Homestead_Lingafelter :TALE I ORM!!'M IRU f 4N) TRFASURIR FORM:11A
.Aflfl ED BY MATE BO1RDOF.MnM1Ti_2wN PEEYRIBEm BY 111E UEPMTMNTOF LOCAL CANErrstrA'T FINANCE IC 6-1.1-224 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 sundani deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than e'er 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 tecehe the
benefit ark] to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This infolnulion will he Attu confidential and can only has arenaed by authorized county officials.The Depanntenf of
Local Gmernnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address /L
H
Lingafelter, Robert/Misty R 12/
R t dt 130X 177
aubsmdt IN 47639 10
10741
Robert Lingafelter
10422 S 350E State Parcel Number Lesal Description
Haubstadt IN 47639-7870
lnn 26-23-02-100-001.008-024 004-01008-00 0 PT W 2410 2.04 AC
• PART 2: TAXPAYER INFORMATION
Owner I First Middle r�� Last
-RD ber-}- PrI Ito Li rLCCL rt l -1-e
•ng Address(number and street,city.state,and ZIP code) Same os property addrav
I o4-3,'). s 353 E dubstd* zar.1 y -7(403°l
Spouse First Middle Last
(Yi I s-h. R os-e Linty ICE-Er
Mailing Address(NuAer and street,city,state,and ZIP code) Same as property address
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 Date
_
•
�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION p�
S�a�e Form 5473 (RB / 4-03) '1 �
Prescrihed by Ne Departmenf W Local Govemment Finance r
INSTRUCTIONS: See reverse side /or liling instrucfions. 11'
I(We) cerdfy that on the 1st day o( March, 20_
I(W occupied as our principal place of residence ihe ollowing described rea ro for which a Homestead Property T�c Credit is hereby daimed:
I(We) owned ❑ Are buying under contract
Have a benefidal interest in the entity Na� is Iiable for �he property taxes on the property and that owns the property or is buying under a wnVaU.
FORM
HC10
YEAR
If buying on conVact. Fee Simple ownefs name
Recmdefs ofice where conVad is remrded
Record number � Page
Cwnry Tamship Tacin strict ('ry, rown, townshiP)
Pa/r�cel number Legal description Is the property i uestion:
(J2y' Q�Q �aal Droperty . ❑ Mobila Homo (I.C. 61.1-n
H any ponion of Ne residential sW clure w fhe Wnd not axceeding one (1) aae thal immediatety surtounds that shuaure is used lo produce income, descnbe Ne use and porlion
ot ihe property uGlized to produce income.
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.
�i33s�"a�.s�,�.����'-�.`���*e�"-'e�-"e'�. ��`�PROP.ERTY,OWNEUTBY:CLAIMANT,IN��:OTHER`COUNTIESS�;,.-`_.�_��� y,`_-�,`�'�.-�L�:�i,��L;�4K°�
County Twvnship County Tavnship '
I hereby certi(y the above statements are We, wved and complete. Si9nawre ot claimant
. Address (numberand street city, sfate, ZlPcode)
3.. 3 � � -�.�^.-��_-� �.�.��� ��3(n. .. =s . _ . . . .,: Y�r .�..��.r � �f-�7�-�
-:,�?:, �*ASSESSOR�USE ONLY �^�=.�'�„r<-` �i"t� �� y�UE+,ph�.�. AAT 100%OFTN 3H�VAL E� s��t'�t"N�ESI�E�IA� �n
sri;sy�.?€' �_�:`� rr`...�'-�e2i� ^s.�:-..:.1 r�..� a� ,v.�,-.is �E� ...�� 0.+t.--°�.-sY 5�-.VAL.UEr �,�s'�
Land not exceeding 1(one) acre immediately ��` „�
� 'r5r,.,. �!�.''���
surtounding residential improvements. (�) �.��•`�� �� " sm'
«--._„ �a-z
Other land 2 ���
'�--�.y���'=fi:'�A�€ Y
I ) �;s�`3z,e.f",�?L'�
�
Tdal land (line 1 plus line 2) �3)
_ . -4*t' ex va�^cr
Dwelling (4) ���� ���� a°.- ''� �
Residential improvemenLS or Mnualty =.�"z� ��,a... ���'�`��['s.��ct
0.5sessad Modle / ManufacGUed Ha�re Gara e }�� �� ��� �
9 (5) �i��.�'�t §aa i��:
(i?,�� ,�`i
Otherimprovements (6) �� '�-f'�"��.x
.. p wyy�'
Tolal improvements (line 4lhrough line 6) (��
Tdal value (line 3 plla line n (g�
I hereby certi(y ihe above is We, conecl, and Signature o(nssessor oate signed
complete.
Veitying actbn - Sig�ture oflwditor Date signed
' ' '.
:. <�r?�^-�-� ��.=�.:=i.ztr?A -"�..�..�`-``�� �'-`STANDARU:OEUUCTION�ALLOIIVANCE,+"$=`.�.�?-FJi`.k:ki�G-�*'�..t'.k-��`�.�"''.���.��us�-�.�,r'�,�s��
20 _ Pay 20 _
Lesser W 1/2 HomeStead g
' ValuaLOn O/ 535.000
SignaNreoflwdilor " Datesigne0