Homestead_Irvin xTVE rnRsi!e ,Ru oil TREASURER FORM 73-IA
A ItAn'ED BY ARIL BOARD of MTT*NE5.Zino PtIYRIBm BY Tilt DEPARTMENT OF LOCAL CsOstR.VMIA'r FIANCE IC 4.1.I-2_4.1
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 becomes
more beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
• 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
lump.This information will he kept confderuinl and can only he accessed by authorised county officials.The Ikpanment of
Local Government Finance will use this information to create lots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
-- Irvin, Jeffrey D/Mindy R
RI
Ilaubstadt Itj 47639
10921
Jeffrey D Irvin
4017 E Deedand Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-7856
26-23-11-200-002.079-024 004-02079-00 WHISPERING WINDS SEC 2
a n II r It II tut IIt I t I u II u I tsI t I u II III t II ut II 12111 0-10
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�-�-�r-e - DaI �' 9� 'rvi.A
e Address(number and street,city,state,an IP code) - - — - —- [ Same as—Property address
-
�9ol -7 l e!'/af.lc( DR - Fiwvdsfz<d-1 , Z4/ 4 -7 d37
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) goy Ersame as property address
Li o l-7 e e r/cam a( Dr l�wv h.5 c11- / .sr_A/ S'7(3 V
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 Signature //y�'�C• / Date
• •
��� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� Sute Form 5473 (R6 /M3)
Prescri6ed by the Department of Local Govemment Finance
INSTRUCTIONS: See �evcrse sidc loi liling lnsfmc(inns.
� �'-C�����-, �
I(VJe) occupie� s rincipa ace of residence Ne follo described real pmperty for which a
❑ I(We) owned ❑ Ne buying under wNract
, Have a benefidal interest in Ihe en8ty that is liable for the pmperty taxes on Ihe property and th�
;J
If buying on conVad, Fee Simple ownefs name
Recorders otfice where mnVaa is recorded
FORM YEAR
HC10
§st day of March, 20_
: Credit is hereby daimed:
a contract.
Rewrd number � Page
CaunN Tamsttip Tadng disUict (city, tawn. IownshiD)
P umh¢r L d sc "Pti n / % Is the property in quesUon:
� // ❑ Real praperty ❑ Mobile Hano (I.G. 67.1-�
If any portion of Ne resitlenllal sWCNre or Me Wnd not meceeding one (7) aae ihat immetliatery wrtounds lhat swcwre is used to produce income. describe the use and portbn
of the properry util¢ed tu produce iixome.
20_Pay20_
Lesser of 1l2 Homestead
vauanon w 535.000
SgnaWre oflwditw
S
i