Homestead_Morgan (5) STATE FORM 5 3559(RM 09) TREASURER FORM IS-IAI
APPROVED BY STATE BOARD OF ACCOIISTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICe-I.1.22.8.1
IMPORTANT NOTICE TO HOMESTEAD'PROPERTY OWNERS
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
•auses higher tax bills for all; therefore, HEA 1344-2099 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 government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Loca
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud. •
. PAR 1: PROPER 1' :'FORMA ION
Taxpayer Name Property Address State Parcel Number Leta]Description:
Jim D Morgan 7826 S 45 E 26-19-19-204-001.300-026/ 007-00406-00 INDIAN HILLS 56
Fort Branch IN 47648 r D-27
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION
Owner 1 First Middle Last
r r
Mailing Address(amber and street dly,state and ZIP cede) jme as property address
SP•rse First Middle M Last
l�4`1 7 1 10f3G
Mavng Address(number and street ply,state and ZIP code) I Same 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 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.
Omer 1 Signature Date
• PART 4:ADDITIONAL INFORMATION
•
�� . CLAIM FOR HOMESTEAD PROPERTYTAX
"' ' CREDIT/STANDARD DEDUCTION
S' � Sfate Fwm 5473 (R4 / &00)
INSiRUCTIONS: See reverse side for flling instrvctions.
FORM Y�R2
Hc, o �"� 0 6 0'
I(We) � 1�- W / W certi(y that on the t�st-d-a� f March, 20_
I(We) ocapied as r prindpal place of residence Ihe II ing describ d real pro rty for which a Home�ead P�per_�ty Tac dedii is ere daimed:
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❑ I(We) owned ❑ Are buying under contrad 13.J JiJ
�ave a beneficial interest in the entity that is.iiable for the property taxes on the property and that owns the ptqgg�ty o{ iUbyy,i�g,under a contrad.�
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If biyug on contracl, Fee Simple ownefs name �- � �
' � GIBSON COJNTY AUDITOR
Recordefs oRice where contract is recoNed - . RecoN num6er • Page
TpvnSNp
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arcel number Legal desaipUon ,
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It am� portion ot Ne residen6al sWcture a Ihe Wnd rrot exceeding one (1) acre
o( Ne ptopefty uliliZeO to protluce income.
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County . .
Twvnship - � -
Tating disVict (Giry,)
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tha ' iatey surrountls that
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rBY CLAIMANT IN�OTHE1
Counry
I hereby certify the above slatements are.true, corred and complete..
�7ro,ss (numberana sLeet dtxstate, ZlPCOde) _ , �
fownship)
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is used to D�� ���. des�xiba the use an0 patim
_ ITOxnship
20 _ Pay 20 _
Lesser of 12 Homestead
Valualion or 56,000
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