Homestead_Martin (13) ' AT FORM U'rn In l Lyra) IRrASUAG FOR431A
.srrtm ED BY MAIL MMROOF M4Ms.wv PALR11iRm BY nir DFPMTST OF LOCAL OOVERALMINT FP'A4'E M as-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead slanders.]deduction.As the receipt of this deducion becomes
more beneficial.there is more incentive than tier for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
e HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pra'ide additional identifying information necessary to allow county gocemment to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depannlent of
Local Government Finance w ill use this information to create Wit that will help county officials eliminate homestead baud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Martin, Thomas J/Christine M
Po 13ox 61
llauhstadt IN 47639
9519
Thomas J/Christine M Martin
1306 W 1200 S State Parcel Number Legal Description
Haubsladt IN 47639-8730
�tInIIntIrIInnIIt ItInlnitiu tlndltllntllntt Ilt tlrull 26-22-12-300-001.841-024 004-01841-00 PT SW SW 124113.39 AC
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Arlin
1 - Last
�(o�l1aS . ! (G�r/ in
�ag Address(number and street,city,scare,and ZIP code) — - ER Same-as-property address .— - — - — __. -
/ 3ate -W. (ao 6-, l--/au6.s,< f , - y7e0c39
Spouse First M. Middle /�/� 1 Last
C4rJsiflnc 41. :' 114(41111
Mailing Address(Number and street,city,stale.and"LIP code) rl Same as property address
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
unlawfitlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
Ill
�, rt•� t CLAIM FOR HOMESTEAD PROPERTY TAX
• CREDIT/STANDARD DEDUCTION
� J State Farm 5473 (RS / 10-01)
���� Prescribad by Ihe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side (or (ling insfruc(ions.
- — �
� �yye� �
I(We) occu ied s our principal place r sidence lhe (ollowing described real property for which a
❑ I(We) owned ❑ Are buying under contract
�--lave a benefidal interest in the enfity that is liable for ihe property laxes on the property an�th
if 6uying om m�Vaa, Fee Simple ownefs name
Remrdefs ofice where contraq is recordetl
FORM Y AR
H�,o 3,
�rs°+� `<"iar='.;:r,
1 �L�" -
on the 1st day of Mamh, 20_
g�� Tac Credil is hereby daimed:
under a contract.
Rewrd number � Page
�—�-%`iY �,���' �.:n;-f�-:,y _:r�x�e�'�_.:.'�� �.aP,ROP,ERT!:DESCRIPTION'.`-'.`•�`as ,,3�:. L,;,��� . '� ��<, i:-:`-�. r-.
CounTy Toxnship Taing dislrict (ciry, town, rownship)
P I :� l gy1_� Legal d " ion Is Ue Droperty in estion_
Real Dmperty ❑ Mobde Homo (I.G b1J4)
If any portion of ihe residen�al sWCture w the Wnd no e:ceeding o�Ip�y aa t�at immediatety surrounds ihat sWCture is used to produce income, describe ihe use and ponion
of Ihe propeAy utilized m produce inwme. ��' S ���'
.,
, _ 3� 3°! F�-
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r
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g`.�"���ts��'r"�.',�'�.€�:�.x �����PROP.ERTY,OWNEDiBY CLAIMANT IIJ:OTHER'COUNTIES �s .�.�.i;i��*?�'`�#"" ;�;.u-;,:"'!?f""-'
s�....,..�..
County Tavnship County Tavnship
I hereby certify Ihe above statements are We, conect and complete. Signamre ot claimant
^ ress (num6erand sfraeel, cdy, state, ZIP[ode)
. Pa (i �' ^
�`� � � -�''—c`-�t,��s+i �s..�.��r��'s �p�"` . ,�- .'�' � . . . _. ,y . . . y . .
: �� �"•AS8ESS0 �S,E�ONLY �. �� 3i.�-� ��TVAI:UE ��� .AAT.100%OFTN�., n H�VALUE � � ��`�`xi-�N VALUEN,y,:, t ��-.�.
Land not exceeding 1(one) acre immedialely 5ii" f�j��-:z �+°�,.r'-, r�� r+ � 8
sunoundingresidentialimprovements (�) vr�y�.���?;��ti.�Y,•:�;';?;�r:_,
Otherland ����d �Ty
/�L) � Y""L= u
x-.
t ' 4sriss �'_asi ...
.s�c, _;F?_`+,.:
Total land (line 1 plus line 2) (3)
,^+� r''�"�. : r_`..�%i; �Jj.S�' " ::tF
Dwe�ling (4) =`��.� � s: � �'ii:.
� ,.,: ,zs,_ �F;°�srE.s.F <at�.5.14i:�:s6
Residential improvements _ ?�
Gara e -��n4�a.pFr� �.�.-;;ysx'i ...
g (5� �p+,4 v �-�a{, �'�,.;'�,<za.���:
� x ��y, y
.3...�.��t..-�'t'- �( ,�,� :
Otherimprovements (6) 4�`� �a�
- : �-.�,�
TUaI improvements (line 4 through line 6) (7)
Tctal value (line 3 phs line n (g�
I hereby certiry the above is We, correcl, and Signature of Assessor Date signed
complete. �
Vefifying aclan - SignaWre ofPuditor Date sgned