Homestead_Parker SThTE}(*M!■!w or/awl TREASURER PORN 7-IA
.APPROVED BY SPTE BOARD IY!1MA:NTS!Tow PRhimBm BY TIr DFPART\¢YTOE LOCAL tmvpaslo,,FN.ASCE IC H.1-221.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and tarried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher mR bills for all:therefore.
• HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi contidenlial and can only he accessed by authorized county officials.The Depanmenl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Parker, Darrell L/Debra S
301 F Strain
Fort Branch IN 47648
7872
Darrell L/Debra S Parker
301E Strain State Parcel Number Leval Description
Fort Branch IN 47648-1418
IIIIIIItlIIIIIttlllllllllllll'Intl'ltlllIIIIIII 11111111 26-19-19-101-000.960-02 011-00960-00 PRITCHETT ADD 257PT
PART 2:TAXPAYER INFORMATION .
Owner I First Middle Last
ADA RREI 1 L PaczK.e2
•ng Address(number and imm[,city,state,and ZIP code) - --- ---- ------ 1�Same as property address - -- ----
Spouse First Middle Last
DEB S Piz 2
Mailing Address(Number and street,city,slate,and ZIP code) gI SrSme 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 eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully, or she may be liable for back taxes and substantial financial penalties.
Owner 1 S. lure/
'ar •i�j Date
PART 4:ADDITIONAL INFORMATION
ill
CLAIM�FOR HOMESTEAD P.ROPERTY TAX
f CREDITlSTANDARD DEDUCTION
` State Fam 5473 (R614-03)
' Prescribed by tha Department ol Lacal Govemment Finance
WSTRUCTIONSi See ievarse side for (ling instnm.tions.
_. ._ �
�� FORM YEAR
�.?.:+�>.-c:.-�33'.ts+:tn'�i�s:���.F<Y..'•::.1:. .�.-?.;,f�':r,e.sa..�}VCRI ,bP111V1Y.�lAICMC1VIj:.. " . ..'r. ..
0 __..__.__.. _ _ . . .�..-.-.- , �� �-?..-_ .._ ., ��.. ti�, _ ..,.'.
I(We) `� J certiry that o� tst day�o�rch, 20�
I(N/e) occupied as our prindpal place of residence the following described real property tor which a Homestead Property T� E�edit s by daimed:
(VJe) owned ❑ Pre buying urMer contreci GIBSON COUNTY AUDITOR
Have a benefidal interest in Ne entity Nat is liable for Ne property texes on the property and that owns ihe property or is buying under a conVact.
If buylnp on corrtreG. Fae Simple ownafs nama
Counry
i> � � - (
If any pwtion c
ol the property
where contraa Is reoorded
Lepaidescri0lion
mtial sW cWra a Ne land not exceedinp one (1) aae that
produce incorne.
Rewrd number
as
Is Ne property in questian:
❑ Real properry ❑ Mobile Home
wrtounES Nat struGUre a used to O�uce income, desc+ih
PaBe
i.c. �o.,-A
Ne use an0 portion
r�� � `�-°�'�'`E'j�''��`���':y '<"�'{` "�TRUE TAX �� `� ASSESSED V/LLUE HOMESTEAD " k NON-RESIDENTIAL�"� x��
r;�Q�i`�AS �t,b�iy�R,V�,E3��^�ns� � �`�3,x' i�VALUE�-�� ..ATs100%sOF�TTV& �`L.?'.�VALUEM�'u �y�T-��"i ;.�,VALUE����E4Wt'�=�.
'� ��
Land not exceeding 1(one) acre�immediatey ��£- �� "�tt;a�� m^�u i�Kt ,;�^- ,� :_
surtounding residentlal Improvamen6. �� � �. ; � h. ;'�;,i ._:;�, �+.. � �:.; : _?_ =":
Other land (y� �
Tatal la� (line 1 plus Ilne 2) �3)
�V:8��1f19 �4� '.�.x a ._r,4n^,yS r i' _.iA'� ��'.
Residential improvements orMnuaOy er '.�;rc *z=
K,
Assessed Moa1e / ManufacNred Home Garage g 3` r= �, +` ` �``°�� ;,,� .?.
i ) �....<KC'�.,�_Z�.•:� �`� :f'�.
�r �
.O�i�e1 improvements (6) . 7: : ' ; ,,.� , ,
TAaI Improvements (line 4 through lirre 6) �7�
Tatal vatue (line 3 phs llne n (g�
I hereby cer6fy the above is We, cortecl, and � Signawre ofnssessor Da�e signed
completa. �
V¢rifyuq action - Slgnature of Auditw Data signed
�+���i�?a��e.�a���.�,c�'.'.'#��,�ii*�#,;�`�STANDARD;UEDUCTION'ALLOWANCE�..� ::.=iV� .l:�ie�.�" �r•• ",-2'Y',. :�•:�'
� _.s.� ;..�F?:- +. ..,.
20_Pay20_ . . . .._ -
Lesser of 1R Homestead
Valuation or $35,000 g . _, _ . _.
SipnaWre otPuditar Date signetl