Homestead_Wirey llitE FORM!MK MIASMA 10PM -IA
.APPROVED BY CTATE MAW OF AM1Yi1.\TS2"..4 PILESOU13MBY TIIE DEPMTMEYTOF LOCAL GO.2R.4Mryr FBM CE 1r L1.1-2:-4I
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
more beneficial,there is more incentive than net-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 Ieecei.e the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials.The Depanmolt of
Local Government Finance will use this information to create tools that will help county officials eliminate hmnescad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Prupertg Address
Wtrey, Melanie
404 E Walnut
Fort Branch IN 47648
2849
Melanie Wtrey •
404E Walnut State Parcel Number Legal Description
Fort Branch IN 47648-1433
26-19-18-303-000.13502 011-00135-00 WALTERS ADD
t o tot nt n n nu tun nr r nn n t n 323PTf324PT
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
e_ JO rata QA-0,CiA
Ong Address(number and street,city,state,and ZIP code) ('same as property address
Spouse First Middle Last
ac e'r -2)1 o Q'cGC-a-
Mailing Address(Number and street,city,state.and ZIP code) - (-Same as properly address
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 Signature Date
•
ti* �
CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
S � Sfate Fwm 5473 (R4 / &00)
INSTRUCTIONS: See revarse side for filing insWctions.
� FORM 1A �Y^�
HC10 C� / L /
Li(P
I(We) v �L.� e V ���l certify that on the 15t day of March, 20_
I(VJe) occupied as our principal place ot residence the follo ing described real property for which a Homestead Property Tac Credit is hereby daimed:
❑ 1(VJe) owned ❑ Are buying under contrect
�ave a beneficial interest in lhe entiry that is liable for the property taxes on the property and that awns the property or is b�uy�g.��dela coatrad.
_ �. �
.. . _ _ ��" —N N � Pr1 b
Ii buyirg on conVad, Fee 5'unple ownefs �me ' �
. , � . �� UL i 0 2001 ,
RecordetsoficewherecontraCisrecorded - _ � -� � _�- , . Recordnumber' PaBe
� �niTY AUD � '
:��-..;. '�. "Y��.-:a,.�,�-' �!'�''�'���;�.�..�'_�-��;"��PROPERTjliOESCRIPxTIDN�i.�.�'<_.. :' ,,,��r+=�
Counry � Tamship �/ � / Tacing tlisUic� � town. ship),�- /
/��Q N / , O�/ /
Parcel number � ' . Legal description
4 - D�3.�% o o � ' �
If arry po�ion of Ne residen6al sWCWre w the land not exceeding rne (7) arie ihat immediatety surtounds that struUure is used to pmduce inmme, deuribe the use and padm
ol the propeny ulilizetl to protluce ir�come. - - - � . . . �
20 _ Pay 20 _ I
sser of 12 Homestead $
Valu�ti6h or 56,000