Homestead_Edwards STATE r mRw'3M.'M:rfV+1 TRFASVtDA FORM StA
Al/ROVED
TO DEPARTIENT Of LOCAL a
Gibson County Auditor
101 N Main
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 mer for homestead frond Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires iaxpasers who receixe the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infomnnwn met-can'to allow county government to better monitor homestead
lilinf6. Dtis information will he kept confidential and ran only be accessed by authorized county officials_The llepanntem of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property*Address
Edwards, Danny C/Courtney R
RI
HAUBS'I'ADT IN 47639
2651
Danny C Edwards
912 W Virginia State Parcel Number Legal Description
EVANSVILLEIN 47710-1564
Irlthllrrrlltthlntllll Ilrltlrrllrhtlrrlrhtllrtlrlrtlrlf 26-18-34-400-002.153-024 HARVEST HILLS 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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
"Danny C� aa
�tg Address(nurnbd and sweet,city,stare,and ZIP code) .I address
as property addr
,vt r\ lei he r-k- in cJh Bill L-176 (1g'
Spou First Middle /� / Last
Mailing Address(Number' street,city,state,and ZIP cock) Y� Same as properly address
2�s23 1 Lane ftrt `� 'ne , , ✓ 76'W
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation is true and correct and that he or she is eliuible 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
•
•
%
�'+�::r;; �;=zr.
�:.,�
CLAIM FOR HOMESTEAD PROPERTYTAX
CREDITISTANDARD DEDUCTION
State Fmn 5473 (R6 / d-03)
Presaibe0 by Ihe Department of Loral Govemment Finance
INS7RUCTlONS: See reverse side lor �lirrg instnxtions.
(u
FORM �� YEAR
HC10
� �
. ��yl•�'� '
I(We) � ��rt�. .�� ���,�, �-4� �� yR . � n �rtity that on the 1st day of� Mvarc�h, 20
I(We) occupied as our principal place of r sidence the following �scribed real propeAy for which a Ho stead Property�`�C�fldi{�s n¢tCDy daimed:
�I (We) owned ❑ Are buying under wntract � U
GIBSON COUNTY AUDITOR
Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a conUacl.
I! buy'u�g on conVacl, Fee Simple owners name
Recordels otfice where contract is recorded
•.�`i2�'���1x��`�fi�'E�1 � �� �v"t0���
CounA' Tamship
Parcel number
Legal descnD��on
2l�'" �'6'J l�'1 UC�TO�d� �� S^ h
It any poAion ot the resiEential sWqure w the Wnd not exceeding one (1) ame that
ot ihe property utilizeA to produce income.
County
I hereby certi(y ihe above statements are We, wvect and complete.
Z/PCOde)
Rewrd number � Page
7 - Incl (dty, fown, fownship)
�
Is the prope in question:
a� property ❑ Mobile Homo (I.C. 6f.f-�
surtounds that sWC ure is used b protluce income. desaibe Ne use and portion
CouNy
SignaWre
`�.���`-r ASSES DR� S ONLY�'�-����`x •iSTRUETAX ASSESSEDVALUE ��HOMESTEAD` y` '� NON-RES�DENTIAL �* �
`''r �„ -�.,. � a .�� ¢2 -VALUE� z,,�.'�I1T100Yo:OFTTV�..��:�VALl1Ey`'',.... �'�'��Y-�'�?..VALUE'.�.�..'�i��
tM.�.� �<._.a� si .'iZ':"�� .:��x.: � x �� a
Land not exceeding 7(one) aue immediately -�;�f �e �
surroundingresidentialimprovements. (�� S`� ���yi�� �� �i`�����
jx �
� �3.� 4_ _ .. }ii��. K ��•w'Y •F._•
Otherland 2 �`k� �^�� 4{` ��
( ) 4�€�� �.s'��'-,
Tdal land (line 7 plus line 2) (3)
c' }-a :s". � � r''t^y
,-�3';h� �Sa.; +S"13�s�+�'�.
Dwellin9 (4) # �" ,�t -3��1¢�1'�u'2�%
�Residentlal improvements or Mnually '����`�' �' ` �
Assessed Mobile / Manufac�red Home Gare e �� �`^�� �
9 IS) ..�u � � � ' r xi` '
� .�i:���.�= s <�u��k'
Otherimpravements � (6) b;� S-�"���`���
-�.. G3l er _...
TUaI improvemenis (line 4 through line 6) (��
TUat value (line 3 p6a line n (g�
I hereby certify ihe above is We, corred, and Signamre otnssessor oate signed
complele.
Vpri(ying action - Signature oflwditor Date signed
20_Pay20_
Lesser of 1i2 Homes;ead
va�vauon or $35.000
SgnaWre of Auditw
5
Dale signed
't _ � r_