Homestead_Sloanrt CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
&� FORM YEAR
HC70
FlL tu)
I (We) �) i� c"t-c� ,l r \ t n te' R). ?"1„ ��y K ,r N rfity that on/the Qu day off Mar 11 20_
I (We) occupied as our principal ace of re idence the following described real property for which a Hom/ less` head _PropertyCTax�Ciedh- is(deieli /y claimed:
(We) owned ❑ Are buying under contract ° GIBSON(Ol TY AUDITC': r
' Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
atCONTRACT,RECORDEDs }+)" "' 7i,,�,`,y M *•L- �t" '.7?"�
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
.o>�� ��'r -- s�a3..x!Z�rc�.K�
*�a� -F�'' P, ROP, ERT. Y, DESCRIP, TION?•, �° zs; k�„ ���i�. iu�if�r ...�;}�`���5'3tY`, °.�'u`
County
Township
RESIDENTIAL
Taxing district (city, town, township)
Parcel number
\ Q
Legal escnption
Is the pmperry in question:
eel property ❑ M.N. Home (IX. 6f. f -7)
If any portion of the residential structure or the land not exceeding
of the property utilized to produce income.
a (1) acre that immediatety wrtounds that sw ure Is used to produce income, describe the use and portion
i+ - "s.�-
TRUE TAX,
�VA_LUE
,'fis�'.»"i -.'r ?�f '�AFPROP.ERTY;OWNED'.BY CL' 'AIMANTIN.'OTHERCOUNTIESf`� +�¢ +�,� r� "'�'yl`x
County
RESIDENTIAL
x
Township
County Township
I hereby certify the above statements are We, correct and complete.
ignature of " a ant
^-4dress (numb
arq
I. city, sr te, ZIP code) C 6 q?67VLj
ASSESSR UU §E ONLY'''*
TRUE TAX,
�VA_LUE
ASSESSED VALUE
„y HOh1ESTEAD
RESIDENTIAL
x
.ii..�v.
"AT 100 %o'OF'TTV
.°.,ii.aa�ui
=�i�1 VALUE
rt"NON- u.
J",;�-a',4 VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2),-
Tdal land (fine 1 plus line 2)
(3)
Dwelling
(4)-
iir
J�f {J+TiaY
-, rrh u+ t;
4x` #
Residential improvements or Annually
Assessed Mobile
e I Manufactured Home
Ga
Garage
(5)
+{ 6' "r
WINE
y
Other improvements
(6)
-'--k
`��ry{
Total improvements (line 4 through line 6)
(7)
Tdal value (line 3 plus line T)
(g)
hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
a rim..
��na �r�::. STANDARD :DEDUCTION'ALLOWANCE�:�?- rte. <�'.i'q coy: �i` x�G' t��iYi )�t•;)Tt�S_i��:�� };7"�`� -,``�=
20 _ Pay 20
Lesser of 112 Homestead
Valuation or S 835.000 s
Signature of Auditor Date signed
a
•-- -- _ _ •
star£FORM 5364 nx 1,-rrr TREASMER PORN I-IA
AnMwn,9Y STATE WARD nr AMrUNTC.Zino rRrYRram BY mr DEPAAMD1TOF tnCs[covERNSIMT MM CE lc 6.1.112-..1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple)are limited o 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 tax bills for all:therefore.
I. HEA 1344-2009 requires taxpayers who reccise the homestead standard deduction to verify That they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lepr tontdentinl and can only he accessed by authorized county officials.The Depannxm of
Local Gusemmem Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Sloan, Michael L/Shannon E 7131 t soon
-IttiT(757,4p
FRANCISCO IN 47649
8522
6
Michael L Sloan
7131E 500 S State Parcel Number Legal Description
FRANCISCO IN 47649-9155
ItIu11ua1r11ur1u1111n1llu ulllrlllullllu 11nu111111 t1 26-20-05-400-001.883-001 SASSAFRAS LANE 2/3
PART 2:TAXPAYER INFORMATION -1
Owner I First Middle S/ocuA/ Lot
111; chaeI Le I?
apvig Address(number and street city,state,and ZIP code) j Same as property oddress — - - -
7/31 E. 500 S. Frohle;Scn . TN I/7(bl 9
_
Spo - First Middle (� Last _�—�
Spo
N NO N ;Ne S/0o_Al
Mailing Address(Number and street,city,state,and ZIP code) ft1 Scone as propertyaddresi -- '
7/3 / E. S00 S. e Fro_ C . sC iT (/% 99
- - --
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is elieible 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
,
PART 4:ADDITIONAL INFORMATION
0