Homestead_SaddlerCLAIM FOR HOMESTEAD PROPERTY TAX y(�aJ Et YEAR
CREDIT /STANDARD DEDUCTION �i i( -
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. 1L �••e
el `a' certify that on the 1 st day of Mardi; 20
occupied as our rinci al lace of resid ce the foll o s he
a) p p p p g descri ed real property for which a Homestead PropertyiTax Credit is claimed
I (We) owned ❑ Are buying under wntract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a wntract
"- ----- ..'_CONTRACT.'RECORDED
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Rewrd number Page
.. -1 -
.. - �__ _.1_ '
`? -r s P, ROP ,ERTY:DESCRIP,TIONF°-'"��'-$.,� -Tats
County
Township
Signature of claimant
dress (number sheet, city, state, erode)
t (city, Town, township)
Parcel number
Legal description
Is the prope question:
Land not exceeding one acre immediately
y
(1)
Real property ❑ Mobile Home (I.C. 6- 1.1 -7)
if my portion of the residential structure or the [a d not
of the utilized to income.
exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
property produce
5 O a<�.,
ill
.Ik-' W-`WWARR —W-W t. PROP. ERTYOWNEb4* Y' CEMMANT .IN'OTHER`000NTIES,�`T,"„�€{
County Township
County Township
hereby certify the above statements are We, wrred and complete.
Signature of claimant
dress (number sheet, city, state, erode)
CIS /Jllf!♦ii —/I
' ASSES R� SE NLY
a 'TRUET
ASSESSEDVALUE
HOMBTEAD
NON =REST NTIAL s
__ `vr.'F�.>S?.:'>t�
.VALUE„.= .'- a.S�'? -a
..AT100 /n'OFiTiV..- .rdVAL'UE
+?'yrwVALUEEfv`.�
Land not exceeding one acre immediately
y
(1)
;rte` - ''`•
�9`vrm�.s- zs..ra` -6�
surrounding residential improvements.
Other land
2
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
YS Mary �.
- O
_ a a y - �
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(6)
,x Liz �ro
Other improvements
(6)
• k
-
ei.
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is We, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
e �y �w 'STANDARD'DEDUCTION'ALCOYIIANCE
20 _ Pay 20
Lesser of 1/2 Homestead
vauanon or 535.000
$
Signature of Aud for Date signed
515TE/ORM!Mew dCI u.M, 'MANGER FORA.-,StA
AP 1WLO BY SISIL ywanrWArtIVTTS.vm PRGAIUSED BY TIM DEnAa1wwT OFu t r VERNM[Ol rFnsrEtc 4-1.I.r4.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 ever for homestead fraud.Ilomesrea(1 fraud causes higher las hills for all:therefore.
HEA 1344-2009 requires taapascrs who receive the homestead standard deduction to verify That they am eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Ugvnntent of
Local Government Finance will use this information to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Saddler, Brian K/Jenniferk,
I22 Box 348
Elberfeld IN 47613
8842
Brian K Saddler
10396 S SR 57
ELBERFELD IN 47613 State Parcel Number Leal Description
26-20-31-400-000.282-001 001-00282-00 PT W SE 31-3-91.50 AC
D-10
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
•
1)rCLn )6d1-&L. �7aa'dld/
tg Address(number and street,city,state,and ZIP code) � 121 Same Iss property address
I
03Qb 5 52 6'7 eV bir/ult /
,
Spouse First Middle Last
Jjnni r Lc/nn do'/er
Mailing Address(Number and street.city,state,and ZIP code) Same as properly address
/0394 5 52 sO o/bat/W In I/Wf/.3
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 Signature Date
0