Homestead_Barrett (3) C NTE FORM!MI.ilel ■ TREASURER FORM-SIA
ArT to BtA•L alkpoof Ae necni.9+ PRFrmaroaY THE DFPAxt e4r(w LftALcAVERNMner FINANCE IC 6-1.1-2.74.1
Gibson County Auditor
101 N Main JMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
I PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard d 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 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This inlhrnaation will he Lep confidential and can only be accessed by authorized county officials.The Depanment of
local Covermnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Barrett, Jeffrey V/Joy D
806 Ii Strain
Fon Branch IN 47648
7805
Jeffrey V Barrett
806 E Strain State Parcel Number Legal Description
Fort Branch IN 47648-1429
1t1u11tu1l11nl1n11uIuullllnlull�iIiu llu n11u1I II II 26-19-18-304-000.696-026 011-00696-00 PT SW 1&310.60 AC
• PART 2:TAXPAYER INFORMATION
Owner First Middle Last
JeWer �1 _f; (,-her a, (( el"
qg Address(number and street, ty,state,and ZIP code) Same as property address - '_
o co E 44a:A Sf FI 6codgJ,/,( 7vP
Spouse First Middle' Last
�i9 um (fie L/ n h Thu, rr ,
e
Mailing Address( umber and street,city,state.and ZIP code) • e as propeny address
S ' EiVnii,,i E-S eA. -,"/ 2/76 y.'
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is nine 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 'gm' 7 / Date
•
�.} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ Sla�e Fortn 5473 (R6 / 1-03)
Prescribed by lhe Department of Local Govemment Finance
INSTRUCTIONS: See �evc�sc side !or Iilinq insWCfions.
FORM YEAR
HC10
� �
I(We) L�� � �� ceRify ihat on the�lst day of M�arch, 20
I(We) occupied as our p' 'pal I of � ence the following described real property (or which a� stead:R�rerty�T�' Credit ins hdre�by daimed:
QN ) ' g ��BSON COUNTY qUD170R
❑ I e owned n der coniract
�
' Have a benefidal interest in �he enlity Nat is liable for the property taxes on the property and fhat owns the property or is buying under a wntract.
I( byvg on conuad. Fee Simple owners name
Retordefs otfice where coniraq is recorded
Counry
Tamship
Record number � Page
rar u o r I������/ �' / O�/V �IS �g p�p{��' ��Real WoPaM D Mobile Hano (/.C. 61.1-7)
l.(/ YJn' %�
(�,�//l._
N any portion of Ihe residential sW cNre or Ne land nat mcceetling one (1) ave Ihat imrt�etliatey wrrounds ihat st(ucNre is used b produce income, desaibe the use and por[ion
of Ne properry uWized b prod u�wme.
Ol�-1���`�� -Do
�� ' ��"��'��`�`��`'�' t�"� �"TRUETAX�� ASSESSED�VALUE x�HOMESTEAD'k`� � NON�RESIDENTIAL �+
� ASSESSOR�IJSE ONLY+-�� "�_ '� 3b-�3+5 � 5..� .� e � � �a,,� �s p�r-�.
y�.�- . . }t.�,��rg� y,��.�.>����� �y V,4LUE�'��*t�: ATq100%.OF�TiV� �.�V.4LUE,�<.,_,� t ���� �VALUE �_.-� ��^�
Land nol exceeding 1(one) aae immediatety �=�'�. ���,����;�+'�
surroundingresidentialimprovemenls. ��) ;y���";���.��;
Other land (p) �,�. u���
Total land (line 1 plus line 2) (g)
"� � i �'�'s�"-� :�
5^
Dwellin9 (4) ���;���rw�°����
Residentiel fmprovements w MnuaOy
Pssessad MobOe / ManufacNred Hane Ga2 e �i��` �. " a� s�/�, �.
9 (5) � , �r ' "'��
`�� ���� r--�a,'�i`�.�r
�.� �_ ' _= i
Other improvements (6) �• ���� � ` �
'' � � �S.a'a���.�
Tdal improvemenis (line 4 fhrough line 6) (7)
TUaI value (Gne 3 plus line n (g)
I hereby teftify Ne above is We, corted, and Sgnature of Assessar Date sgned
mmplete.
Verifyifg aceion - Signature oflwditor Date sgned
20 _ Pay 20 _
Lesserof 1/2 Homestead
vauaUOn orS35.000
3
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