Homestead_Strickland (5)CLAIM FOR HOMESTEAD PROPERTY TAX .yL FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) '"k certify that on the 1st day of March, 20
1 (We) occupied as our principal place of resid the following described real property for whi a Homestead Property Tax Credit is hereby claimed:
I (We) owned El Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
sCONTRIiCT .RECORDED= :- �`�e'sra
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
ss re =es yor.'_iAK�?x4+ ".,? PROP, ERT, Y.. OESCRIP ,TIONtic,':;,i`S3r.�',','y
County
Tonnship
Taring nct (city, rown, township)
Parcel number
Legal d`e'scription Is the property in question:
-
Il Real property ❑ Mobile Homo (LC. 61.1 -7)
If any portion of the residential 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 utilized to produce income.
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AS5ESSORUSE ONLY -r�3t _
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County Twvnship
County Tovn hip
1 hereby certify the above statements are true, correct and complete.
Sig u o claimant I
Q —�
Land not exceeding 1 (one) acre immediately
ss (number and street. city, mate ZIP code)
77s� S, 9SU�. '2 6ge /)//,
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AS5ESSORUSE ONLY -r�3t _
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TRUE TAXe',- s'r`-s
'.•FVALUE{ y�.}
Y 3ry .-- -. _r
ASSESSEDV%LL.UE
"AT. 100 °_/° OFTTVVALUE
r.
HOMESTEAD -'�
F �'- `.•gin. -i
NON = RESIDENTIAL✓"
:.'
''S'er. LirY:�1/�IIEixF4.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
'Residential
Dwelling
(4)
N MUM .-
improvements or Annually
U •'� '
Assessed Mobile / Manufactured Horne
Garage
5
()
_�
''<' - s
Other improvements
(g),
T �-r
Total improvements (line 4 through line 6)
(T)
Total value (line 3 phs line 7)
(6)
1 hereby certify the above is We, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date sig ned
20_Pay 20_
Lesser of 112 Homestead
Valuation or 535.000
Signature of Auditor
S
I STATE FORM 5350(R)/8-10) TREASURER FORM TS-IA
- APPROVED BY STATE BOARD OF ACCOUNTS_me PRESCRIBED BY 171E DEPARTME•T OF LOCAL GOVERNMENT FINANCE IC 1.1 1:224
Gibson County Auditor IMPORTANT NO7'ICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
III FILED HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be 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 fraud.
MAY L O 2011 PART I: PROPERTY INFORMATION
- Taxpayer Name Location Address
C Strickland, Dennis L Jr/Stacey A
7758 S 950 E
GIBSON COUNTY AUDITOR
ELBERFELD IN 47613
8909
Dennis L Strickland Jr I.IotIIIiiiiot-IIt0I1111111.milli 11 Ini..it__iriiitI.IItIItIIiouiii:iii in_
7758S950E
ELBERFELD IN 47613-8453
I'lll'II'III'Illlllltllllll"IIIII'IIIIIIII1III'I'rIIIIIIIII"I'1 State Parcel Number Legal Description
_ - 26-20-23-100-000.065-00VPT NW 23-3-9 2.50 AC D-8,
5
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.
-_V _ PART 2: TAXPAYJR INFORIMATION.
ch,__, I First Middle / Last
17ep �ZS V J �. Lee “.s -lol
Mailing Address(number and sired city,state,and ZIP code) `
, ® Same as property address
qr-iSg S. CTSot. £TU,e41a( / z-- -( `i7c.03 ,
Spouse Fvstl _ Middle �ia gl� / Last
S-Q cei - I / I""y I °b//
Mailing Address(Number and street,city,state,and ZIP code) Fa Same as property address
?758- f 9A.sv E. t Lcr,47 /, Ti✓ y7Ca 3
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 St�natgre , -P. j\-111/, Date