Homestead_Skelton (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instrixtions.
TIFICA71ON STATE
affgie lsf�Qffi3amh, 20
1 (We) occupied as our principal place of residence the following described reaj(2perty�®r which a �Homest!d'Property Tax Credit is hereby claimed:
❑ I (We) everted ❑ Are buying under contract 7
6 Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns �jnLegr�a joonbact.
..,tl ,
If buying on contract. Fee Simple owners name
Reconfer's office where contract is recorded Record number Page
kclP.EktXbWNE6�BY CaIMAkT;li46THkkt-CiUh�hES':�—�
County
Cou ty
loomship
Taxing dis
ct I, tow ip)
Par
6`75-/— L / Q 70-Q
Legal description
) WT-,�m
aN property in question: IF
Wsew Property ❑ Mobile Home (I.C. 6-1.1-7)
If any portion of the residential structure w the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilind to produce income.
kclP.EktXbWNE6�BY CaIMAkT;li46THkkt-CiUh�hES':�—�
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
ure of claimant
Add �Tber and street, city, state, ZIP
IV r) t I'S
ESSOR,USE 0NLY*Mf,-',A
V aTRUETAX,
I
ASSESSED VALUE
HOMESTEAD'
J'5 Df
NOWRESIDE—N-ilhiL, Z
:W;K5.
04-YA
�!:V&W2
of Auddor
VALUE{
M �' MW
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Otherland
(2)
Total land (fine I plus line 2)
(3)
Dwelling
(4)
rn
:
Residential Improvements or Annually
:-ss
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
%,
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
0ANCE
-,�STAN DARD.:DEDUCTION' IAuL W
20 Pay 20 —
Lesser of 1f2 Homestead
stion or S1000
of Auddor
a tin
_d
STATE rr*N 5!'MIR_/•-u.) TEASntEA EOM 73-IA
• ArrrrsEDIIY%rsm BOARD Of ACCOUNTS.20m PLFMflBED BY Tor DEPARTMENT OF LOCAL GOVERNMENT FINANCE re H.1-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
1 PRINCETON IN 47670 Individuals and married couples are limited to one homestead Aandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than an for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HE.\ 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
fakes This information will he kept conlldemial and can only le acce.sed by authorized county officials-The lkpanment of
Local Government Finance still use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Skelton, Steven R/Marilyn S
10458 S675E
Elberfeld IN 47613
8864
Steven R Skelton
10458 S 675E State Parcel Number Leea1 Description
- — -- ELBERFELGIN-47613-8600 — - -- -- -- - --- — — -
�m�n��ur�t�� ��n��m�n�m m��n��tn��nn�t�t�n�n t�t�� 26-20-32-400-001.870-001 001-01870-00 PT E SW 32-3-92.00 AC
D-10
-1 1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
tg Address(number and street.city,state,and ZIP code) [Some as property address
r First Middle Lan
CM I 3 S t Shi ! fD •.
Mailing Address(Number and street,city,state,and ZIP code) Er Same as progeny 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,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signptlae Date 6
i -
I