Homestead_Halcomb "Ian FORM"3.'00 IR'iS i LPFASUIIA mLM'MIA
AITRINEn BY 51-ATE MOD OFAcRRINTS.`IMN PREYRIPm nY nu DEPARTMINr fft(ML GOVER.NNrwr FINANCE M 6-1.11.2-1 I
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 exer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county govemntent to better monitor homestead
filings.This information will be kepi confidential and can only he accessed by authnri,ed county officials_The nepannsent of
Local Government Finance will use this information to create teals that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Halcomb, Randall/Cathy E
603 S\villard
Fort Branch IN 47648
2937
Randall/Cathy E Halcomb
603 S Willard State Parcel Number Leal Description
Fort Branch IN 47648-1663
ll1u11lu1l11nllltllu1lullllllntllnulItII 111111111
26-19-19-101-000.791-026 011-00791-00CLAR-ENCETERRACEB22
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
��ad° II HONE omb
"ng Address(number and sweet.city,state,and ZIP code) ® Same as property ad
0 3 at/ U 1 ( la r d £4 • En r+ .62Rric.i JT 4 . Y70
✓Spo First Middle Last
-�h� ELa n Pa, Le. omb
Mailing Address(Nu ber and street city,state,and ZIP code) Same as property address
3 0 -FA td [(ard. £4 . Foc-F :/ Z o �l 7l 4�
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
PART 4:ADDITIONAL INFORMATION
.
i� rt�� t CLAIM FOR HOMESTEAD PROPERTY TAX FORM �EAR
CREDIT/STANDARD DEDUCTION HCio
State Form 5473 (R2 / 5-92)
'�j +
.�.
INSTRUCTIONS: See reverse side !or liling instruaions.
.. :.. . . � .. - -` ' . ... . � :_. . .. , . .. _..� .- . .-.CERTIFlCATION STATEMENT` ; , . _ti..� „ -u.�.,-, . "_. , f . ' , \. :. .
_ , .. . . . . ... .. . .. .. . _. . . . ,= .
1
I(We) certiry thaF n the 7st day ot��arch; 9_
I(We) occupied as our principal place of residence the following described real property lor whi Homestead PropertMT6lDC�d�i���y Gaimed:
1 V1R
�(We) owned ❑ Are buying under coniract
� Have a beneficial inrerest in the entiry that is liable for the pmperry taxes on the property and that owns ihe �yperty or is byying�ider a�tra�
It huyirg om m�traa, Fee Simple owner's name'
Recordefs oHice where contrad is recorded
/D r�pc:�NCOUNiI 7�iDIiU�' �
51 t� -_ 4 .�!- •
Record number Pa9e
' .� _ .�.. .6.. " m,e.. .... <.
Counry TownsNp Tuing tlistriq , fown, townshrp)
�
Parcel number Legal descnption
� l l - �'l� l � aa
If any portion of the residential stmcture or lhe IarM noi exceeding ane (1) aae that immediatey sunountls that structure is used to produce
of Ne properry utilized to produce income.
I hereby certify the above
�rey,(numberarrd.{i�r et
.PROPERTY OWNED BY CLAIMANT.IN OTMER
Township Counry
/ /
are true, correct and complete. Signa re d�
4 ♦ TownShip
the use arM portion
�� � ASSESSOR USE ONLY '. .� THUE TAX � ASSESSED HOMESTEAD=��- NON-RESIDENTIAL. -�
- � VALUE � VALUE VALUE � VALUE .< �
Land not ezceeding 7 (one) acre immediatety ' � � - . - . .
sunounding residential improvements. (�) - � - - '° � �-c
Otherland (p) ��' '
��.�
Total land (line 1 plus line Z� (3)
Dwelling (4) � � _
Residential improvements . , �. � � .
Garage (5) .� . ,
Other improvements (6) � .
Totai improvemenis (line 4 through line � (7)
Total value (line 3 p�s line � (g�
1 hereby tertify ihe abOVe is Irue, COrrect, and Signature of Assessor Date signed
complete. �
Verityirg attion - Synature ot Audiror Date syned
- � � STANDARD DEDUCTiON ALLOWANCE': y_( °s',:.�. .
19_Pay19_
Lesser ot 7/2 Homestead
Valuation or 52.000 � �
r�
Sgna[ure of Auditor Date vgned ��;'