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• AP•ROVED BY STATE BOARD Of MYYRIS1S.'N rrrs,BED BY Mt DEPART OF LOCAL COVEtnim-r fNANCE M VI.1.224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 require taxpa)ers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials_The Depanmenl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Morgan, David H/Debra A
RI Box 132 A
Oakland City IN 47660
217
David H/Debra A Morgan
5268 S 875E State Parcel Number Legal Description
Oakland City IN 47660-8531
1t1n11 nt�t�I nt��nII ntI ii I n�t�tn��nn��t��nIn�nII ii 26-20-03-300-000.581-001 001-00581-00 NE SW 33-940 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
QA-U 10 t H- YI'1D R. 1.9 A 11
__ _
IA-lidless tnum"oer 5nd>nom:city,nice,and ZiP code) --- _ _ __ _ 'Same usproperty address
ID 75 (9 S 7 c E OAK 14hD CI( 1,1 Th) (( --1 ( (-_, O
Spouse First Middle Last
Mailing Address(Number and street,city.stale,and ZIP code) ❑ Same as property address
57262 5 I) 75 b I& AICdAn0 61i tA) (( "7 660
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 properly. Each tndersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Own Signature Date
•
0
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
.�. State Form 5473 (R215 -92)
-
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC,D y
W certify that on the 1st day of March, 19
�.j occupied as our principal place of residence the following describ real - property for which a Homestead Property Tax Credit is hereb claimed:
'! I (We) owned ❑ Are buying under contract TINI�,'d`��
El Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the proryT I E ntract.
RECORDED
If buying on contract, Fee Simple owner's name S
Al nITOR
Recorder's office where contract is recorded Record number I Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
PROPERTY DESCRIPTION -
County k
Townshi
Township
(1)
Taxing district
rry;.t w ownsh
p -
Parcel um er
b - -00
Legal description
Addr s (number and street. city state. Z1P cod
i -L�Z, . av
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.
_ _0 _ - oat- a'a' / -ool
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
ASSESSED
VALUE
County
Townshi
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
�reby certify the above statements are true. correct and complete.
Otherland
Signature of claimant
Addr s (number and street. city state. Z1P cod
i -L�Z, . av
X76 (o o
v _ - r - //
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
- VALUE
NON-RESIDENTIAL-
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Otherland
(2)
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 pfrs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
�ying action - Signature of Auditor
Date signed
19 _ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
Signature of Auditor
S