Homestead_Parker (6) '•` MATE FORM"Kt.de/,-(P, TREASURER FORM TS-tA
.APNrWED BY SATE B/MRDOEMMUNrs.1.w PREZTUnfD BY nn:DtPARAIEYTUF LOCAL ranTajtucr FIN&'tE tc i.t-I`-A.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 baronies
more beneficial.there is more incentive than enter for hornesoead fraud_Homestead fraud causes higher tax bills for all:therefore.
• HEA l344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to(movide additional identifying intornunon necessary to allow enemy government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by aufhnrized county officials.The Department 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 Prnpem•Address
Parker, Dee Ann
104 N Walters
Fon Branch IN 47648
2858
Dee Ann Parker Jr
104 N Walters State Parcel Number Legal Description
Fort Branch IN 47648-1124
Irinlitnitlltulnllnirnriltnilultitlnllitnrlulitlul 26-19-18-303-000.358-02 011-00358-00 WALTERS ADD 333 PT
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.
)
First /�,, Middle Last
7ec--AvA) �" `/,C`1 eile / L2r
Mailing Address(Number and street city,state,and'LIP code) Lazne as property address
/0V N a1/1-/1 -s D-r- fr .✓7' , .v V7o, vcr
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.
P -
•
a�'^�,°s CLAIM FOR HOMESTEAD PROPERTY TAX R YEAR
zE�;; CREDIT/STANDARD DEDUCTION ���i�
�.�; • Siate Form 5473 �(Fi2 / 5-92)
�aTi � ' l�� � v ��
INSTRUCTIONS: See reverse side !or filing instructions. -
' - - ICATIONSTATEMENL'" � � � , �
i^Ne) _ _��� �_ _ _%��yN ��_i7ti/� v� . certify that o the 1st day of March, 79_
) occupied as our principal place of residence the following described real�property for which a Homestead Propeny Tax Credit is hereby claimed:
` I (We) owned ❑ Are buying under contraci . . - . � � .
❑ Have a beneticial interest in the entity that is liable for the pmperty taxes on Ihe pmperty and that owns the property or is buying under a contract.
� CONTRACT RECORDED -
If buying on contrect, Pee Simple owner's name � - � _
Recorder's oNice where contract is recortletl Record number Page
PROPEiiTY DESCRIPTION
Coun* ' Township Ta<iig tlistrict (ciry, town, fownship) �
� .
Parcel number Legal de ription
�— -� �S
If any pottion of the resitlential stmcwre or Ne lantl not exceeding one (1) aae that immediately surrounds that siructure s used ro protluce income, tlescnbe Ne use aotl portion
ot the property utilizetl to produce inwme. ,
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE� VAIUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential im'provements. (�) �
Otherland (p) �
Total land (line 1 plus line Z� (3)
Dwelling (4) �
Residential improvemenis
Garage (5)
Other improvements (6)
Total improvements (line 4 through lina � �7)
Total value (line 3 p�s line � ��g)
I hereby certify ihe above is true. correct, and Signamre of Assessor Date sgned
complete.
Verifying action - Signature o� Autlitor Date signed
STANDARD DEDUCTION ALLOWANCE
79 Pay 19 _
Lesser of 1/2 Homestead
S
Valuation or 52.000 .
Signawre ot Autli:or Dare signed