Homestead_LoftonCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION
State Form SM (R5/ 10-01) w
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
.ERTIFJCA'q� STATEMgWV.- -g - -
AK A
I (We) � b .0 * V certify that on the-1st day-of.March,20
I (We) occupied our principal place of residence the follow e described al property for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) own iv ❑ Are buying under contract JUL 0 3 2003
allave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property oi�ilbuying under a contract.
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded
Record number I I Page
hodEPMA
t$ ASSESSOR�USE ONLY
County Township
I
County
Township
Sig aima nt
fl
Taung district (city, to", township)
number
:2 lizd
Legal description
Is the property in question:
❑ Real property ❑ Mobile Homo (I.C. 6-1.1-7).
Land not exceeding 1 one acre immediately
If any portion of the residential structure or the Land not exceeding we (i) am that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
ono coal; 57-�
6T 6�
e -
hodEPMA
t$ ASSESSOR�USE ONLY
County Township
I
County Township
% I
I hereby certify the above statements are true, correct and complete.
Sig aima nt
fl
Adress (rtmb and street 11, V
�
LI-Al. lr�
hodEPMA
t$ ASSESSOR�USE ONLY
WT'FZ'E-TM!*-!.%---
rXgSEiS9'9D'VUF
9-0 OWE
'%EQ
NONE R- r� +ESI�ENTIA
VALUES z
010 06%70 M
65— W
Land not exceeding 1 one acre immediately
t Ag MW
suounding residential Improvements.
rr
Other land
(2)
Total land (fine 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
M
Garage
gm
(5)
Other improvements
(6)
I MON-0-1 ffia
Tdal 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
I
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation or $6,000
Signature of Auditor I Date signed
.LIME FORM'3510 lx-FV/.I ntrasuEER rA4 ism •
NPWNEf BY MATEMNRO OF AF—CMS!aM PAEsNIBmnY T1EDFPAR1ln:Ir OF LOCAL GOV2IINSIFAI FINANCE IC 1.1.1-124.1
Gibson County Auditor
101 N Main 1, IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead sundanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive dun ever for homestead fraud.Homestead fraud causes higher tae bills for all:therefore.
HEA 1344-2009 requires taspayen who receive the homestead standard deduction to verify that they are eligible to Irene the
benefit and to provide additional identifying infornuuon necessary to allow county government to better monitor homestead
filings.This information will he Lepi confidential and can only le accessed by aulhorved county officials.The Department of
local Government Finance will use this information to crcatr tools that will help county officials eliminate homestead fraud.
• PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Lofton, James K/ Penny
It
Owensville IN 47665
313
James K/Penny Lofton
2620 N 950 W State Parcel Number Legal Description
Owensville IN 47665-8776
I I I III I I III I I I I III I I I I III 26-03-28-101-000.267-018 010-00267-00 E MT CARMEL 61/62/63/42
In ull nl utttn lot nrl unr D-18
WART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�tg.Address(number and stmt,city,state,and ZIP code) - — — — — — Some as property addres - — -- -
al1,ao N g500 oweinsvi Ile -Lyn y�ll,l�5
Spouse First Middle Last
'Pennq l-ynn �z�y ,
Mailing Address( umber and street,city,state,and ZIP code) VI Shame as properly address
aoaoNi 45 L3 Qw-e.x,Sv' uc. ; , 1I-1 lDb5
Each undersigned certifies,under penalty of perjury•,that the above and foregoing infonnation 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
*ART 4:ADDITIONAL INFORMATION
•