Homestead_Alvey • STATE MVO f)ogile/)wl 111EASURER IOPN 73-IA
.Arrntn'EO BY CL1t BOARD OF AMOUNT S.!uv Pa(_9[WBED BY TIM BEPARTNe r OF LOCAL GWERMTNT FINANCE ICH.LSA.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundial deduction.As the receipt of this deduction tycoons
b more beneficial,there is more incentive than eser 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 reeebe the
benefit and to provide additional identifying information neces ry to allow county government to better monitor homestead
filing:.This information will he kepi confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will u c this information to create taws that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Alvey, Daniel R/Janice M 1R—/ SS S , Sun 3 A- or
RI Box 124F /
_ Ilaubstadt IN 47639
3372 Q I(./
Daniel R/Janice M Alvey
12755 S Sunset DR State Parcel Number Legal Description
Haubstadt IN 47639-8672
Itlnllntlt lluniltltlnlnlnllnhn tlnit ltltlnit itln ltl 26-22-14-300-S.583-024 00044-01583-00 COUNTRY VIEW EST 6
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
—ban tCA ?, A\ \ VCy
one Address(number and street.dry,state,and ZIP code) me as property address
Ha..) s�4dt-
raMsS S , S—+fist.* ‘ c . � , zrd LA--Icm34
Spouse First Middle Last
J0, , ce., 'NA x 1u0_1 •
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
1a-, SS S . Q r‘Sitk tSC \Aa.`a\as+c A t-t 03 tt1te39
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.
°��cc I Signature Date
•
a rt�� t CLAIM FOR HOMESTEAD PROPERTY TAX
� '" CREDIT/STANDARD DEDUCTION
`s;
State Form 5473 (R2 / 5-92�
S�1
INSTRUCTIONS: See reverse side loi liling instructions.
FORM
HC10
YEAR
-' . .-.•.. ' . . � .-;�•.CERTIFlCATtONSTATEAAEN7: . ..-"._ -.a-: - ,- � ..-..;- � ..
,11We) ify that on the 7 st day ot �March, 19_
�e) occupied as our principal place of residenc t following described real property for which a o estead Pro ' is her,ehy imed:
f� � �
,� I(We) owned ❑ Are buying under wn ract �9,
❑ Have a beneficial interesi in ihe entity that is liable for the property taues on ihe property and thai owns the pro y or is uying unaer a con ract.
� . _ �-0ONTRACTRECORDED--..�.�� ,,.._ ��,;tic.�.�--:-:,.:;�-
If buying on contracC Fee Simple owner's name
Recorder'S oNice where contrad is recortled
Counry Township
Parcel nu ber �. � l — I Legal description
—LJ \�
If any ponion of Ihe residenUal structure or [he IanG not ezceeding
of t�e pmperry utilized to protluce income.
PROPERTY�ESCRIPTION - _±�. .4�.-'-
Taui�g disirid (crt}; fown. rownshiP)
PflOPERTY OWNED
Township
,reby certify the above statements are true, correct and complete.
Address (number arM sfreel, dry, sfate, ZIP oode)
tety su�thai struc[ure is usetl m
_ oa�G
ANT IN OTHER COUNTIES
aunry
" nature claimant
�u � �u 4"1 b
�
0
income, descnbe the use arM portion
.4�So
ASSESSORUSEONLY . TRUETAX . ASSESSED � HOMESTEAD NON-RESIDENTIAC.',.
. VALUE VALUE VALUE VALUE �
Land not exceeding 1(one) acre immediarety . � �°
surrounding residential improvements. (� � - �
Otherland (p) �'
Total land (line 7 plus line 2� (3�
Dwelling (4) . .. �... '.� ..�.
t.
F;esidential improvements �
Garage (5) � � , �
Oiher improvemenis (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 pbs line � (g)
I hereby Certify ihe above i5 Irue, correGt, and Sgnamre of Assessor Date signed
complete.
�dfyinq aIXion - Sgnamre of Audiror Date sgnetl
1
79_Payt9_
Lesser of tl2 Homestead
Valuation or $2,000
`\
S
Date
I r��s
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