Homestead_Cunningham •
5LUt rase W,R3/.-IOi MEASURER FORM IS-IA
APPROEDnl'T\tE ROIRO Of Atli NM flnSctaDHI'fit OLFARIVEI(IF LOCAL CirvFR.faSI HMS(E ICbLI_4I
Gibson County Auditor • 'IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS; •
101 N.Main Street Individuals and married couple.` ate limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton. IN 47670 more beneficial.(here is more ireentise than ever for homestead fraud.Homestead fraud causes higher tat.bills for all:therefore.
eal $ J HPA i and tatl4 otide s dition l i who rcecive the homestead standard deduction to verify that they ate eligible to recent the
h�ndit and w pnnidc aldirioaal identikim_ mfeumition rn:csi'tn to alhnr rnlmty emcmmcm to Cnlcr mmimr home+gad
Mines.This information still be kept confdential and can only be accessed by authorized county official..The Depanment of
Local Goverment Finance will use this information to crate tool:that will help county officials eliminate homestead fraud.
•
APR 13 2012 . PART 1:PROPERTY INFORMATION
Taxpayer Name Location Address
Cunningham, Richard T/Rachel M
7838 S ANDEE LN
GIBSON COUNTY AUDITOR FT BRANCH IN 47648
2579
Richard T Cunningham 11011111 III fit l I 111 111 I II[III /111111/mm1 11 II fill 11 11 III 1111 111111110111 II
7838 S Andee Lane
FORT BRANCH IN 47648-1549
111'lllllllllllttlttll1I'Ilt1IlttIIllllltl1l1lll'll1ll1ll"Il1llt State Parcel Number Legal Description
26-19-19-103-001.211-026 SOUTHGATE 30
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
•
Spouse First Middle Last
Mailing Address(Number and Street.city,state,and ZIP code)
Verne as property address
-
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.
) •
- PART 4:ADDITIONAL INFORMATION •
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t Sfsta Fortn 5473 (R6 / d-03)
ResUihed Dy Ne Department af Local Govemment Finance
INSTRUCTIONS: See 2verse side for filing inshuctions.
FORM ���� YEAR _II
� HC � I
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� �e) � • - � � certify l�rtitig�� of March. 20
I(We) occupied as our principal piace o( residence the following descnbed rea ropeAy for which a Homestead Pro r b daimed:
❑ 1(VJe) owned ❑ fve buying under contract
01@�ONP��� �� Y
. Have a benefidal interest in the entiry ihat is liable for fhe property taxes on the property and that ovms the property or is buying under a wntract.
116uy'vig om m�Vaq. Fee Simple ownefs name
Recordefs olfice where contrad is recorded
County
Parcel number
Toxnship
N y portion al lhe residential sW Uure w the Wnd
of e property uGl¢ed to produce income.
U
a1/-/4_i9_ ��.3_�
Record number � Page
diSlrict (city, fown,
I Is the property in Question:
.�Ci c30 , ci QA G O a�i o�o�m ❑ n+ooaa Ho�„o ci.c. s�. e-»
ane (1) acre that immediatety wrrounds that structure is usetl to produce incwne, describe Me use and portbn
'�Y,�� -c y��'�- -r�f�'.�-.��`°��"�r7..�t iv�,' s +sr _. . . .r .. s:.
�ASSESSOR USE'ONLY �" �;�i �� TRUE TAX� ASSESSED VALUE �HOMESTEAD� ���NON�RRESIUENTIAL� il.
�'ru�'� _ -. '�'�...�'"�-�5 arai-3"`-�:..�. k �5&��'`�'3 �wVlLL:UE�y�, � AT�100%'OF�TTV� ��,4VALUE��.�, - �,s�-l;�:s����:;c.�-�
Land not exceeding 1(one) acre immediately ��� � f ¢ r���%� i y+:
surroundingresidenlialimprovements. (�� �,���;c'¢���c.�Si ��<''s
Other land / ��' � ��
lZ� .,�K �`�Y' ~�
_�:+�i.�•�i/L•Y.�.
Tdal tand (line 1 plus line 2) �3�
� y F ��•Y`�
Dwelling (4) x�.,��,*�����•�'�.o��C�
�Residential Improvemenfs or Mnualty -'" s t�" �r r� �
0.ssessed Mobile / ManuFactured Home Garage (5� ���,�, t';s�� * , . �1.����'� '
�„��°� �cx�"���z���
Other im rovemen�s # ��� ��,y,
P (6) �f�r%�,-�
' a ° � ...r
Total improvemenLs (line 4 fhrough line 6) (�)
To[al value (line 3 plta line n (8)
I hereby certi(y the above is W e, corzed, and Signature of Pssessor Date signetl
complete.
Verirying aUion - Signature olPuditor• Data signed
��":�'m."�..�1�"� .;�,.,�?zc�.. ��,,�y.��`+�'?w'STANDARU:DEDUCTION�ALLOWANCEp - 3.,- "'.•-s' � �'-" �' M-. 3 * ;.
. ..w.,x.rh:i:�Xv. ��i't5. wa'S�^ �,::�•_`_��,i..�'s� r��2S .�'-
20 _ Pay 20 _
Lesser of 1/2 Homestead
vaivauon w 535,000 S
SgnatureofAUditw " _, Datesigned