Homestead_Mutchman •
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.APPROVED BY Sr STE YHPOOF VYYt\TS.9r PtISOUBED BY nn DEPMIW.ITOF LOCAL rewtt'zspc•FINANCE If 4-1.1-124.I
Gibson County Auditor
101 N Main u 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 ester for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying infomauon necessary to allow county government to better monitor homestead
flings.This information will be kept confidential and can only he aece,.ed by authorized county officials.The Depanmem of
Local Government Finance will use this information to create tools that will help county officials eliminate hon,euead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Mutchman, Eldon Trust
8577 S SR 57
ELBERFELD IN 47613
1861
0
Eldon L Mutchman
8577 S SR 57 State Parcel Number Legal Description
Elberfeld IN 47613
26-20-28-200-001.804-001 001-01804-00 PT NW NE 28 3 91.37 AC
D-19
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ £/don L l Myfehman
log Address(number and s`.city,state,and ZIP code) - - -- - - - -�'Same as property addres;— - - - - - -•
8577 ,d ��C 57 A/6eh-Feld 1N 5/7G/3
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- _
0
CLAIM FOR HOMESTEAD PROPERTY TAX
i! CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
rm
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
Gam'jc'
,
A
r .i 1. e.
',k
. -=:CERTIFICATION STATEMENT" ' +': ..4..•�yyy -
I (We) �� certify Shat oP the is ay March, 19
I 'We) occupied as our principal real property for which" estead Prope 1 s hereby claimed:
l(We)owned ❑ Are buying under contract
�d GIBSO!• � 1Jf4TY .AUDITOR t
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.
_ CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
- PROPERTY DESCRIPTION -
County
Township
Taxing district (dry, town, township)
M P rc u ber ` O \
Legal descripho
If any portion of the residential structure or the land not exceeding one (t) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to Produce income.
(5306 - a - =Roo - 06/ go i1=60 /
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
reby certify the above statements are true, correct and complete.
Signature of claimant
+J
ress (number and street. city. state, ZIP code)
7
i - r
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL ..
ASSESSOR USE ONLY -
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
-
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
,
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 jobs line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed