Homestead_Ingle STATE FOAM!3't it:,HMI TITASUREA FORM ZIA
.ArpR(Y.ED BYSTOE BOARD OF AMOUNTS.9M PRESCRIBED BY THE DEPAan err OF LOCAL GOVER'nr FINANCE K-Vt.t-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and hurried couples are limited to one homestead sundanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to preside additional identifying informaron necessary to allow county government to better monitor homestead
tiling.This information will he Lepi confidential and can only be accessed by authorieed county officials.The Depanniau of
Local Government Finance will taw this information to ovate touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ingle, Kelly G/Krista L
none
lilbed'cld IN 47613
1741
Kelly G Ingle
10326 S 675 E State Parcel Number Legal Description
'Elberfeld IN 47613-8601- - -- –- - - - --
�t�tt��Irt�t�� ��tt��I�FF�FF��Fr�� ��tt�t�t��t tt��tr� 26-20-32`330 0-0-0 0 0.379-001 p��379- 00 PT E SW 32-3-99.50 AC
PART 2: TAXPAYER INFORMATION
Owner 1 First Middle Last
c.Address(number and veer,city,state,aid ZIP code)
1032-0 S . 1015 . E_ 119e.,r ce.t c(Vl ZN 4-7(013
Spouse First Middle Last
l'( S Lynam I C )�
Mailing Address(Number and street,city,state,and ZIP code) MS:une as prop�Cil/address
I032c0 S. (0-7S— E. E I berPc,ld 4-7(o I3
•
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 I ignature Date '
•
J
CLAIM FOR HOMESTEAD PROPERTY T AX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R614 -03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
FORM
HC110 I
YEAR
I (we) 1 2� ---7 ---% Ts' ) I-,R rA X=V� - certify that on the I at day of March, 20
1 (We) occupied as our pdnqpai pic— e of residence the following described real prcArty for which a Homestead Property Tax Credit is hereby claimed:
l(We)owned ❑ 'Are buying under contract
11lave 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 RA Wz"j-.
NT CT RECORDE
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY, DES CRIIPTIO 4 - J
County
Township
TsdN dis", to
hip)
Parcel nu
Legal description
7
Signature of claimant
is the—pmm>e5pmTjw2stJon:
I Z15-Rd property ❑ Mobile Home (I.C. 6.1.1-7)
If any portion of the residential structure or the I I exceeding one (1) acre that immediately stitrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
� -3-19
CPCW,)
PROPERTY.DWNE613Y--di:MMANTIWOTHER00NTlES>P�
MTRU E TAX
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
(number and street, city, state, ZIP code)
RSTAN DARD, DIEDUCTIO WALCOWAN CE
MTRU E TAX
HOMESTEA!Dk.�
Valuation or
Mo
k
Signature of Audi
-tkVALUEZ>
Land not exceeding i (one) acre immediately
surrounding residential Improvements.
Other land
(2
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
improvements
(6)
'9;hat
Total Improvements (line 4 through line 6)
(7)
Total 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
RSTAN DARD, DIEDUCTIO WALCOWAN CE
20_ Pay 20
Lesser of 12 Homestead
Valuation or
Mo
S
Signature of Audi
Den