Homestead_Vessels IUiE F ORM!ON IR-f NMI n nssuRrA PORN TS-IA
.ArrRtWEB BY•rkTLM1W)OFMTV/WW:5.1Mn PRLLR®m BY TIr BEPART%Y:Yf OF LOCAL GOVEL`lNCNT FfrA L'E Ie VI.ICaI
Gibson County Auditor
101NMain 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
J{{®1IL e44 there is more incentive than ever for homestead ra dl Homestead fraud muses higher tae bills for all:therefore.
HET 13 ;-200 9 requires� who receive the homestead standard deduction to verily that they are eligible to
:there the
i
j benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kept cont:dln tint and ran only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create awls that will help county officials eliminate homestead baud.
APR 1 6 Lulu PART 1: PROPERTY I NFORMATION
Taxpayer Name Pro'em• ess
777?le `1 Vessels, Joey A/Diana
GIBSON COUNTY AuDt'r't
509 E.Vine I
FORT BNANCH IN 47648
2908
Joey A Vessels
513E Vine St State Parcel Number Legal Description
FORT BRANCH IN 47648-1225
26-19-18-304-001.178-026 011-01178-00 HOLCOMB ADD 43PT
�t�n��nt�t��nt�n��n�tur��u�t�u�t�t�t�nii luau liltttll
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 1 — First Middle Last
Joey / Vessels
e Address(number and street,city,state,and ZIP code) Rs Same as property address
l3 2, LJ .•Uc F TR /3rq ti°A, s'ti 'I 76 At'
Spouse First Middle Last
P 4,A/cc H. Verse Is
Mailing Address(Number and street,city.state.and ZIP code) CZ Same as property address
513 e, l//ve FT Sret. c-4 , '44 `t7Cy
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
unlas t Ily,he or she may be liable for back taxes and substantial financial penalties.
Owner I signature Date
PART 4:ADDITIONAL INFORMATION
CIAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Steta Fortn 5673 (R6 / d-03)
Prescribe0 by ihe Departmerrt of �xal Govemment Finance
INSTRUCTIONS: See reverse side lor filirg insWcLOns.
. . . .. .. . . .. •: v .r . . ... . . .�...
� •R YEAR
HC10 ��
�,
I(VJe) certify that on the 1 st day of March, 20_
I(We) occu ied as principal place of residence fhe following described real property (or which a Homestead Property Tac Credit is hereby daimed:
'� (We) owned ❑ Ne buying under wntract
� Have a benefidal interest in the entity that is Iiable for the property taxes on the properry and that owns the property or is buying under a wnUact.
If buying on conVad, Fee Simple ownefs name
Recoide/s olfice whera wnVact is recorEed
Rewrd number � Page
County To.vnship Tating d 1' df , own, fownshi )
Parcei number Le9al escription Is Ne proptMy in queslion:
� �� ' Q �� % ' �eal Omparty ❑ Mobile Homo (/.C. 67J-7)
It any portion of tne resiCential sWaura w the lan not exceeding one (7) acre that immeAiately wrtounds that swGUra is used to produce income, desai6e Ihe use and portion
af Ne property utilizeC to produce income.
�".�..�� '£.�rASSES50R USE ONLY L ��r�� � rTRUE TAX� 3 ASSESSED VALUE y HOMESTEAD�'� � NON=RESIDENTIAL�
�sor=�.: S. -....At7 �'� �e= ::e. . . • . �.�,'�'r.,. ir��.uYALUE�.t„ �C �AT 100%OFyTfV� �.,xc�VALUE.r.`y� ��-��VALUE.. �f-.x.v`.�•�'�
Land not exceeding 1(one) acre immediately sz)f��y�,�'t�� �;„��
surroundingresidentlalimprovements (�) �, 4-,,�- r�'}�_-�"� �y r4;
?,:�'� �;x�,n-�i�"
Otherland (Z� f_,�y ���_�= rt�
�
µ���.r;��:��
T�al land (line 1 plus line 2) (3�
-'� ydy,fia3,>r a'1 v3e ��::�i
Dwelling (4) ,�_'f`�'' ��s ��-{.� =+" ,
�ResidentielimprovementsorMnualiy ���%f���''p -
Assessed Mobile I ManufaQUred Harre Gara e ��� '�� '�`�5i`�' �";
9 (5� ��������
<:;,?£r?`..�tii�:a? -
Otherimprovements (g) ��` .�-: ,..'*a, s
,f'"+f�'Y:��s �'
� �-+:... '�a�:,- _.
Tolal improvemenLS (line 4 fhrough line 6) (�)
T[1a1 value (line 3 pl�sline n (g�
I hereby certi(y �he above is We, corted, and Signature of Asseswr Date signed
complele.
Vailying action - Sig�ture oflwditor Date signed
A's;�'^�`�^�'"�-'.m.�t'_ ..`�-'�S' ��ti�^�.�,�s:=�iti`.>s���-'�^.,SST/WDAR�:DEDUCTIONALLOWANCE. �y"r�*�s:v�i?a�i4�':�: s-i'�"jie'�'-_��'+ .,-�,d�:.F
20_Pay20_
Lesser M 1r2 Homestead
vauauon or 535.000
5
SgnatureofAUddw " Datesigned
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