Homestead_Paridaen (3) 37C- St?2-7 t1VE FORM!I!4 R'r S,MI MASUIfA FORM iS 1A
A.ra (IMPORTANT NOTICE TO HOMESTEADrPROPERTY ROWNERS
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become_
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1341-2069 requires taxpaven who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying informanon neeessan to allow count gormment to better monitor homate:rd
7 filinf,--.This information will he F.ept ronllcattial and can only h accessed by authnrived county n�cials.T e Dryunntent of
Local Government Finance will use this information to create Rots that will help county officials eliminate homestead fraud.
APR 1 2 zuiu PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
727 ,e, Paridaen, Kurtis H/Joellen 01 E I h r' row '
GIBSON COUNTY AUDITOR
Fort Branch IN 47648
•
2866
Kurtis H/Joellen Paridaen
509 E Vine St State Parcel Number Legal Description
Fort Branch IN 47648-1225
�t�t t��ttt�t��tt t�tt��t t�t ttt��tt�t�tt�t�t�t�t��tt t�t�tttt�t�� 26-19-18-303-000.562-02011-00562-OO PT SW 18310.22 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
)
Spouinse J C i (C First Middle 'Part I a e Last
Mail )Address(Number and street,city,state,and ZIP code) 'Same as property address
SOS L - UiVLc Si- - 'For+ r&V'QlACIA 49-10C(q
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
•
�"'`°, CLAIM FOR HOMESTEAD PROPERTY TAX
i ' CREDIT/STANDARD DEDUCTION
� i
��State Fortn 5473 (R2 / S92)
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INSTRUCTIONS: See reverse side /or filing instructions.
FORM
, : +HC70"'O�y�
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3'�. rt
YEAR
t � � `. `UUl
CERTIFICATION3TATEMENT � �
❑ Are buying under coniract
❑ Have a beneficial interest in the entity that is liable for the property tazes on the property.and that owns the property or is buying under a contraci.
CONTRACTRECORDED
tl buyirg on contract. Fee Simple awners name -
Recordefs office where con[racl is recortled Recortl number Pa9e
PROPEHTY DESCRIPTION -
Coun Township - Tacing d tn t( ify, ow , t ShipJ
�.(��...C.��
P rcel nymber � � � legal desc lion � �` � /� �� /� �� � ^� '
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If any portion of ihe residenGal swcture or the land rroi excee ing one (1) acre that immediatety surrounds that sWCture is usetl to protluce income, tlescribe Ne use and ponion of
Ne property utilized to produce income.
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Tavnship
e of claimant
ereby certity the above statements are true, correct and complete. �� �j,�� -
v
Address (number and freeC,c�� , state, ZIP crode �
�SZ��'�a �,Vine . F�r7` �1^�inc� =rJ �-f�llo�8
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD . NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediatety ���
surrounding residen[ial improvements.
Other land (2) -
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6J (7)
Tofal value (line 3 plus line 7) (8) �
I hereby certify Ihe abOVe is lrue, CArreCt, and Signature oi Assesor Date signed
complete.
Veritying action - SignaWre of Auditor Date signed
� STANDARD DEDUCTION AILOWANCE
19_ Pay 19 _ .
Lesser of 1/2 Homestead S
aluation or S2.000
Sg t e ot Audi� r Date si ed
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