Homestead_Tipton (3) ,litt E 1 ORM!!W IR_/,-+•l TRFINSI:RER Po0.M--IA
ACTOONT,.Zino PR/SOUPED BY TUE
TO DEP/JUNIN(OF LOCAL
OPERTY ROW1NERS
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necesthry to allow county government to better monitor homestead
filings.This information will he kept canfdential and can only be accessed by aurhnrized county officials.The Ikpannmnt of
Local Government Finance will use this information to create uvula that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Tipton, Stephanie A
507 S Main
_ Fort Branch IN 47648
2600
Stephanie A Tipton
507 S Main State Parcel Number Le2al Description
FORT BRANCH IN 47648-1515
1r1rr11rrr1r11ttt1tt 11rt 1tt i.Illl .tt11t1t1t11ttl1t tt1tt1t11 26-18-24-202-000.701-026 011-00701-00 MCCRARY ETAL 93
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
(Tyner I ,,,,,,,, First Middle Last
\\
ng Affirms ress(number and street.city,state,and ZIP code) J Same property address
0`1 S McCt t c�t�c�n ,ZIJ �c���
Spouse First Middle Last
JoSiz0.0 5.kr1'2 `k'/lephu.s
Mailing Address(Number and street,city,state.and ZIP code) 1l-511me as property address
501 S 'cA0.
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.
• 'ner I Signature Date
\ , U - �. .�r s 2 \ a a s t ts & t. 1
M•�.� _. 7C�1- V . I\Yom_ ': tL I l I IL. fy•' • -1.-... r
' CLAIM FOR HOMESTEAD PROPERTY TAX
F CREDIT/STANDARD DEDUCTION
� I SWte Form Sa73 (R614-03)
' Prescnbad by Ne Departmeni ot Local Govemment Finance
lNSTRUCTIONS: See reverse side loi (ling instnicfions.
I� � --
F RM YEAR
A
JUL 0 7 2005
'- _ _�7 ;4"Cp.�q:'^+:.��cn��Cn.n11Vn.JIMICMCn1[• n.:i . . Pnr..:. /� �µ� v. i ;t
/!�
� • ' . . . /, ' • ':.
� �^'e� ce('e���Y�b�?b�4�T�aQv'aiMtaich, 20
I(VJe) occupled es our principal piace of residence Ihe following descnbed real property for which a Homestead Property Tac Credit is hereby Gaimed:
❑ I(We) owned ❑ Pre buying under contraci
� Have a bene(dal interest in Ne entiry that is lieble for ihe property taues on the property and that owns Ne property or is buying under a wnUact.
II byMg m conVect, Fee Simple ownafs name
Recordefs ofice where contraa is racorded
_ t.f.l'@.' . � � - - . y-�..
�^�Y Township
Part:el number � Legal de � Gon
D /- Oa %0 %
II eny portion of Ne residential sWCWre w Ne land not ezceedi
W Ne P�PeM utllized m produce income.
Record number PaBe
,a �� Is Iha property in puestion:
>
_ Real property ❑ Moblle Homa (I.Q G7.7-n
(1) aae Ihat immadiatey surtounds Ihat s cture is used to Droduce income, describa Ne use and portion
�'.':Yasi ^'*`'rt,RS;�'Y .. -:�}._-�%'r 4.-�. > - ...... .... _ . . . .._. . . . . �. - _ . . . .
�., t�: r,� ,,--ASSESSOR USE,ONLY t `- � �, �', T�UE TAX - . ASSESSED,VACUE� ; �:HOMESTEAD � ; �NON RESIDENTIAL:; . �
,f,.°�.,_.,-.,.,,,h .. �.„�a�;.,. n,.: ::..:.�. s:• ..iVALUE�.ia..� .. `AT.4DOX'OF�TSY. . ��VALUE. � .VALUE;
' �,* _
Lend not ezceeding 1 (one) acre immediately - - � . . . � . - -
surrounding residenfial improvements. (�� � . . _ ,
Othar land �Z� .
T[tal lend (llne 1 plus line 2) _ �3)
Residential improvamants or Mnualty �'e�ling (4)
Assessed Mobiie / ManuFactured Home �.
Garege �5� . ' .. - ..
Ojqet improvemenLS (6�
Tatal Improvements (line 4 through line 6) (��
Tdal value (line 3 phs line n (g)
I hereby certify Ne above is W e, cortect, and Signatura ot nssessor Data sipned
complete.
Velfying acUOn - Signature of Auditor Date signe0
20 _ Pay 20 _
Lesser of 12 Homestead
ValuaGon w 535,000
5
signed