Homestead_McClarney •
STATE FOntn& 11t2 SWI ntrAs RD FORM 31,t t
APPROVED BY 575TE BOARD f4 XTYRi\Tt.4%M PRinIBrn BY THE DEPARTMENT f*LOCAL C VEt.`MFWT FBa'eCE IC 4-1.1-=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 eser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he 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 Property Address
McClarney, Michael E/Jayna R
9780 S Clearview Dr
IIADBSTADT IN 47639
2659
Michael E McClarney
9780 S Clearview Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-8678
II I 'I II I I I I II I li ' I I 'I I II 26-18-35-100-002.259-024 CLEARVIEW ESTATES 10 D-27
t o tut tot r t n n u n nt n t u t nun
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 1 First Middle Last
Pi; ha Eut• cc lame
' ig Address(number and street,city.state,and ZIP code) 13-Same as property add 4.-
'91G CAear\lte■.-) 3r Hates c ci4-, 'to c03q
Spouse First Middle Last
Mailing 10..d ress(Number and street,city,state,and ZIP code) R.,Same as property addres,J
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 home ad standard eduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,h .she may able for back taxes and substantial financial penalties.
Owner I Si iI ` ✓/ Date
0
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Steta Form 5673 (R6 / 403)
Presaibed by Ue Department d Local Gavemment Finance
INSTRUC710NS: See reverse side for �ling insLUCtipns.
��B) �Y��' � � � _.."'c4�
1(VJe) occupied as our principal place of residen e foll g descnbed real property for which a Homestea�
❑ I(We) owned ❑ Are buying under coniract �
, Have a benefidal interest in Ue enGty that is liable for the properry taxes on Ne property and that owns the
If huying on conVad, Fee Simplo awnefs name
where conVaq is recorded
County
To.mship
11 any poNOn of the resiCenilal sWCture w Ne land not exceeding
ol Ne property ulil'v.ed to produce income.
7acing district (ciry, tawn, townsAip)
FORM �� YEAR
HC10 �
,s s.:; nuc-`�- ; ;
� ._--
F���� o( March, 20_
Tac Credit is hereby daimed:
sb�no under a contrad.
Recard num6er
Page
� /f ��� I Is the Droperty in quesUon:
(O rF�
�(YL�.� � R�� D��OenY ❑ Mobile Homo (I.C. 61.1-7)
1 � ave that immediatety surtounds that sWCture is used to protluce income. describa Na use and portion
r��' �3�+.a ' �C r t. �; . . s,3 ,� . . �� . . . . -., .•e�.��no
.���-'ASSESSORUSEONLY � 'a�''�s�'�'-� � TRUETAX„��-=.- ASSESSEDVALUE��HOMESTEAD ��''- NON=RESI�ENTIAC �.�
4 i;'LFCrY,�+'�.�.-.,'_.'k !f . _ %C�����''- ��'fVALUE''.4'�:� -AT:100%OF�.TTV�'�.�%VALl1E��f����VALUEr"t�-�
- R -•�. .
Land not exceeding 1(one) acre immediatety �• (') � F 7i �,����,�.,��;�"za�+' r��
surrounding residentlal improvements. � �s. + rg�.,sueT��� �,.
S ��u n.��<_��,
n :v3�- v' ''�`y„ %
Oiher iand Z �" � ��`����`
� ) �.�;'y`�''�
->:.`k.:.:Y�
Total land (line 7 plus line 2) (3�
'r°'3si;i:.'` �i�' �� � i
Dwelling (4) �i5 n."' � a: .
�Residen6al improvements or Mnualry ���-� '� 4� ��'�-�-"�'�
Assessed Modle / Manufacfured Home Gara e j� et � �• =� f��
9 (5� �_�'.'�°.'�+i+�.���T` � 'V���
��;,--r�