Homestead_Akers t
%T,UE FORM
EOBYN1R:/SWI TR.-ASIA/A FORM iI SIA
V1RT'En BY Milt YNRD Or ARYR:T S.au+ PREX1UREP BY 9n DEPARTMENT OF LOCAL CrtlaNHR.T FI:AVCEMo—id-r RI
Gibson County Auditor
I. 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 ever for homestead fraud homestead fraud causes higher tax hills for all:therefore.
` a
HEA 1344-2009 requires xpaeers who receive the homestead standard deduction to verify that they are eligible to recent the
® benefit and to provide additional identifying information necessat to allow county government to better monitor homestead
filings.This information will he kept confidential and ran only be accessed by authorized county officials.The Iamanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Akers, James R/Wilma E
PO Box 141
\'evay IN 47043
4802
dames R Akers
3208 S 750E State Parcel Number Legal Description
1 FRANCISCOIN.47649-9113
\ liltIlII llliIll iiI till ilrtlillli iii llilll llI ll111111111111111 26-13-28-300-001.476-004 000'-01476-00 PT NW SW 28295.00 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
•
a_gyl es `n. Aker. eS
Tg Address(number and street.city,state,and-ZIP code) el Same as propertv diii&ss - —- - -
3;62 S 7.50 E. r,,s-m icco
-.---
T1 7Z “ el
Spouse First Middle Last
WI /mom A Ae/es
Mailing Address(Number and street,city,state,and ZIP code) 0'Same as property address
3oS S 750E. AARA)l,Scta _/_
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 q Date
7 ..
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 IRS 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling Instructions.
FORM n YEAR
P" HC10
%',JCt:K I IFICATION STATEMENT-:
I (We) Lihaw%n certify th Iffiday chj
ad
I (We) occupied as our principal place of residence the following described real property for which a Homestead fedy 'fj
❑ l(We)owned ❑ Are buying under contract APR 1 8 Q7
,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 U9 contract.
If buying on contract. Fee Simple Owners name
Recorders
recorded
Record number I Page
-19,0.��"".iTlikOOEPfY,.'dESCRIP,-TidN
Court
Township
Taxing district^ town, fownshl
I hereby certify the above statements are true, correct and complete
Parcel number
Legal description
is the property in question- IF
vWALLE� , :r
eal Property ❑ Mobile Home (l.C.61.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that sWCture Is used to produce income, describe the use and portion
Of the property utilized to produce income.
cLWPAANt
County Township
VALUE
County Township
I hereby certify the above statements are true, correct and complete
ignature of claimant
Si' a dress (number and street, city, state, ZIP code)
r 3 a 0,3 S . C-R - '1,5'0 15,
20 — Pay 20_
Lesser of 112 Homestead
Valuation or $35.000
L
VALUE
;HOMESTEAD
vWALLE� , :r
Land not exceeding I (one) acre immediately
surrounding residential Improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
-.5 4
k5g
Residential
'tial impro vements or Annually
"'21.1 --' .
105
Assessed Mobile/ Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Amditor
Date signed
20 — Pay 20_
Lesser of 112 Homestead
Valuation or $35.000
L