Homestead_Lanham • slnitrORMatyy,Re/r-w1 TREASURER 1011:4:}IA
Arrrr'r.BrsTATL Winn/err MmouNTx.Zw... PLEfltpn/BY flit DEPARTMENTOFunL COVERTMrt.T FINANCE IC/r1.I.L--r.I
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 e'er for homestead fraud.I lornesiead fraud causes higher tat bills for all:therefore.•• HEA 1344-2109 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county gmernment to better monitor homestead
filings.this information will he kept confidential and can only he accessed by authorized county officials.The Ikpannent of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lanham, Gary R/Kelly A
R I Box 18013 6--
Oakland City IN 47660
3232
Gary R Lanham
9404E 450 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8584
26-20-03-200-000.844-001 001-00844-00 PT E NE 3-3-9 5.80 AC
ItIIIIIIIIIIIIrr.IIr.II.r.Ire Ir.I.I.I,.IrrlrtlllttttlltllttlmI D-8
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
dillAdd (number and street,city,state,and ZIP code) FZI.Same as property address
-t '1oq t 450 SE l/�
Spouse / First Middle Last
ee,I1 An_
Mailing Address( umber and week city,state,and ZIP code) Scone as pmpeny address
--_ --_.-_-_-._—.--.__. — - -
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 Signature Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Form 5473 (11817 -07)
U ,•,• Prescribed by the Department of Laval Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
FORM - YEAR
�6t� 1 5 008
nz
I (We) certify that on the 1 st day of March, 20_
I (We) occupied as our prim pal place of residence the f o 'n described real property for which a Homestead Property Tax Credit is hereby claimed:
J&We) owned ❑ Are buying under contract
IF 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.
If buying on contract, Fee Simple owners name
Recorders office where contract is
County I Toomstip I Taring
Pal number I Legal dysImption _ I Is the
I /IC LJ J- I V.75U
If any portion of the residential structure or the land not exceeding one (1) acre that immediately sunounds that
of the property utilized to produce income.
a6- ao- d3 -abo Spy -�
Record number I Page
)I property ❑ Mobile Home (IC 6- 1.1 -7)
is used to produce Income, describe the use and portion
—
pay 20 45,000 for 2007 pay 2008 - 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor Date signed (muoih, day, year)
TLandnot
c eeng 1 (one) axe iediately denfal
improvmm
(1).,
Other land
(2)
_
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
1 hereby oerfify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Vaifyirg action - Signature of Auditor
Date signed (month. day, year)
—
pay 20 45,000 for 2007 pay 2008 - 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor Date signed (muoih, day, year)