Homestead_Jones (3) STATE FORM 53y.oc/\-nt 17tEASUREA FORM SIA
ArrRmTD BY SINE aMRDnf MRa 4\Tn.Lino PAFYWBED BY TIE DEBARMENT CFL OAt CA\4R.YMENT FINANCE IC 1Ar-tl
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 dcdunion becomes
more beneficial,there is more incentive than ever 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 arc eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept conbdemial and can only he aces+¢d by authorized county ofici;ds.The Iklannlent of
Local Government Finance a ill use this information to create Ink that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Jones, Eric W/ Marlene K
915 Mohawk DR
Fort Branch IN 47648
7624
Eric W/Marlene K Jones
915 Mohawk Dr State Parcel Number Leea1 Description
Fort Branch IN 47648-9508
III I I I III IIII ' ' IIII III 26-19-18-101-001.163-026/011-01163-00 LITTLE YORK VIL PHASE II
t o set t nt m u t t set t t nt a nu r t nr r ✓ 25 D-27
3 PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Eric V\lilliQm <.\on2S
ng Address(number and street,city,state,and ZIP code) • aSame as property address
q 5 ilohawk Dr') P . Branch --1./Ni 4-7648
�
Spouse First Middle Last
narlene Kay J ovaes
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
°lI5 Mohawk Drive) Ft. Branch 4764-8
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjuy,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
•
y��� � CLAIM FOR HOMESTEAD PROPERTY TAX
ir CREDIT/STANDARD DEDUCTION
,��,` e State Fortn 5473 (R2�/ 5-92)
INSTRUCTIONS: See reverse side !or lrling insbuctions.
- . _ � � :.- - � . - �_: ecormeen
� FORM + YEAR
HC10
r- 1 �. .
��. �_ .��::�. ,...
!e) ��� ���✓� S � certity��onite3lst•�
/� ::'
�de) occupied as our principal place of residence the following described real property tor which a Homestead Property Tax Cri
❑ I(We) owned ❑ Are buying under coniract �,AR 4. '
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the�perty or is � �
� �.v�"��..
i
- � - - - �CONTRACT�RECORDED ��,_� _� �.('y18�;�."r.
If buying on contract. Fee Simple owner's name �
Recorder's office where contratt is recorded Recortl numDer
Counry
If any portion c
of t�yPp�erty
/vl
-. z•,�...
Page
� � � �' �PROPERTYDESCRIPTION� .: -�� i°=.:�.� z-:.,�.
Township /� Ta.irg district (ciry, rown f ship)
vi �/D /[� / D �
Legaldescnption
Ne lantl noi ezceedinq one (1 � aue that immediatey sunountls that siructure is used to produce income, descnbe the use arM portion
� •
� ASSESSOR USE ONIY TRUE TAX ASSESSED HOMESTEAD' NON-RESIDE!lTIAL. ..
�� VALUE VALUE VALUE - VAIUE � �
Land noi ezceeding 1(one) acre immediately �� . �
surrounding residential improvements. (�) �V�
Otherland (p) � � �� �
9...
Total land (line 7 plus line 2� (3),
Dwelling (4) �� � �
Residential improvements
Garage (5� - �
Other improvements (6) �
Total improvements (line a through line � (7)
Tota� value (line 3 p6s line � (g)
I hereby certity the above is true, correct, and Si9namre ot Assessor Dare signed
^^mplete.
tyirg aaion - Sgnature ol Autlimr Date sgned
19_Pay19_ I
Lesser of t/2 Homesiead
�luation or 52.000 S
. �r !
i. '
Oate signed� 4
r�.art �: - :_<