Homestead_Sullivan STATE FORM!!wnC/% 't 1RFAN&FR FORM 31A
AP/ROVEDBYSTsTE!WARD OFwYYRINTS.Irn PRrrxPIBED BY Mr DEPARTMENT(W LOL:AL r,o2RYSnWT FINANCE If lt.1.L'-1.,
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than on for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to teeehe the
benefit anti to provide additional identifying informaron necesary to allow county goemment to better monitor homestead
tilingThis information will he kept conlldential and can only be accessed by authorized county officials The Department of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address ` /
Sullivan, Danny J/Darlene \\�//
,, R I Box 167 /��(V�
Iron Branch IN 47648
7976
Danny J/ Darlene Sullivan
410 E 780 S State Parcel Number Legal Description
Fort Branch IN 47648-8006
lElIIllII rlt��ttita11tt1t1rtltllEttliIr Etii Illlt Errlirri 26-19-19-204-001.282-026 D7-01012-00 INDIAN HILLS 40
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ �J • .Scis(I 1 vo-rt
co
at Addr • (number and street.city,state,and ZIP de) - - - one as propertaddress— -- — -
i/o. E. 7 00 S. For-1- Branch T:Co. Y7694?
Spouse First Middle Last
Oar ten a Sulf; vaz,,,
Mailing Address(Number and street,city,state.and ZIP code) E].Same as properly address
'I/oc ?EX) S. -R c+ 2 ra acm .2 I 17649
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
uunn/llayw/fully,he or she
///may be liable for back taxes and substantial financial penalties.
'U6v Signature 9;e4 iji _ Detc
®1
� d�;;F, CLAIM FOR HOMESTEAD PRORERTY TAX
,u'�.. e
• ;, � -; = CREDIT/STANDARD DEDUCTION �
: State Form 5473 (R2/1-90) ' � � ''
�' '°�° � INSTRUCTIONS: See reverse side for liling instructions.
CERTIFICATION STATEMENT,
FORM
HC10
�: 6%/ c�'( '
YEAR
�g,v
I(We) ��•'k" ��� ��'-U^' certify that on the tst day of March '�19 �
� We) occup�ed as our principal place of residence the following described reai�property for which a Homestead
Property Tax Credit is hereby claimed t�i�(We) owned ❑ Are buying under contract
� Fiave a beneficial interest in the entity that is liable for the property taxes on the /property and that owns the
property or is buying it under a contract. �/ �9 / 9-�Q 3=G��a�� -��l
on contract.
County,
contractisrecorded
RECORDED
PROPERTY DESCRIPTION
-.n.
Record Number•
Page .
Parcel Number Legal D �s iptiq� 'I �,n t I O �
00"1 - o I 01 � �^> P�""° T �
If any portion of. the resideniial strucjure or the land not exceeding one (7 ) acre that immediately-sa,jrounds Njat-
ture is used to p�oduce income describe the use and portion of the property utilized to,produce ngo e.
� � �n ��J� -
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES «"4Y 1 � I�.�iO
, Township County .-- ownshi
_� . �,�,... �
rhereby certify the above statemenis are true. correctand "
complete. ' t: .' -
Address (Street. number, city. state and ZIP code)
� ASSESSOR USE ONLY �- TRUE TAX VALUE- �� ASSESSED VALUE HOMESTEAD VAWE
"' . � . . . � . [ -
Land not exceeding 1(one)'acre iinmediately
surrounding residential improvements
Otherland
Total land - line (t ) plus line (2)
Residential.improvements _ Dwelling
Garage
Other improvements
Total improvemenis - line (4) ihrough line (6)
Total value - line (3) plus line (7)
I hereby certify the above is true,
co rect, and complete
�
`= 1989 Pay 1990 1
'_esser of 1/2 Homestead Lesse
Valuation or 52,500 Val
�..�
�1
�
re of Auditor %�, ('�
1 'i .�,�..,� 1..1 .
(�)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
)ARD DED
�y 1991
Homestead
or $2,000
�
DN ALLOWANCE��
7991 Pay 1992T �.
Lesser of 1/2 Homestead•
Valuation or 5t,50o / �'
NON•RESIDENTIAL
VALUE
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or S1,500
�
Date Sign�
.S- I [i -