Homestead_Odom _ l• s1AtL 1110.4,EHIP_/uNl TV NIEA IOM to
APPROVED BY STQEPtH0.P01'NrA L%1&y4 Watt=Dyn1r DEPARMCST fLQTLrg ctIMrn FINANCE IC II-1.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to our homestead aandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than her for homestead fraud.I lometead fraud causes higher tat bills for all:therefore.
• HEA 13-14-2009 requires taapasers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county gosemment to better inoruror homestead
filings.'ntis information will be kepi confidential and can only le accessed by authorized county officials.The Depannlent of
Local Government Finance'sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—.- Odom, Helen M/Patrick 0
204 S Willard
Fon Hranch IN 47648
7731
Helen M Odom
204 S Willard State Parcel Number Legal Description
FORT BRANCH IN 47648-1439
26-19-18-303-000.211-026 011-00211-00 EASTVIEW 27PT
I tlttlltrrldirl llrt lirtltt ttlltlttllr11l 1r1t 111rrrr1t 1111tr 11
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/J411- 4/ ./102lC-- 0 D0M
-- �g Address(number and svmt,city,state,and ZIP code) iI Same as property oddr¢ - -— - -- -——
ao so W(Lk A-/Lb Four % RA-At/°A [ 4/
SM+"a� First 'Middle Last
5° 0 d•
Mailing Address(Number and street,city,stale,and"LIP-cakf ---------____0 Same as property address
S St, E. yotoo S
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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 ..,
7 i hi - &/ 5,10 ,IL) (
•
i�"`��„`°- CLAIM FOR HOMESTEAD PROPERTY TA
� CREDIT/STANDARD DEDUCTION �� y�') �
• � State Form 5473 (R2 / 5-92) „ n • b � �
�.=�� � 5.1
T� � A
FORM
HC10
YEAR
INSTRUCTIONS: See reverse side I r filing inshuctions " �' i � ,y : T {
�
RTIFICATION STATEMENT
�_..�
I(We) certity that on the 1 st day of March, 19_
I(We) occupied as our principal pla of residence the foll � g described real property for which a Ho siead Properly TaSc�redit is here claimed:
❑ I (We) owned ❑ Are buying under contract � ' - ��R�(3��"�✓t�i]✓:�_,'��°��j, ��
❑ Have a beneficial interest in the entity ihat is liable for the property taues on the property and Nat own�mL propenytlHi�t(l1�1@kjQiBe a contraci.
CONTRACTRECORDED
It buying on conUact, Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
Cou Township Tazing tli �ry, v. rownship) �
Parce num er Legal descrip6on
-cx�a �-oa � f
It any portion oi the residentlal siruc[ure or the IarW not ezceetling one (1) acre Ihat immediatey surtounds th swtture is used to produce income. descnbe Ne use antl portion of
the praperry utilized to Produce inmme. •
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Couniy Township Counry Township
� oi clai an � ��
�ereby certify the above statements are true, correct and complete. ��'
Addre ( r aM s(reet, u slafe, ZIP oode)
02 d � Sy � -��j�i_ � �-r� y/�'$
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately �� �
surrounding residential improvements.
Oiher land (2)
Total land (line 7 plus line 2) (3)
Dwelling (4) -
Residential improvements
Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certity Ihe above is true, Corrett, and Signature of Assesor Date signed
wmplete.
Verilying acGOn - Signature al Audiror Date signed
� STANDARD�DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Val tion or S2,000
Siqna f Autlitor Date sign _ ��