Homestead_Georges coal PoXst!!!.. /•wl nu:sutra MEN 31A
MIXmED BY Star£BMW OF N+YTTTS.9a PanAWB11)BY nil DrPARTW 4TUF LOCAL rOVELNMFWT FINANCE:c I i-r4I
Gibson County Auditor
10.1 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead siandani deduction.As the receipt of this deduction becomes
• more beneficial.there is more incentive than ma for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
HEA 1344-21109 requires uapa.crs who remise the homestead standard deduction to verify that they are eligible to recei.c the
benefit and to provide additional identifying information neceuarc to allow county government to better monitor homestead
filings.This information will he kept conlidemial and can only be accessed by authorized county officials.The Ikpartment of
Local Government Finance s.ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
-- .-- - Georges. Joel W/Misty L_
R I Box 21 I
Lynnville IN 47619
8879 �
Joel W Georges l�
11371 E 975 S State Parcel Number Legal Description
Lynnville IN 47619-8827
26-20-36-200-001.839-001 001-01839-00 PT NE 36-3-9 3.35 AC
I I nt It II I I I rI I,1 I t I 11I nt Ir II nr I I nt I nt I I I I nt I
`( D-19
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
3oe.t \).1a;e- Geo roes
•tg Address(number and street.city,state,and ZIP code) d -- - - - - - �/ Scone as property
Spouse First Middle• Last
�.i541 we. Geolrcle-s
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propcny address
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 Date
J
PA
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR__:
CREDIT/STANDARD DEDUCTION
State Form 5473(R51 10-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
7 C E RTI F I C AT] 0 Ill STATEMENT " -
I (We) \, 1A_J V _�f_ �z certify that on the 1st day of March, 20 —
I (We) occupied as our pri Opal place of1iince tWellfo!lo'vO' ' esc IlbeZd real propert or which a HomeOr ETax C claimed:
❑ 1 (We) owned ❑ Are buying under contract
61 ED
5 eil
Wave a beneficial interest in the entity that is liable for the property taxes on the property and that o erty or is buying under a contract.
3t`kCONTRACT! RECORDED
If buying on contract. Fee Simple owner's name
AII Tv t7[)IT0R
Recorder's office where contract is recorded r&chnumber I Page
F, I
v 7��-.-,'-��t�--PRopvay OWNED B'f CEAIKfIXNT IN 6THEWCOUNTIES
un
Tn"
County
Taxing district hlo low
,town
Parse j number
0/7736
-3-9p 3
Is the property in question:
❑ ❑
L)Q �-_ 0 3,3
-YE.
Real property Mobile Home (I.C. 6-1.1-7)
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.
Land not exceeding I (one) acre immediately
-Y,
- DD/, 60
F, I
v 7��-.-,'-��t�--PRopvay OWNED B'f CEAIKfIXNT IN 6THEWCOUNTIES
County
I Township
County
Township
I hereby certify the above statements are true, correct and complete.
�ignature of claimant
x,%.¢
AL4
(number and , state, ZIP code) 0
ci,1y
& 7_, 19
�-1ASSESSOR,USE ONLY
TRU ETAX
ASSESSED VALUE
1._,H0_MES'T_E AD` -_v:
-RESIDENTIAL -_�'
5
--�VA� - tj,,
AT 100% W-TTW
VALUEV--.V,-
-YE.
Sign ur" (Auditor
Audit 0&
f
)
Land not exceeding I (one) acre immediately
Date
Da
-1 .....
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
_
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
0 value (line 3 plus line 7)
(8)
1 hereby certify the above is true. correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 Pay 20
Lesser of M Homestead
Valuation or S6.000
Sign ur" (Auditor
Audit 0&
f
)
Date
Da
If ( ;I -
Al