Homestead_Bartley r
_ Stan RORN.IMIR_r_.wl flEASULn FORM 31A
Arrsrsto BY araTE MaRDOC nn1RNrA y.v RtIYFIBW BY no DEPT M.`lrri LOCAL CUVEAYXrTl FRANCE IC VI.IS:A.I
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 tecomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
r}+ HEA 1344-2_009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
\ \ benefit and to provide additional identifying information necessary to allow county government to better monitor heroeste:{I
Cra O filinrp.This information will be kepi confidential and can only he accessed by authorized county officials.The Depanment of
Q Luc._ ._ Finance aill we this information to create Gads that will help county officials eliminate homestead fraud.
''C‘) � � F }� PART 1: PROPERTY INFORMATION
1
W Taxpayer Name Property Address
— � ' APR 30 nlz Bartley, Ardlin W/Cynthia K
- '('� � 5266E 12505
C.(3-p.\' v Haubstadt IN 47639
3466
Ardlin W Bartley
(^,tBSON COUNTY AUOtT�R
5266E 1250 S State Parcel Number Legal Description
HAUBSTADT IN 47639-7910
Irlr rilrr ritllrrrrilririr rltt tllri Illit tot llr trlirt ttlail 1
26-23-13-200-001.857-024 004-01857-00 PT NE 134107.463 AC
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 n��� - Last
ng Address(number and street,city,state,and ZIP code) 111.-SSmc as property address
5 a CQ Ce 12.so S' .
Spouse First Middle Last
L'
Cy/OI4 K akei'eY
Mailing Address(Number and street,city,state,and ZIP code) rjf.$ame as property address
saC ( E las_o s ,
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 ' azure Dal,
S
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Form 5473 (R6l d-03)
' Prescribed by the Department of Local Gavemment Finance
INSTRUCTIONS: See �everse side !orllirg instructions.
FORM
HC10
��
YEAR
��e) � ( r certiry that onge 1sl�day�Mar�J �
I(VJe) occupied as our principai place of residen lhe following described real property r ich a Homestead Property Tac C�t�is Igre� �� d:
�'4�We) owned ❑ Are buying under contracl
� Have a beneficial interesl in ihe enGty that is liable (or ihe properry taxes on the property and that owns the property or is birylag,under a'�on(raG.
If buying om m�Vaq. Fee Simple owners name
Remrdefs olFce where conirad is recorEed
'�"��.�a��`�c�'''..r� "Sx,Y:+_'.�
Counb Toxnship
town, township)
Rewrd number � Page
Parcel numher Legal description is the pmpe � quesUon:
�� —O/8.S %' CO p�-,vr i3-y-�o � �Realproperty ❑ MobilaHOmofl.0 bf.f-n
if any poAim ol the resiEentlal sW cture or Na land not exceeding one (7 ) arre t�al immediatety surtounds that s cture is used b praduce income, describa Ne use and portion
ot Ne property utii'¢ed b produce i�ome.
-v u:� �s.l� +'w .ss1'i� � -`F' . _
_ �-.� �r;�'�r,u�L�.-�,�:.+V:,��STANDARD:DEUUCTION�ALLOWANCE ������-� �,�e!�,;�;r���n,,,�'F
20 _ Pay 20 _
Lesserof 1/2 Homestead
VeluaU0f1 w S35.W0 5
SignaNre ofAuditw " Date signeA