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Homestead_StuckeyCLAIM FOR HOMESTEAD PROPERTY TAX FORM M YEAR CREDIT /STANDARD DEDUCTION Hc10 I `�/� State Form 5473 (RS / 10 -01) (/ Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for filing instructions. � `. - - . "CEPTIFICATION STATEMENT I (We) certify thaton the�sli'*0MUrch'40_ I (We) occ 1114 as our pri ci al place of residence the f wing described real property for a Homestead Property MARI n ha Mclaimed: El (We) owned ❑ Are buying under contract LL DULL lave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prrrty or i� buyj(1g taer a coggact/ If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number jPage PROP.ERTY.DESCRIPTION, ': ,�_ ;'s,�' County Township Taxing district (city, town, township) P l u r Dono L.��y/ I description I Is the property in gu ion: �ropeM sJ `.`'VALUE �' ` Q% �' �L- ❑ Mobile Home (LC. 6-1.1 -7) If any portion of the residential structure or the land not exceeding one (1) acre that immediately sun ounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. ' -� *'>: i tro '� °4'"t '��.•'. �- ��'.b1 PROPERTY -OWNED BY CLAIMANTiNOTHER 'COUNTIES r'."c `, '�.�� i'_i _F � r. `' County Township County Township 1 hereby certify the above statements are true. correct and complete. S of claiimannt�r_ -.yo adr (number and street, city, stare, Z) 1 X _ ri - F > TRUE. r 'r ASSESSED VALUE HOMESTEAD `- N - NORESIDENTIAL —' .'• „, ASSESSOR -USE ONLY VALUE; AT 100 %OF'TTV V_ALUE... sJ `.`'VALUE ;it_ -.a .r. Date v ned �5_© ." ,'t ..;at Land not exceeding 1 (one) acre immediately' surrounding residential improvements. Other land (2) Total land (line 1 plus line 2) (3) - Dwelling (4) Residential improvements"'' Garage �'h?a`t..��; (6) : t >•. .t _is u r Other improvements (6) Total improvements (line 4 through line 6) (7) Trial value (line 3 plus line n (6) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Dale signed �s- .�.s."h'T STANDARD. DEDUCTION 20 Pay 20 Lesser of 1/2 Homestead S Valuation or $6,000 Signature of Auditor Date v ned �5_© Sl TE FORMAw0C/5-ri1 WEASMMER mR.M3IA ArPwwEO BY SLOE BOARD OF'OYR,STS.Iris PRISIUBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FB:AVCE ICHA-•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 exer for homestead fraud Homestead fraud causes higher tax bills for all:therefore. • ( HFA t and provide requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive die jbenefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create toots that will help county officials eliminate homestead fraud. APR 8 1010 PART 1: PROPERTY INFORMATION Taxpayer Name Property Address '7 e'e/ V Stuckey, Harry Ray/Carolyn Sue Lzt ' GIBBON COUNTY AUDITOR hell ft 10-005 Patoka IN 47666 2153 Stuckey, Harry Ray/Carolyn Sue 2223 W 350 N State Parcel Number Leila! Description PATOKA IN 47666-9024 26-04-26-100-000.860-018 010-00860-00 PT NW 26-1-11 2.75 AC I ritrilrrr ltllr ttlItt rlli.ltlttili'ii tItlt lt tlttltluilItrt rlli PART 2: TAXPAYER INFORMATION Owner I First Middle Lau ���v► � _ -u & key y- tg Address 0911-nber mid im>a,ctry,state, G'Ll a code) ---- �� - -- aBme In property uddru., '2,23 I.v 35 o Pi4T 0 `i 4- Zit! 47 la 66 Spouse First Middle Last CA2oLv,/ � S� uc�K� Mailing Address(Number and street,c state,and ZDP code) [E pine as property address 2 1°13 /4 3 S N gg ZN 4Lnd 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 Signature ste, Date _.AV . a / a!_ PART 4:ADDITIONAL INFORMATION •