Homestead_Condra •
SLATE IORa'1w in/ d1 MD.-GUILE FORM 31A
APFITN ED BY SHIE a/Nap OF AM1TIMD.bn rur[mBm BY mr DFPARTNCEIT(K LOLL rAVaEN•IWT MACE IC 6-1.1.2.7a1
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and flurried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
• more beneficial,there is more incenthe than e'er for home read fraud.Homestead fraud causes higher In bills for all:therefore.
HEA 1344-21)09 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept conlidentirl and can only be accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Condra, Cindy L
/ -P6-HOCTS,
3279 ___ — -
Cindy L Condra
Oa- � 9� e 66o 5 State Parcel Number Legal Description
1N
OAKLAND CI IN 47660-777 33
111.1111114111111111 11111111111111111111111111111111111111111 26-20-15-200-001.134-001 001-01134-00 PT NW NE 15-3-93.161 AC
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 1 First Middle Last
( ;n d L (Z✓1 c1rca
(ping Address(number at1 street.city,state,and ZIP code) -&erne as property address
en
51.21 6 650 5
Spouse Fits: Middle Last
Mailing Address(Number and street city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sue
-- - 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
PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Government lFinanoe
INSTRUCTIONS: See mvw= aid* Ilor Aft kaftc6om
L
I IML711§�
I (We) — L--e-XzV1t-/ L--V certify that on the 1st day of March. 20
1 (We) occupied as our lin pal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned tre 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.
ONTRACT'RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
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0,12 At I rF- -OPROPERTY, 15 -TN
ESCRUP.d
County
County Township
Township
Tacin istrict (Uftyluwn, township
Address (number nd street, city, state, ZIP code)
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Parcel nurn er
1�q
Is the pro party i question:
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I Real property ❑Mobile Home (LC. 6-1.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately wrreunds that ire is used to produce inconne, describe the use and portion
of the property utilized to produce income.
Other land
1-5--
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County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Si natur 14 claim apt 5;7 ✓
Address (number nd street, city, state, ZIP code)
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r9VA
4 !"FA 'vg
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102 1:--
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jkffiVEE-i�
'ASSESSED.VALUE
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�fi �j-
r OME-STEAD.
WiqON;RESIEIENTtAL'
W
MM
.VALUIE.�itj;�E
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Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
i Sh
Total land (line I plus fine 2)
(3)
Dwelling
pp
L
Residential Improvements or Annually
AnesuclMobile/Manuf8clUrld Ham
Garage
(5)
M-
Other improvements
(6)
Total improvements (fine 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.
I
Verifying action - Signature of Auditor
Date signed
-&'14QTiw.O-ckOF2E; STAN6AREi.DEDUCTION:ALILOWANCE
20 _ Pay 20
Lesser of 112 Homestead
Value" or S35.DOD $
Signature of Auditor Date signed