Homestead_Deshaney MATE FORM`I r•IR:f ,..1 TREASURER FORM 71-IA
APPKI En BY MAIL BOARD of Al*LNT%.2.1'0 PtrstUaEEI BY THE DEPARTMENT CW LOtALCnwERVSIrwr MANCER- tit-r-.I
01 N N 'C Main ounty Auditor
1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
701
15RINCETON 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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to rccewe the
benefit and to provide additional identifying information necessary to allow county government to better monitor hotrreead
filings.This information will he kepi confidential and can only be accessed by a thorired county officials-The Depanment of
local Gosemment Finance mill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Deshaney, Michael J/Terry A
3031 S 450 E
Francisco IN 47649
4101
Michael J/Terry A Deshaney
— — -- —3031 S-450'E --- '-- -- '— "Sfafe Parcel Number - " ' LetalDescrlptiun— — -----
Francisco IN 47649-9102
26-12-26-400-001.443-004 002-01443-00 PT E SE 262104.73 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1CnQr_( J c�v,,e S t e5�av1 ✓�/ - -
g Address(number and street.city,state,and ZIP code) Same as property nddress
eg
Spouse First Middle Last
/ eRR.y Pr ht-\ - DeSkgvi -eY
Mailing Address(Number and street.city,state,and ZIP code) 'IS( 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
7 •
t.:
CLAIM FOR HOMESTEAD PROPERTY TAX F nI a YEAR
ORM—�
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2I 5-92)
1 6
� MAY I u
_ INSTRUCTIONS: See reverse side for filing instructions. �;
1/
CERTIFICATION STATEMENT - - -
O
7fo__07J st day of March, 19We) occupied as our principal place of resid the following described a property for which a Homestead Prope T Credit is hereby claimed:
I (We) owned ❑ Are buying and r ontract Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorders office where contract is recorded -
Record number
Page
PROPERTY DESCRIPTION
County Township
Taxing district (city, town, township)
0 P I n r /L I Legal description
Iry
If any portion o the residential structure or the land not exceeding one (1) acre that immediately surrounds that stmcture is used to produce income. describe the use and portion of
the property utilized to produce income. "�
- /a -��- ?, -�/ �3- QaT
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Hereby certify the above statements are true, correct and complete.
Signatu claimant
/ . '
Address (number and street, .stat ZI codn
ASSESSOR E ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land -
(2)
Total land (line I plus line 2) -
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or 52,000
5
Signature of Auditor
Li
/m)
/V