Homestead_Parker •
Stilt EOAN!Ye"I IC I f••I T LA&tUl FORM TS-IA
APPROVED BY ST AIL BrMICDCW ACCOUNTS.9v PtIYRIBED BY TIE BEPMTMENTOt LOCAL C/Tawa.T FINANCE IC 6-1.1-2_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud_Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.Ibis information will he kept confidential and can only he accessed by authorized county officials.The Ikpannrnt of
Local Government Finance will use this information to create tools that will heip county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Parker, Michael RI Teresa J
122 Box 187 II
Ilaubsmdt IN 47639 /1\
3444
Michael R Parker
1271 E SR 68 State Parcel Number Legal Description
HAUBSTADT IN 47639
26-23-08-200-001.504-024 004-01504-00 PT NW NE 8 4 10 .75 AC
y 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 1NFORNIATION
Owner I First Middle Last
'cha el 'it' le y *eke r
•g Address(number and street,city,state,and ZIP code) 9 Same as property address
a 7 / E. si ice ,
Spouse First Middle Last
•
sa ci GCne-- a_rk- ems
Mailirm Address(Number and street,city,state.and ZIP code) ❑ Same as property address
ia� i 5r� 6 &) rla.wsf4df // 2/1 q7t 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 claimine additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner pure Signature Date
•
R } CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sfate Form 5473 (R6 / 1-03)
PreSaibed by Ihe Department of Local 6ovemment Finance
INSTRUCTIONS: See revcrsc sidc forliliny insirucfions.
FORM YEAR
HC70
�'��,��
��e) � �"' �/�fy �h� on the 1st day oi March, 20 ,.
I e occu ied as ou rinci al lace of residence the followin described real m e (or which a Homestead ro ert TacCredit is hereb dsimed:
M� ) P P P P 9 P P P Y -� Y
/rV7.-+""- -(;�(
❑ I(VJe) owned ❑!ve buyirg under contract CBSOf7 CCUtI i Y �.UDITCR 1
� Have a benefidal interest in ihe enliry ihat is liable (or ihe property taxes on the property and that owns the property or is buying under a wntraU.
u b�,y�, rn�,caa. F� s�„ae a,�rs ��a
Recorders olfice where conVaq is recorded
'':�--3���SR�r.`: �'�''+�f�e--�i =�-`Yx�.���.'2iY �����
Caunty � Ta�mship
rc �Y
of fhe
County
D lSO y-�0 I �f
af Ne residential sWCWre w the land nd exi
y util'¢ed to yoAUte iMOme.
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��'"���.' ��.r.'-"``��r� �' �:.,�?R�
Tawnship
Tating diSVic� (dty, town.
(1) aae that immediatey wrrounds ihat
I hereby certify the above statements are We, coved and complete.
Coun�y
Uaimant
RecorU number � Page
L woaenr ❑�baa H«„o u.c. s�.i-n
Ls used b p�oduce income. describe �he uu and porUon
Tavnship
��sy� _ bQ Z neef. crty stat � �I�P cade� � - U I
v x� ���,u�a-7`2d�f , Z✓J <L�� 3 9
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20 _ Pay 20 _
Lesser W 1/2 Homestead
vauaU4P a E35.000
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