Homestead_Morgan (6) e lie.mud'mMIR_t Ot TRLASntu FORM 71-IA
Aertm:[ner tract eMSRDOF«yv A.\TC2n.. ennt1nm BY THE DFPAkfl 'r OF lu-.S1 GOVERNMENT FINANCE V Vtt-r-t.t
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 ncr for homestead fraud.Homestead fraud causes higher lac bills for all:therefore.
HEA I3-P-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information ttemsary to allow county eovemtnent to better monitor homestead
filings.This information will he kept confidential and can only Iv accessed by authorized county officials.The Depannmt of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
— Morgan, Thomas G/ Kim E Stuckey
400 S Lincoln
Fort Branch IN 47643
7824
Thomas G Morgan
400 S Lincoln State Parcel Number Leoal Description
FORT BRANCH IN 47648-1628
26-19-19-101-000.081-026//011-00081-00 SMITH ENLG 24 PT
likellnrlrilurlu Nulty ill r1Inu1 I1 liniettIuu Iuun
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
-1-1/1 0 MO-S Ct /I0rcl co_n
tipAddress(number and street,city,stale,and ZIP code) Same as property address— - - - --
f{GO St Lin cola ST, Fe,'-r 9rCLflcl,y y fin), 476 48
Spouse First Middle Last
\N
}
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
od
- - - - --- - - --- —- ---- -- —
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 Dane
•
c%�^,0
e.� � CLAIM FOR HOMESTEAD PROPERTY TAX
� 1��
CREDIT/STANDARD DEDUCTION
�; Slate Form 5473 (R2 / 5-92)
`\J'
.�7.
INSTRUCTIONS: See reverse side lor filing instmctions.
occupied as our principal plac�i resid�i ce the following described real property tor
FORM � ,YEAR
HC70
9r � _-
� �� � � i� ��
�(1�l�/ i i
. ' 9 . � �l./" �! i
i
_ certify Ihat on Ihe i st day�OyMerc�7
Homesiead Pmperty Tax Credit is herebp cl
I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity ihat is liable for Ihe property taxes on the properiy and that osvns the property or is buying under a contract.
CONTRACT RECORDED
If buying on comracL Fee Simple owner's name
Retorder'S ofli�e where Convati is �eCOrded Rxortl number Page
PROPERTY
County
Parcel number
V l�_' \ Nv � I 1 �6�/ �� w`� ' —- _
I: any portion of the residemial stmcwre or the tand not e.ceeding one ( t 1 acre that imm : tely sum
of the pwpeny utilized ;o produce Income.
PROPERTY OWNED BY CLAIMANT IN
County — � Township ..� Counry
cenify the above statemems are true, correct and complete.
Atldress (number ano streef. ci1y. state. ZIP code)
.i `{� O S L� .. �_ � /._�
;hat s;mcture is used m produce income. tlescribe the use antl ponion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
LaBd no� ezceeding 7(one) acre immediately I(' I I
surrounding residential improvements-
Otherland (2) I
To�al land (line 1 pW5line � (3) I I
Dwelling (a)
Residenual improvements
IGarage (g)
Other improvemenis (6) I I
Total improvements (line 4 th�ough lina b� (7) ( I
ITmal value (Ilne 3 p�s line � (g) I I
I hereby certify the above is �rue. Correct. and I Signature ot Assessor IDate signed I
complete.
Veri:ying action � Signa:ure ol Auditor Date signed
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