Homestead_Greenwell SlirE lO[M 535E•et:/YMI lRPA51iLEA FOAM 11A
irrRnvEn BY MATE KAROIK VVOL:N7S2ax PILEAVIIIBM BY MI DEPARTMENT OE LOCAL rovtt'MrrrT FINANCE N'♦:•-t-tI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction become_
more beneficial,there is more incentive than net for homestead fraud.homestead fraud causes higher tai bills for all:therefore.
ILEA 1344--3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying information neces ry to allow county government to better monitor homestead
filings.This intonation will be kept cnalidential and can only be accessed by authorized county officials.The Dqunntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead (laud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Greenwell, Richard EJJanet A
907 Mohawk DR
Fon Branch IN 47618
7615
Richard E Greenwell
907 Mohawk Dr State Parcel Number Legal Description
Fort Branch IN 47648-9508
III I I I III I I I I I III I I III 26-19-18-101-001.146-026 011-01146-00 LITTLE YORK VIL PHASE II
t o nl t nl u u l t ur t L ul u l ur nl u l 1 D-27
PART 2:TAXPAYER INFORMATION
Owner First ` Middle 1/ _ Last
\Lh0.r C E d•.y r 4 �7 f`
•ig Address(number and street,city,state,and ZIP code) ^_ ReSanie as property iiddrts; --
Spouse \ First Middle Last
t Cstsft ANN G<-at+^%..��\\
Mailing Address(Number and street,city,state,and ZIP code) Rime as property address
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 elieible 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 Signature Date
PART 4:ADDITIONAL INFOILMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
" CREDIT/STANDARD DEDUCTION
t�-� J Slate Form 5473 (RS / 10-01)
�M Presaihed by the DepaAmeM of Local Govemmen� Finance
INSTRUCTIONS: See reverse side /or filing instrucfions.
FORM
HC10
YEAR
�(�'�e) �hat on the 1sl day o( March, 20_
I(We) oaupied as our prindpal place oi residence the wing desaibed real property for which a Homestead Properry Tac Credit is hereby daimed:
❑ I(We) owned ❑ fve buying under contract �
� Have a benefidal interest in the entity that is liable for the property taxes on the property and ihat owne�Weqroperty;or is buying undecia conVad.
I( buying on contraU. Fee Simpie owners name
RemNels ofim where conVad is recorded
Tavnship
H eny ponbn o/ the residentiel sW qure w Ihe land not axceeCir�g,6n�(1 � aae
o�o n°��Ilr� vr�-Q� v
Ta�ing disVict (dty,
Ne
8 2003
AUDITOR
a� P�aPerty ❑ Alobile Homo (I.C. 61.1-7) .
is used b produce income, desuibe U�e use and portbn