Homestead_McCrary .• - 5151E FORM NtR/NMI TREASURER FORM TI-IA
♦rrROVED PY stSTE BOARDDr.Mt?RI.T5_;woo PtflRJBED BY 11W DERMTHEYr OF lrL:AI GOVERNMENT FRANCE MV1.1-1:-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
- - '
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
HE.\ 1344-2009 requires tanpa■era who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and on only he accessed by authorized county officials.The Ilepanment of
Local Government Finance will use this information to create aids that will help town'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
McCrary, Gregory A/Kristi L /
K 2 Box 809 I
HAUI3SPADT IN 47639
3496
Gregory A/Kristi L McCrary
R 2 Box 809 State Parcel Number Legal Description
HaubstadtIN 47639-7967
26-23-16-200-001.832-024 004-01832-00 COUNTRY AYRE EST 17
D-9
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 First Middle Last
A- m�
'Ong Address(number d street,city,state,and ZIP code) Same as property od
2i 6- e. P � cal — /71--M/as��-%)7 /^/ +7632
Spouse First / Middle Last
g isTi L 04 ccA*
Mailing Address(Number and street,city,state,and ZIP code) [] Same as property ad
2/G e a• /34s'—ay U\/ — g091.4g472,47 /N q-7625
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.
Own igb urc Date
� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� State Form 5473 (R6 / 1-03)
Prescri6ed by the Department ol Local Govemmenl Finance
INSTRUCTIONS: See reverse side !ar filing fnslmclions.
FORM YEAR
HC10
� � � �
I(We) � � fy that on the 7�[ifay of March 20
I(We) occupied as our principal place of re ' e ce ihe followi g descnbed real property hi a Hom iead Prope Tac�C edit is � ere daimed:
❑ I(We) owned ❑ Are buying u contract ° C-!eq0;± ..^� ?'! bh�IjpR
, Have a benefidal inlerest in the entity ihat is liable for ihe property taxes on the property and that owns the property or is buying under a wntrad.
If buying on canVaq. Fee Simple awnefs name
ofica where conVaq is reoordetl
County
Tavnship
Ta�ing dislric� (city, fown,
Record numDer Page
PaV _ Y ��O�.id—�IL���S %� n /( i i1 if,�/A1.!-/ / De(ty�n9u�on:
�o� W`7 �X� `4�/ J�; Real Droperty ❑ Mobile Homo Q.G 6/.7-�
If any ponion of the residenUal sWdure w the land na axceeding o e(1 aae that i me0iatety wrtounds thal swcture is used b D�uce incwne, deuribe Me use and pwtion
of the property utilized to produce income.
�'�- �3 �G-o7�G -Ga/ ��a -o��
Counly
County
I hereby certi(y the above statemenls are W e, corred and complete.
(numbu eM street, dty, stafe, ZIP
3
Tavnship
� �- i ��A'�' ���''���" � �_�'r�*°� �'TRUETAX�' ASSESSED VALUE �HOldESTEAD''� � N=RESIDENTIAL r5
'.-
��..., ASSESSDR 11SE ON Y�x-�� �' .��� ,-'' VALUE
3,-TM_'��"z�.s, .��.'�Txst..°.�b#`�'�'�' .��'�'�.-$sA.. �.'a�VAI:UE.� � _ �ATx700%D ��-.d .i��S�VALUE� ° ���� n' r„�����
c
�����=v
Land not exceeding 1(one) acre immediatery ' s?�r,q^.;,.'-��'-;-����
surrounding residentlal improvements. � � ���f�.�'Y��� ,� _,
Other land ( � �'��:�� "'Y,��
2 ;° .�µ� ��'.t.��i�
TUaI land (line 1 plus line 2) �3�
K °� 7RZ� v- ; y��
Dweiling (4) '� ����,�`d.���
Residentiel fm{xovemenffi or Mnualy �Y"�'`� � "�'
Assessed Mo6ib / Manu(acturad Home Gare e _��� -��
�� '
9 (5) ttR 3� � ���"in�ix�e:r�'°� .' . lr���
�`�I:I��
Other impravemenis (6) i�PZ =r ..1 z
��� �,,• ,
Tdal improvements (line 4 fhrough line 6) ���
TUaI value (line 3 plus line n �g�
I hereby ceAiry the above is We, coned, and Sgnamre otnssessor oa2e siynee
complete.
Verirying aclon - Signature af Putlimr Date signed
20 _ Pay 20 _
Lesser of tY2 Homestead
vauanon w E35.000
S
Date sign '
i'(-3-0�