Homestead_McIntyre SIDE tORM51rt+0l'/ion TR ASUI[R FORM 11a
APPROVED BY STATE IXMRDor■tflI5T5.9N IRr3(RIBID BY 111E DErAaTSe.OF LQ'AE GOVEPNMtxt,eaCEtc 6-1.1.1:t1
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
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 ear for homestead fraud.l lomestead fraud causes higher as hills for all:therefore.
III HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
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 Depannw.nt 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 /�
McIntyre, Gregory C/Pamela 3-705s - 5- bF}
feHecSgrn.e_
Haubstadt IN 476391
422 dV
Gregory C/Pamela McIntyre
3750 E SR 68 State Parcel Number Lezal Description
HaubstadlIN 47639
26-23-02-300-001.825-024 004-01825-00 PT E W 2 4 10 17.35 AC
D-2-10
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Greyct . C /91C
�g Addrrss Muthba and strTm city,state.arid ZIP code) — — - '--"" — - - ——g Same to properly nd.iresa - —— -- - - -- —
7sG E 572 6F f{av‘sT4dt-,-ldt4•1A ‘0639
Spouse First Middle Last
P 61.111 etc\ ClhTyr
Mailing Address(Number and street city,state.and ZIP code) 0 Same as propeny address
Jrlsm F fC I' AviirAdJ .1Thd,4g4 </9‘39
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
7
en '��', CLAIM FOR HOMESTEAD PROPERTY TAX
i,���= CREDIT/STl�NDARD DEDUCTION
,�;,'� State Porm 5473 (F2 / S92)
�eu
INSTRUCTIONS: See reverse side lor lilrng instructians.
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i(We) `Q� _ T� �►� certify-that odthe lst day of March, 79
���e) occupi s our principal , ce ot residence the f wi descnbetl real property for which a Homestead Property Ta�c Credii is hereby claimed:
I (We) owned ❑ Are buying under contract . _ . . _
❑ Have a beneficial interesi in ihe entity that is liable for the,property tazes on the property and that owns the property or is buying under a contract.
- � � CONTRACTRECORDED�- - " � - � ' . .
It buyiru� on coniraa, Fee Simple owner's name _ ..
Recorder's oHice where rnntract is recarded Recortl number Page
Counry
Parcel number
� � - (\15�,
It any ponion ot the resi
of Ihe property utilized t
PROPEFiTY DESCRIPTION
` � Taz�ing�district(
11�Y
ILeqal tlescription
uial stmciure or the land not exceeding one (7) aae that immediately surmunds that strucWre is used to produce income, describe the use and ponion
roduce income.
� _.
��-�3-oa-36o-oa/. �'�S aa �
PROPERTY OWNED
certiry the above statemenis are irue, correct and complete.
(numberandstreet, ciry, state, ZlPmde)
i0�1� R.. cGr»
IN OTHER COUMIES
DiM'A* c14l3
7ownship
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMES7EAD NON-RESIDENTIAL.
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements. (�)
Other land (2)
(Totai land (line 1 plus line Z� (3)
Dwelling (4) � .
Fesidential improvements �� . �
Gara9e (5) �
Other improvements (6)
Total improvements Qine 4 through line � (7) ' I
Total value Qine 3 pUs line 7� (g)
I hereby Gertify ihe above is IrUe. corred, and Signature ol Assessor Date signed .
complete.
Verityirg action - Sgnature of Autlitor Date signed
� STANDARD DEDUCTION ALLOWANCE �
19_Pay79_ .
Lesser of tl2 Homestead
Valuation or S2,000 S
Signature oi Autlitor � Date signed
�