Homestead_Mann (3) o
•. n-.. STATE FORM 5150(1318-10) TREASURES FORM TS-IA
APPROVED aT STATE BOARD OF ArcOINrS SW TRESCR1BW IIT TnE DEPARTMENT OF LOCALGOVEXVMEMT FINANCE IC 61.1-224.1
, .Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
Ili benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department 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 Location Address
Mann, Kevin S/Julie A
- -- __ _ -- --- " - _____. -_— _ _ 9921 S WATERTOWER DR
• HAUBSTADT IN 47639
709 II II II
Kevin S Mann 1[ 11ill ulll 011 IO lllloll-ul i loll�li olioll-lll uil�l.l lliltii:oiioinItOlilitill
9921 S Water Tower Dr
I-IAUBSTADTIN 47639-8802
Illllllltlllll'Ill"III'III'illy'I'Il'I'Illlllrlltilllllll'ilill' State Parcel Number Legal Description
26-18-36-200-001.916-024XTR fwEC 0-27
NOV oo®® 7 2012
GIBSON COUNTY AUDITOR
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.
1111111.MIN Blew sett vSIM nor, yae cU ilia
Oa. . I First Middle Last
ke V ....\_ S c.v tt i1/114,LA iA
Mailing Address(number and street,city.state,and ZIP code) • ® Same as property address
S2 ( c...(1.‘ W) at f1.' TOW tr. 19/-
Spouse First A - Middle Last
JI1 L ^ n-e M &Ikv
Mailing Address(Number and street,city,state,and ZIP code) Era..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 fmancial penalties.
Owner I Signa �/n�,^, � Date
N* .� CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
`� f Siate Fofm 5473 (R4 / &00)
lNSTRUCTIONS: See reverse side for filing inst�uc6ons.
FORM � ( YEAR
HC10 'p � �
JUL 9 � %(jjj�
I(VJe) �• certify that on e tst day ofMarctf,`7b_
�
I(We) ocwpied as our principal ptace of 2sidence e lowing described real property for whidi a Homestead Prope Tac Credit is ereb daimed:
❑ I(We) owned ❑ Are buyin9 under contraG GIBSON COU�!1���
�Have a beneficial interesl in the enti lhat is liable for lhe ro e taxes on the ro e and that mvns lhe ro e or is b n under a��rrtraa R.
�Y P P rtY P P rtY P P�h' �M 9
11 buying on Contratt, Fee Simple Ownefs name
Tamship
It any porlion of Ihe residentlal swdu2 or Ue land rrot exceeding one (1) aae
o( the property utiiized W p(aduce inmme. ' � •
Ta�ing district (city, town. townshiP)
RecorE number � Page
is used to p`oduce income. Cescribe Ihe use and pw6m
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