Homestead_Alvis (2) MATE DORM 5■'• IIC/%µl TREASURER KERN 3'IA
Ar,T*En BY STATE BnAROnw.wnycNrc.ZINN PRESCRIBED BY PR nEPMTHEYTOF LOCAL GOVERNMENT rT.00EICH.1=[4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple,are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ncr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
ill HEA 1347-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing..This information will he kepi confidential and can only he accessed by authorized county officials.The Depanmctn of
Local Government Finance will toe this information to crcatr tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Properly Address
Alvis, Lois M
none
Princeton IN 47670
1216
Lois M Alvis
8897 W 350 S State Parcel Number Legal Description
Owensville IN 47665-9016
�r1rr11rrr1r11t trllt ttltltltlrtll Ilt llr tll lrrlt rr Illrl tl 26-10-27-400-001.956-021 005-01956-00 PT W SE 272125.00 AC
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PART 2:TAXPAYER INFORMATION
,Owner I First Middle Last
•Ig Address(number and street.city,state,and ZiP code) — ante as proper,nddrcs— —
g55�el 350 0uiencJlIIQ To L1llslo5
Spouse First Middle Last
Chcele5 al o_n tcA ► S
•
Mailing Address(Number and street,city,state,and ZIP code) n Same as properly address
8%9?/A 3OS oweastsllte z) LI 5
!
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that h_e 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. I
Owner 1 Signature Date
•
n.
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (Re / 4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for !ling instructions.
. `" � . _,np, y:riF �' r"'-'; iix �- ,.- -`•t4} "'"rsr- :$ ,� � C TIFICATION STATEMENT '- ""'i{"2'�s }' � � dx •gy..cz,,��. . -
I (We) x certify that on the 1st day of March, 20_
1 (We) pied as r principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
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.
0
If buying on contract, Fee Simple owners name .7 G I, 10 2003 1
Recorders office where contract is recorded -- - RR rd nbr er / 1 Page
s .`ROaeRTrDSSer�Pnor►�"��
County
Township
Taxing
, to nship)
as-6- O
Le ascription
W 27- a -/z
s e DropertY
ueslion:
eel Property [I Mobile Horne (LC. &1.1 -n
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
,mow
Jr T.:sts ,., r��>,,, i��,.'.:) F�- t-a?
,INiOTHER'COUNTIES"'` T_.., -0
County Tmnshio
Count Township
hereby certify the above statements are true, correct and complete.
Sig ture of claimant
rasa (n In and street, r1. state, ZIP code)
7
> o
EtL
SD.V
HMEA�U
%:
"
.S..v
v�ENTIAON tar r
. E•,.>L ✓
Land not exceeding 1 (one) acre immediately
? {t��'a*";x 'i+•�sk�2p„r:
surrounding residential improvements.
1
Other land
(2)
e+` v° G
Total land (Ilne 1 plus line 2)
(3)
Dwelling
(4)
Residential Improvements or Annually
Aasetned Mobile / Manufactured Home
Garage
(5)
i'f'v">. {.�::vn�•?fs:'� L'r. E_.'.2c - ,:::?:iv`r� 'S.'
Other improvements
6'
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
��' r��S."' �' �° �`` �r.+-?`- �`_`}, ?t` a.``..rt7>r:�'ISa�?`.'�cr > -.:�� iSTANDARD :OEDUCTION'AL'LOWANCE. v: -�:i.':-': a�^:x:.:'aa' -�i• /' �.':�f�'= ~r.r°i- �:zs�:Pj'r`.� _
20 _ Pay 20
Lesser of 1/2 Homestead
vauation or 535.000
Signature of Auditor Date signed