Homestead_Alvis ■
STYE 10101!3:w lle'/EOrl TREAAI[EAPoRN:3-1A .
AFTEWED BY ARE M•IID OF N't*.TS._un PELAIBam BY THE BEPARME.YHfL QSL GOVERNMENT FNAVC'E ICH.1:Y.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 net for homestead fraud.homestead fraud causes higher Ins bills for all:therefore.
® e .._.144--2IXW requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeebe the
�t nefit\nd to provide additional identifying information necessary to allow county government to better monitor homestead
� t'tms is information will he kept confidential and can only he accessed by authorized county officials.The Ikpanmenl of
V t I ' Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
1-0 Taxpayer Name Property Address
PPR ti Alvis, Chris/Keesha
QK°aUO\laR RI BOX 252 F
2226 G`BSON ODUN�� P owsNSVU.Lr_IN 47665
Chris Alvis
R1 Box 252 F State Parcel Number Legal Description
OWENSVILLE IN 47665-8956
• nrl rllru trivet rlrlulrlrltnlllt ell nrllntl rut rt,•rl 26-17-04-100-004.474-021 005-04474-00 PT NW 43121.538 AC
• Il
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
(kits %/tf,—I 742
Ong Address(number and street,city,state,and ZIP code) ❑ Some as property address
& 9 2 OWa- sc-.'//F -cn/ er >"GGr
Spouse First Middle Last
Mge 1-1,-4 bA-,1 .//6 A-2-,d
S
Mailing Address(Number and street.city,stale,and ZIP code) ❑ Same as propeny address
EIS 92 Ow6.vice,•/lt sip `I7c,eoS
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-
Own< ii mum Date
1110 .
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Form 5473 (R6 / 4-03)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See raw nce, aide for MW *w&ucbono.
FORM
Ffi HCI
NnV 0 S 2005
CERTIF,ICATIONSTATE MENT - ^ ^�
d
1 (We) certify that /en e 1 t d of March, 20
(We) occupied as our principal place of residence the following described real property for which a Home#tead,Prop&f*mWdreVJ9TQAby claimed:
e) 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.
A - sn. .n --,;.n
El.
If buyug on contrecr. Fee Simple avmefs name
Recordees of5cs where contract is recorded Record number Page
aP. RO0ERTY, 6WNEUBYCLAIMAHT ,1N':6THER"000N1IES7
DESCRIP,T10N�c�y^�?.
County
T i mship
T " g district (a.ty, to h1
Parcel number
ascription
rs the pmpe in question_
/
_Q 7 —
— ;�
DropeM ❑ Mobile Home ( /.C. 6- 1.1-7)
If any portion of the residential structure or the land not exceeding o (1) acre that immediatety wrtounds that sW cture is used to produce income, describe the use and portion
of the property utilized to produce income.
.r_- EIL-, ?,�—
"AT.100%'OFTTV�3�
� �...:.....
1'a,c +
< ?VALUE
- 140 -06
aP. RO0ERTY, 6WNEUBYCLAIMAHT ,1N':6THER"000N1IES7
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Si knqme of claimant ,
Address (number and street, city, state, ZIP code)
law
:� A5�5ESSOR USE ONLY -f
i
? VALUE` R'crf
ASSESSED VALUE
H_OMESTEAD' §�'
NON - RESIDENTIAL h
I~ }`fir F->F3
r
.r_- EIL-, ?,�—
"AT.100%'OFTTV�3�
� �...:.....
VALUE�+x'
< ?VALUE
Land not exceeding 1 (one) acre immediately
j; "'`,�+i�'".•r,R -r;f
surrounding residential improvements.
Other land
2
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
M '` .
`
� s
Residential improvements or Annually::'.+.•swr,a..ra�:Rbzi
Attsessed Madb / Manufactured Home
Garage
(5)
Other improvements
(6)
j' _24 `
i ee. � .r
Taal improvements (line 4 through line 6)
(T)
Trial value (line 3 plus line n
(6)
I hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
i�3.�v�= SST /WDARD DE1) TION ALCOWAHCE;!
20 _ Pay 20 _
Lesser of 1/2 Homestead
valuation or S35.D00 $
Signature of Auditor • Date signed