Homestead_Flener - ,.
a SlMS FORM!Mt*IR_I 5.10 IAFAS11IIA FORM isles
RWrIMPORTANT NOTICE TO HOMESTEAD PROPERTY AOWNERS t r
Gibson County Auditor
101 N Main
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 eser for homestead fraud.Homestead fraud causes higher Ds bills for all:therefore.
FILE HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
t benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
�,� filing'.This information will he kept confidential and can only he accessed by authorized county officials.The Depanntent of
Local Government Finance will sec this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 8 - 2010 Taxpayer Name Property Address
Flener, Barry J/Julie M
�/a Q
Q 1008 S Lincoln
GIBBON COUNTY AUDITOR Fort Branch IN 47648
2963
Barry J Flener
1008 S Lincoln St
FORT BRANCH IN 47648-1724 State Parcel Number Legal Description
�t1tt��tRr�r��rt t�ttl�rr�rt ttl��ttt�tt�R�t�IF���trt�ttltlt�rtl 26-19-19-103-000.528-026/011-00528-00 LOWES ADD 4OPT/41
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
ng Address(number and street,city,state,and ZIP code) ["Same as property address
1005 S. Li_ncS .n 5k- Fl-1610 ch TP.l LtIL0LAR
/
Spouse First Middle Last
M
Mailing Address(Number and street.ciy,state,and ZIP code) ReSame as property address
�co% S• . c_10■.-n PE 12-x-cpch S L1---k_oL1)?
— -_ - _- ---- --�- -- ----
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.
Ow• I Signature Date
a+' ^'n
, p CLAIM FOR HOMESTEAD PROPERTY TAX
� � CREDiT/STANDARD DEDUCTION
♦ .•. � State Form 5473 (RS / 10-01)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for filing ins(ructions.
FORM
HC70
YEAR
I(We) � .u�.c.Y certify lhan the Tst �y�ef t�2[GGy20_
I(We) ccupied as our p pal ce of residence e following descnbed real property for which a Homestead Pra��T� 6redl�,ig J�ereby claimed:
I(We) owned ❑ Are buying under contract
� C0�(
� Have a beneficial interes[ in lhe enlity that is liable for ihe pmperty taxes on the propeAy and that ow�t}e prope�q�is ht�ying unde� a wnVact.
If 6uying om m�trad. Fee Simple owners name
aKice where conVacl is remrdeA
County
Pa� I� ymbe����- �
It any poM1ion ol lhe residential sWCWre w
ot the properry utilized b produce inwme.
Township
Legal description�%
� CQa,�� Ui�O�
a IanA not exceeding one (1 � arre
Rewrd number � Page
Tacing distr}ct_(city tawn,
/ I IS the PrOperty in Ques6on:
❑ Real D�operty ❑ MoCile Homo (I.C. 67.7-n
surrounds ihat swcwre is used to produce inmme, desaibe the uu and portlon
�° :"r_ � y�,.L�^' - }� a. v- �. . _ �, _ . •w,_ s� �co;,.�. . .
���'lASSES.�SOR��U EONLY -2� �"TRUETAX�� ASSESSEDVALUE ��HOMESTEAD� �NON-RESIDENTL4L� �-�
:.� .._.+t..�'t+q�g&i��`r'eR�.H'-s}:e'3f����VALUE��ry.r..AT�100°/aOF�.TfV1n�.i'tVALUE����i�{�"�':V/1LUE�—.u�--ta'��
Land nol exceeding 1(one) acre immediately �;��"' �`'���`",,x�`��` �'x`��'���r �
surroundin residentialim rovements. ��) r"'l `t' .f;
9 P ���'�+£.������$�-::
+�: .�� -ra�; -.�
Other land a 3:-� '��:- '�'� F-'.�'
(2) ,��='i�,�`'T:r...._
.,�--.�,�.::_.;;�_�
TUaI land (line 1 plus line 2) �3�
�,��.��+a.'r-'r,k ��.,�':�
Dwelling (4) � `���,t h�W�- -�t' �
Residential improvemenLS --�"�`���� �' -- �'�
Garage (5) �as� ` { .� ,s<�x' �`4s'�s
�=a'u'`�'�`f,:�,i a� ��z::a �
Other improvements (6) �� ��_�� °`�{�
r"'",�`.;?�'=`•si&� �;t
c
Tdal improvements (line 4 through line 6) (�)
idal value Qine 3 phs line � (g)
I hereby Certi(y �he above is We, corred, and SignaWre of Assessor Date signed
complele.
Verifying action - Signature oflwditor Date sgned
��'�d�`'�'.�``.t�'�s,..��+�c � ��`-.eir'7?�'°•zai'.'-z„"�'.�9c�:;' �.`�STANDARD;DEDUCTION'ALCOWANCE,.: �?'+.'-,��.«r;:b �.5±'.��.�'�.a3�?"'.�+4?,.,_'��'-`:_.�'`.�_.='�a�6x:`'`r#v»
20 _ Pay 20 _
Lesser of 1l2 Homestead
Valuation or 56.000 S
Signalure of Audilw Dale signed