Homestead_Marvel staff FORM`l!M,2`r..rl tar SLUR MLM 79-IA
ArrRrnEo BYsr.An ssxo rM.'riTS]m Minima)BY Till DFrAanMEVT(r L(xwl(:BvetNMFATrBUVeE ICH.I-rat
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 ner for homestead fraud_Homestead fraud causes higher tat bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to Iecene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filinta.This infnmuunn will be kepi emtidemial and can only be accessed by authorized county officials.The Departnienl of
Local Government Finance will the this information to create awls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
•Taxpayer Name Property Address
Marvel, Stephen/Debria
RI Box 319
Francisco IN 4764
8507 C-
paA.,- pc),rlc�
Stephe Debr-
Marvel
5130 S 800 State Parcel Number Leeal Description
Francisco IN 47649-9127
nutIlultllutlnlltlltt tlnitl 26-20-04-400-000.004-001 00100004-00 PT SE 4-3-926 AC
D-8
PART 2: TAXPAYER INFORMATION
Owner I J First Middle Last
/ h�I rI a—\ II
ng Address(number and street,city,state,and ZIP'code) ['Same as propertv address — — - -
Spouse First Middle Last
1)2r;A _ 111) 11—R0.€—/
Mailing Address(Number and street,city,stale,and ZIP code) Same as properly 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 elieible 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 VSi-naaue Date
e�% 4 CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
_• CREDIT /STANDARD DEDUCTION HC10
State Farm 5473 (132 / 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
!`C0T1W1lATV1k1 CTATC••C \R'
I (We) 'L. certify Vhat on the I tday /ofY4a h, 19
�occupied as ur principal place of residence the following scribed real property for which a Homestead Prp M T6x §rec I hereby claimed:
(We)owned ❑ Are buying under contract rCD U (yy
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that own a propert y oyis bddying and a tract.
CONTRACT RECORDED -
It buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRI
Coun,
Township
-
Taxing d rici ity, town, to nship)
Parcel numbe
Oo%DoDo
Legal descriptio
a(' tqe
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.
- o� - moo/
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
-eby certify the above statements are true, correct and complete.
Sige'r f claimant
number an treat. city, stare, ZIP code) -
3 9
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL -
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2.000
_
Other land
(2)
Date si ned
-3 S 8
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
-
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
- STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or $2.000
of Audi
r
Date si ned
-3 S 8
A'