Homestead_Hall (7) I M.5If IORM:woe IR:/HNI TREMORS."FORM TS-IA
APpwwtn BY MATE YHROIKVY4:xlS 1m PtirRJaD BY fir DLPaSl 4f Of LOCAL GM4CYN/1T FINANCE Ito-1.1424A
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 ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1374-3009 requires taxpayer,who remise the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be leo confidential and can only be accessed by authorized county officials.The Depanntenl of
Local Gosernment Finance will use this information to create tools that will help county officials-eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
Taxpayer Name Prupertv Address
Hall, Stephen J/ Margaret M
503 S Willard
Fon Branch IN 47648
7853
Stephen J/Margaret M Hall
503 S Willard State Parcel Number Legal Description
Fort Branch IN 47648-1661
Irltrlltttltllttthttllttlrrrrllrlltttll IIII Ilttlttll 26-19-19-101-000.608-02 011-00608-00 PT NW 19-3-10.4104 AD
PART 2:TAXPAYER INFORMATION
Owner I ' First Middle Last
STEP Fr 64/ Z1€ 4-A7 NULL
�a Address(number told street,city,state,and ZIP code)— -—-- — -- 'time as property liddresi — --- --
So 3 ,S WILE-4D , Fa2i— Coto , =N 764-9
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) I%V$'ante 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 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 Signs( e Date
•
1
,�� CLAIM FOR HOMESTEAD PROPERTY TAX
i; CREDIT/STANDARD DEDUCTION
,�,` Siate Form 5473 (R2 / 5-92)
�•u
INSTRUCTIONS: See reverse side !or filing instruaions.
� . • ' ' �. '-�-. . - . . . •� � • -:.'�CEftTIFlCATIONSTATE6AENT�:, .. .. - . . `. •.•. _",. . -.
.. .. . . . �. .. 4 . ..... ...
FORM
HC10
YEAR
I(We) \ � i 1 certify ihat on the 7 st day of March, 19_
�e) pied as our rincipal place o sidence the following scribed real property tor which a Homestead Properry Ta�c Credit is hereby daimed:
_ I( We) owned ❑ Are buying under contract
❑ Have a beneficial interest in Ihe entiry that is liable for the property taxes on the property and that owns the pr�rty or is buyinq under a contrect.
It buying on contract, Fee Simple owner's name
Recorder's oHice where mniraa is recordetl
4UGy.� 9'1998
Recofd
" � � � - PROPERTV�DESCRIP'T10N � � �� - � � -� �
Counry Township Taxing disirict (cif}; lown, township)
Parce� number Legal descnption
-b b - -� .� -3 - l� .
If any portion of Ihe residential s�mcwre or the land noi exceeding one (1) acre Nat immediatey surmunds that sWC[ure is used ro produce income, tlescribe the use arM portion
of the properry utilized to protluce inwme.
PROPEHTY
Township
certity the above statements are irue, wrrect and complete.
number and street. ate s1are. ZIP cotle) _ n
. � , ASSESSOR USE ONLY _
�and not exceeding 7(one) acre immediately
surrounding residential improvements.
Otherland
Total tand (line 7 plus line �
Dwelling
Residential improvements
Garage
Other improvements
Tmal improvements (line 4 through line �
Total value (line 3 p�s line �
I hereby certity the above is irue, correct, and
complete.
i Variivinn ar.tion - Sionature of Auditor
IN OTHEH COUNT7ES"
TRUETA7C �I ASSESSED
VALUE VALUE
(�)
�L/
(3)
14)
(5)
(6)
(�)
(8)
Signature ofASSessor
NOMESTEAD
VALUE
5T � �
NON-RESIDENTIAL�-
VALUE
Date signetl
Date signed
