Homestead_Kendle1
Slim FORM!'r 1pn-oi TRFASULEa FORMl. lA
APPROVED WI C[UF.BOARD Of ACCOUNTi9x rEL9171hEn BY nir OFEMTHENtr OF LOCAL GOVERNMENT FINANCE M'H.I_AI
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 becomes
mote beneficial.that is more incentive than e'er for homestead fraud.Ilomeaead fraud causes higher tax bills for all:therefore.
HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eli•_ible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flints.Thi.information will be kept confidential and can only he accessed by authorized comity officials.The Depannmm 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
Spangler, Melinda L 798(0 S /Or �� f7 t
//2 )revale- 1 c,dc-res5
Fon Branch IN 47645
3011 I
Melinda L Spangler S /0 E
FORT BRANCH'l98la State Parcel Number Legal Description
FORT BRANCH IN 47648-8000
Itlttlltultttutiullnitlultltutllntllnrtutrrlltr�tlrtl 26-19-19-203-001.269-020/ D2-01000-00INDIANHILLS4
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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
1,-Ae t; r ei a. Leon d < e vtou1 Q
Illiling Address(number and street,city,state,and ZIP code) 0 Same as property address
7 Q 8 S I 0 E . eras c k t:ot (4-7(g LI5
-_,-"�— `_ �.� - __ _ _
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.
. ��ner I Signal a Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� Sfate Fpm 5473 (R6 / 403)
Presuibed by the Department of Local Govemment Finance
INSTRUCTIONS: See 2verse side /or filirg insfn/ctions.
�
FORM �� YEAR _
HC10 �
�l
�_:
I (�'Ve) / �ruiy l�t � i�d�y �rch� 20
I(We) occupied as our prindpal place o residen e following described real property for which a HomeS�ead Property Tac �reZjj,iS-hereby daimed:
❑ I(We) owned ❑ Ne buying under contracl �AN 1 �JU 1
iHave a benefidal interest in the entity that is Iiable for the property taxes on the properry and fhal owns the property or is buy_ing,under a conVaU.
I( buying om m�traq, Fee Simple owners name
Recadels otfice where conVact is recorded Rewrd number Page
F�* s�- ^�.t.�, �g '�+siL��''-'+�3F_:��'��'3PROP.ERiVsDESCRIPTION� :=:� �"�".ps?,ifF,:r�_ -ese''�' .: �� `9,-�' F,'�-� [� 'v :.zT..
` _ _ ��Y4 `�M��L?WY�:`�6e... =w=.as� ... ��o-'.Lnz^92V�. �..-.[:
CWn//��� To.mshf `p , Ta�ing d�stnct (ary, rown. township) _ ,
iC%%K.� %V wI�A.P�.
Parcel numher �J Le9a{l,��a,scn�ot�bn� � Is the property in queslion:
OO /'q���'� T �'(,7�(,iiF/ �� � Realproparty ❑ MobilaHOmo�l.C.6f.7-�
If any portion of the resiCenlial sWdura w Ne iana noi exceeding one (1) ace Ihat immediatety wrtounds that sWCtura is usetl b protluce income, describe the use and ponion
of the property util¢eE to produce income.
`r/ —/ 7-� 7- OS t�.� -..�.. o�ov�a
�G-/g �R-�o.�-a�/� �Qo
:��-��:"f�cs' ���'x_'�~-_'*?r'�-��! .r.."'�r.t�."a�?'�"-;�FROP.ERTY.OWNED`��BY Cl'AIMANT;
County Tavnship Couniy
I hereby certify ihe above statemenls are W e, conecl and complete. S'9
dress (numbera�q s(reet c s(afe, ZlPCOde)
' '7�'f�/n LS /n � � (�✓n �,,,/_ ,
� ��'.s'.�+� ''y�` r"g ��.y��� r--�+'��'. {s�3 � i`''TRUETAX�-^' ASSESSED'VALUE �HOMESTEAD�`_ '3N0 ESIUENTIAL����,.,�,u,,$
}�#�"'�- ��q�5ESS0 �.E��O�N�Y,r.3,,�+`,�� ;��VALUE� �.,� "AT 100°/,.OF�rTTV� ���VALUE� � .��fi��.YALUE�s.`s�`���s
Land not exceeding 1(one) acre immediately �.� "�Y'�?;2��,`�+4 ti�`��t�u^q
�
surrounding residential improvemenLs. (� � •e3��,�r�����v.,, r ���
� a:.-_ _ X.' '
.c*� ..''
Other land p = --�:`�
( ) �:�-�.��'-�'?5 s:i::
.,�,-,:...... �
Tdal land (line 7 plus line 2) (3�
n . �r..
Dwelling (4) �� i "_, � �.� Yy" ��:"
Residentlal improvements or Mnually "�`'� "�"4u°�-
Assessed Mobile / Manu(adured Harre Garage (5) ��,a ��" V'- �, -� ry���y�
�� � : . � - ...
`.�.'�.?d�',z`. �i
Other improvemenls g) �`-'��*�?S �`�-;
� ;� �YV`t�u sx3'
Tdal improvements (line 4 fhrough line 6) (�) '
Tdal value (line 3 phs line n (g�
1 hereby certify ihe aboVe i5 We, corred, and Signamre ofPSSessor Date sgned
complele.
Verifying action - Signature oflwdimr Date signed ,
20 _ Pay 20 _
Lc;ser of V2 Homestead
va�uauon w E35.000
S
� � .� ' � I oate sig" //, }/O