Homestead_Duinigan (3) SlAnt rntM!%*t t /l4OO TREASU[A FORM 111A
.APPROVED BY STATE Gts5O Of ArtYLNTS.1m PLFSWBFD BY no DFPARNIENT OF LOCAL 00VBRN eNT FINANCE,'H.I -11
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
more beneficial.there is more incentive than etc for homestead fraud_Homestead fraud causes higher tax bills for all:therefore.
.® HEA 1344--2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessan'to allow county goverment to better monitor homestead
filings.this infornutinn will he kept confidential and can only he accessed by authorized county officials.The Department 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
Dunigan, Steve W/Krista K
502 F Strain
•
Fort Branch IN 47648
2873
Steve W/Krista K Dunigan
502E Strain State Parcel Number Legal Description
Fort Branch IN 47648-1423
II nIII I n II I III o I u I I II II I1111111 26-19-18-303-000.766-026 011-00766-00 WALTERS ADD
t o et ttt ie oo t t u t 343PT/344PT
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
5 ieve W u.-7/9 a
•ng Address(number and street,city,state,and ZIP code) El Same as property address
Sox r" Sfra,n ,L Sra n 4th /N 4/7G Y(
Spouse / K�First Middle Last
Kr , s fa Be./72, e:i n
Mailing Address(Number and street,city,state,and ZIP code) Kr Same as property address
SO e) E S/raiin JCiL erg iheA /A/ `/7789
. " 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 myyyy',,,�III����I,,,,����liable for back taxes and substantial financial penalties.
Owner I Si flu Date
•
�
���` `��" - CLAIM FOR HOMESTEAD PROPERTY TAX
�i �4 CREDIT/STANDARD DEDUCTION • .
� � State Fortn 5473 (R2 / 5-92)
.��'
INSTRUCTIONS: See reverse side lor /iling instruc[ions.
STATEMENT
• FORM
HC10
�(we) (�%L U C 'Y— � iC /�L//� /� I/ U �I' /(n /T/� cr,�tha�n 7 t o rc 79_
I(We) occupied as our principal place of residence the tollowing described real property for which a Homestead Property Tax re i aimec
❑ I(We) owned ❑ Are buying under contract ►✓h �i..', A n n '
❑ Have a beneficial interest in the entiry that is liable for the property tazes on the property and that owns prbp@rry dr1s��H�4�nder a contract.
•�
- CONTRACT RECORDED __ ✓/L. 1�11 , , _
Counry
Parcel i
on conGact, Fee Slmple owners name
��
siructure
income.
PROPERTY
one n i acre
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
���areby certify the above statements are true, correct and complete.
Atldress (number and sbeet, city, stale, ZIP e) ` r-�
. .-. _ _ /1 ('^J . � . � . _ � _ � K 1�/1 ...
� ASSESSOR USE ONLY
Land not ezceeding 1(one) acre immediately
surrounding residenlial improvemenis.
Oiher land
Total Iand (line 7 plus line 2)
Dwelling
Residential improvements
Garage
Other improvements
Total improvements (line 4 th�ough line 6)
Total value (line 3 plus line 7)
I hereby certify the above is tme, correct, and
complete.
VeriNina ac6on - Sionature ot Audibr
19_ Pay 19 _
Lesserof 1/2 Homestead
Valuation or 52,000
(�)
I2)
(3)
(4)
(5)
(6)
��)
18)
TRUE TAX
VA�UE
Assesor
STANDARD
.'��
„ V �
ASSESSED
VALUE
ALLOWANCE
HOMESTEAD
VALUE
YEAR
the use antl ponion of
NON•RESIDENTIAL
VALUE