715�W)
Prescribed by the Departinard cd Lo ®1 Goverrynart Fr MAY 1 5 200
INSTRUCTIONS: Sao reverse side tar ming instructions.
I (We) V (_ ( y Ut. - certify that on the 1 at day of March, 20_
1 (We) occupied as our principal place of residence the following described real property for which a Homestead! Property Tax Creclit is hereby dairned:
kLi 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. RC-CORDM
tf hrflV an ..b Fee Simple owners name
Pwccnleei; office _hero antmd is reaxdad Peoord number Page
I V
PROPEM MNED BY, CLAMIANTIN OTHER COUNIIEV,
PROPERTYDESCRIPM(M�.:
County
TaNnship
T—V . fal"now)
Parcel amber
Legal description
'AT
Is the property in question:
I [] ❑
$
vo
Real Wripixty Modl. fora (I.C. 61.1 -7)
ff any portion of the resklenbal struchwe or the IwW ncVexceadng are (1) acre to irnmedialdy surrounds tital structure is used to pnxkm incorne, desarbe the use and potion
of the property Wind to prodtice incurne-
Lad not exceeding 1 (one) acre iffirriecliately
0
I V
PROPEM MNED BY, CLAMIANTIN OTHER COUNIIEV,
County
Township
County
Township
I hereby certify the above staterrients are true, correct and corriplets-
sigrusture of daffnard
'AT
urriber and Street city.
9A c( / LCL
$
STANDMW GMUCTIM
TRUE TAX.
'ALili
'71,"H"O'SIESTEAD'
-NON
Lesser of 12 Homestead
MAW
'AT
$
Valuation or $35,000
swishire of &mawr
Lad not exceeding 1 (one) acre iffirriecliately
0
'9
OKA
surrounding residential improvements.
Other land
(2)
Tdaf land (line I plus &w 2)
(3)
Delng
wli
(4)
1,
Residential Residential err Annually
Em
Garage
J�l < 11ir
Assessed Manufactured Harris
•
(5)
Other improvernerits
(6)
Tctad wriproverneffts; (rme 4 through fine 6)
(7)
Tdal value (Arre 3 phs Ene 7)
(8)
I hereby certify the above is true, coirrect, and
conlPleta.
SW%ah" of Assesoxx
Date signed
Vertlying ac dm -.%Qrmtffe of AucfibN
Mile signed
STANDMW GMUCTIM
20_ Pay 2O_
Lesser of 12 Homestead
$
Valuation or $35,000
swishire of &mawr
Date sVmd