Homestead_Martin (25) Visit 1010.153 R/Y.r'1 nLtSUW IORMYIA
APTB(WEn BY VISTEanV(DOr MCTI(N7S2171n PPFXWBFL BY Thu DEPMTLL'Vn(K LOCAL rovrrAlENT En:AaCE h'LI.I-E LI
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 ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 13-14-2009 requires taxpayers who receive the homestead standard deduction to verify that they are elicible to receive the
benefit and to provide additional identifying information necesaarx'to allow couny goernment m better monitor homestead
fifintivj.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county official,eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Martin, Shirley M
106 112 li Oak
Fort Branch IN 47648
7016
Shirley M Martin
106 1/2 E Oak State Parcel Number Legal Description
FORT BRANCH IN 47648-1522
I I III I I I I I I I I I I I I I I I I III 26-18-24-202-000.487-026/011-00487-00 MCCRARY ETAL 96PT
r u tit t tit n n nn t t nr r u e rru nr r t d
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
S
/ 7rlk/ /9)94r le /Y)art
•ng Address(number and street,city.state,and ZIP code) — - — -- — Same as property tiddress -
/0 Y 16eur 5-r `9-77 erne/
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sox ,
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
\ )
PART 4:ADDITIONAL INFORMATION
•
AR�� CLAIM FOR HOMESTEAD PROPERTY TAX
¢�-'� � CREDIT/STANDARD DEDUCTION
� � State Form 5473 (RS / 10-07 )
°i� Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing insfructions.
FORM M YEAR
HC10 I ` �^�
C/J
I(We) V � �� � rt� [ t on t 1 t d�arch, 20_
I(We) occupied as our principal of residence the foliovring described real property for which a H e te P perty C e is reby daimed:
❑ I(We) owned ❑ Are buying under wn�ract C[ l C q (�,
�ave a benefidal interest in the entiry that is liable for the property lazes on Ihe properry and that owns tlk �r�epyAr if �4�ng urder a conVact.
I( 6uying on wntraq, Fee Simple owners name
wnVact
To.vnship
P���u%�-� � �8%-Q� I ,
If any potlion of Il�e residentlal sWIXUre w the
of Ihe property utilizetl tn produce income.
County
Tavnship
one
I hereby certi(y ihe above slatements are W e, conect and complete.
end sUeef, ciry, stare, ZIP code)
11.. �. �n L
Rewrd number � Page
Tating Oislric�
7�� �Is ihea�perty� estion: ��
� G eal pmperty ❑ Mobile Homo (I.C. biJ-7)
immediately surrounds that sVUCture is uud to D��uce income, dewibe ihe use anA portion
��^-i:^ � �.�yL,�,s��a�k� '� `i-=r y �s- wTS . .. . � . _ . . �s.. .
g+-o-Y ''-�"'� '� yry�; �� � �'�.TRUE TAX � f ASSESSED�VALUE {�HOMESTEAD �.� NON;RESIDENTIAL -�� -.•
�i�-.'1''P r �3��RSO�S's�N��`'� ..w.�'�,.:a VALUEc e� �'' .�AT��00°/aOF'TTV �:'.VALUE��r�%,� :,�,��„`&�.VALUE.sl.:^a.���_�
� '��`3'f ...y ` �-,...�. ..�a � _ �.
Land not exceeding 7(one) acre immediatety F'2�`�,rr,3'l:��t'�r i$13�.-3-* ;�. '3,3�I
surroundingresidentialimprovemenis. (�) S�" � F�+��„�_'�`.:�,.
r i�,-. a- �§r.i �
Otherland (2) � ��"��,��, c
_.3a: ��„ ��.°i
Tdal land (line 7 plus line 2) (g�
�S y� �Et��1- :x���ri.,� � . x
Residenlial improvemenLS �elling (4) �,,,��r �£�� � ����,�t��
�;pP.�'(h,�' i ..' �..,_� � ... r}h� iE' . =`
Garage (5) �iF-i z+k`�.a�iN�.��,,,��-��+,1•.:
:�`-�iv° :':;r^- x' �.:
ry- .ve'�::r u'.�. ._•:� s:.°.i(' .
'�" ��+4.A" ��,.' "
Otherimprovements (6) � � �f. ��-��;
Tcial improvements (line 4 thiough line 6) (7) �
Tdal value (line 3 plw line n (g�
I hereby cerlify ihe above is We, corred, and Signamre of wssessor Date syned
complele.
Veri(ying action - SignaWre ofAndiror Date signed
��°.�i�3_�.+F�`.yiR�`_'"-d_�`_�-�i���IC�,i�SF.�.i�T���>`-�.STANDARD:DEDUCTIONACI.OWANCEt!"u�',�a;:�.?.;,�•k,'s";.�=z '.i>"'f�.+3i,�;�£`��.j`,,,i�j.4:�`s..��•.v".,
20 _ Pay 20 _ ,, �
Lesser of 1/2 Homestead S � 1
Valuation or 56,000 '� � '
Sign e ffwdit Datesi ne
��`_�,5-0 �