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Homestead_Stevenson
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Form 5473 (R5I 10-01) ur Prescribed by the Department of Local Govemment Finance INSTRUCTIONS: See reverse side for filing instructions. I (we) o I (We) occupedas our principal place of residence I (We) owned ❑ Are buying under cor Have a beneficial interest in the entity that is W FORM g 44 r YEAR J Z1/ /L'r -4 lX/ — 1 �xertify that on ( thevlsl day of)March, 20_ described real property for which a Holiiestead Prope[ly T* _Credit is4(ereb/y claimed: J..� GlBSO\ COUhr T \' AUDITOR for the property taxes on the property and that owns the property or is buying under a contract. ! C_ONTRACT'RECORDEDS?�`- ^r.+,..- b`..- '_.;e,rwa�" If buying on contract, Fee Simple owners name Recorders office where contract is recorded Remrd number Page j '�ST/WDARU DEDUCTION'ALCOWANCE fie3e€:s u_« 20 Pay 20_ Lesser of 1/2 Homestead $ Valuation or $6,000 Signature of Auditw Date signed P k01p E RTY: fttt RhPTJP N4�_`,�z:�„�'�.,,,''s"'t "terra County - Township Taring t ct (city, to , townsh' Sigroature, of aim Pa ur9ber Legal description Is the pro perty' quesuxm Address (number and sheet, city, state, ZIP code) / Real property ❑ Mobee Homo (LC. 61.1 -7) If any portion of the residendal structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utS¢ed to produce income. HOMESTF�! '" �_NONtESO]ENTIAL j '�ST/WDARU DEDUCTION'ALCOWANCE fie3e€:s u_« 20 Pay 20_ Lesser of 1/2 Homestead $ Valuation or $6,000 Signature of Auditw Date signed County Township County Township hereby certify the above statements are true, correct and complete. Sigroature, of aim Address (number and sheet, city, state, ZIP code) Z SIX I Zee l :fir.^ +�• 7, ' '= �`d•�,(�,3-s � '' nASSE$SOR USE ONLY:;'` TRUE NCB e'er ASSESSED AYE HOMESTF�! '" �_NONtESO]ENTIAL VAL UEf Land not exceeding 1 (one) acre immediately 1.. surrounding residential improvements. Other land Total land (line 1 plus line 2) (3) Dwelling (4)F`rf c.d `a`i 4yyd". Residential improvements Garage _ (5) Other improvements (6) Ir Total improvements (line 4 through line 6) (7) T" value (line 3 plus line n (6) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed j '�ST/WDARU DEDUCTION'ALCOWANCE fie3e€:s u_« 20 Pay 20_ Lesser of 1/2 Homestead $ Valuation or $6,000 Signature of Auditw Date signed \ SNIE FORM!s r I0.lsu41 t[FAA CtIFORM:-1.I A MIMED BY MATE.BniROle MTTCNTe.B.h ROX-RIBFU TIT mr DEPARTMENT DF LO CAL GOVERNMENT FINANCE M 6-I.I-2:4.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead saandard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ever for homestead fraud.homestead fraud causes higher in bills for all:therefore. • HEA 1344-2009 requires axpa■ers who receive the homestead standard deduction to verify that they are eligible to reccise the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead Maud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Stevenson, Michael W/Amy L 6766 S 650 Ii Fon Branch IN 47648 3287 Michael W Stevenson 6766 S 650E State Parcel Number Legal Description FORT BRANCH IN 47648-8571 26-20-17-100-000.222-001 001-00222-00 PT W NW 17-3-9 323 AC Itlnlltultllurinllnitlnln ltltlntlntlltlltnllnlnitl D \ -8 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 crlAEr �/ STC✓Er-)so,J g Address(number and street,city,sate,and ZIP code) ilk Same as property address 67& s to So F_ Foer iSwxi4 y76,yg Spouse First Middle Last AM y 4 STE vEAlsoA/ Mailing Address(Number and steel,city,sate,and ZIP code) © Same as property address 6746, S.. co 6 F_ l o(tr gRA 1CFk I V8 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 unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner I Si tu Date •