Homestead_Boyle SLATE FORM!3'MIR`1..n1 RFASIIRR fORM i}IA
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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
mere beneficial.there is more incentive than exer for homestead fraud.Ilomeaead fraud causes higher tax bills for all:therefore.
• HEA 1344-2004 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to teethe the
benefit and to provide additional identifying information ntct»ry to allow county government to better monitor homestead
filings.This inthrmation will he kept confidential and no only he accessed by authorized county officials.The Ikpannml of
-- Local Government Finance will use this information to create teals that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Boyle, Douglas A/Lorenna I
706 Tretter Park DR
- Fort Branch IN 47648
7673
Douglas A/Lorenna I Boyle
706 Tretter Park Dr State Parcel Number Lezal Description
Fort Branch IN 47648-1222
2619-18-302-000.102-026 01 1-00102-00 TRETTER PARK 9
IIIrtIII �IIIIItiIIIIttllttt�Itt�t�It�IIII�t�I�tttt�Itr�tt�t�
It
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ D 0 t4.5 I e-s A—/C V 0 ,..y I-e__
IIIAddress(number and street,city,state,and ZIP code) —-- �- — T -— Same as pgkity'Bddrss -- —----
-J ° C TC-Trees PK- Dig, � �--r-- F3Nr/a-t��.cl, 9^^. Y 7 C Y g
Spouse First Middle Last
Mailing Address(Number and street,city,stale.and ZIP code) Same as property address
7o 4. Te CT etc P■c.. PI�. / F1- 134-Irc4 9M ?"l‘ Ye
l 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 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
•
I,i01/ e- -
i
�E!T��R
e�/•" ; CLAIM FOR HOMESTEAD PROPERTY TAX
i,��= CREDITISTANDARD DEDUCTION
��;�� State Form 5473 (R2/5-92)
�
�u�
INSTRUCTIONS: See ieverse side lor filing inst�uc(ions.
FORM
HC70
YEAR
i iWe)�Qy����_ � 4�_� - certify i�'1[',�'y',' ��t d� rc 79_
�a) otcupied as principa� place of residence the�following described r property for which a Homestead Pr16�rt �d is� claimed:
� 1L
r i(We) owned ❑ Are buying under coniract . � 7�nnC
�Q JJV
❑ Have a beneticial interesi in the entiry that is liable for ihe property taxes on ihe property and that owns ihe propert�P i5b ing untler a contract.
If Wyirg on contmtl. Fee Simple ovmer'S name -
Recorder's office where wntract is recorded
Counry
Coumy
CONTRACT RECORDED
PROPERTY DESCRI
Ta�cinq
imher Legal deuription
' O�10�-0 �0
tion of the residential siructure or the land not exceetling one (p acre that
�petlV uttliz2d to prodUCE inCOme.
numher � Page
�
tha�stmcWre i�used to produce ncome, descrihe Ne use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Tawnship �Counry
� certify the above statements are tme, correci and complete. �� S'9�e °�
�
(number and stree(, ciry. sfafe. Z/P code) �
�L. `7Y<'t"t�V Pl�� I� �'�i�� 'F--�-_ br
' ASSESSOR USE ONLY
Land noi exceeding t(one) acre immediately
surmunding residential improvements.
Otherland �
Total land (line 7 plus line �
Dwelling
Residential improvemenis
Garage
Oiher improvements
Total improvemenis (line 4 through lina �
Total value (line 3 p�s line 7�
I hereby certify ihe above is true. correct, and
complete.
V��irying action - Signature of Autlimr
Signalure of
19_Pay19_
Lesser of v2 Homestead
Valuation or 52,000
0
TRUE TAX
VALUE
(�)
IZ)
(3)
(4)
(5)
(6)
l�)
(8)
Signature ot Asseswr
S
ASSESSED I HOMESTEAD
VALUE VALUE
NON-RES�DENTIAC.
VALUE
Date signed
Date signetl
Dale
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