Homestead_Powell SIAM FORM!'Nla_I HnI MIASMA FORM:11A
ArrRln'Ln BY STATEBMRDrIw ACCIAINTs.9n etr.RAtaWU BY PR Df RARTMrYMTO fL TA:SL 00%TRYMEAT MANCE IC 6-1.I-2:-r1
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 e'er for homestead fraud.Homestead fmud causes higher tax bills for all;therefore.
HEA 1344-2IX9 requires taxpayers who receive the homestead standard deduction to verity that they are client to teethe the
benefit and to provide additional identifying Informmmn necessary to allow county government to better monitor homestead
litir2tq.This information will he kept mnt:dential and can only Iv accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead timid.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Powell, David B/Deborah J
s dt IN 47639
11004
David B Powell
1927E Sierra Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-7974
I. .IIlttllllttr I.I.I.lIntIIuIllIlilItIttIttItIIittI.ItIll 26-23-16-100-001.928-024 004-01928-00 COUNTRY AYRE EST 2 10
D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
tg Address(number and street,city,state,and ZIP code) Same as property address
19A71. Lae.A- Tt va etas-> ate- 1 `iLZc 3g
Spouse First Middle Last
Teo P_A-A
Mailing Address(Number and street,city,state,and ZIP code) [,Same as property address
f
7A7 t x t,ez{I '7,Aide ,hi-«.as-t ie.i 5.4 V/ J
_
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 su stantial financial penalties.
Owner ignaturc ii Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM Y�R
- CREDIT/STANDARD DEDUCTION HC�o
` StaSe Form 5473 (R8/7-07)
1
Rescn�bed by �he OepaNneM oF Local Govemmenl Finance
INSTRUCTIONS: See re.srse side for filing instrucfions.
�/(CA�ClY Uv 1.Y+^iaa�f.i.1�.i O 1 VI�JG.Ci' 1 ��..J �J � --
I(We) certify ihat on the 1 st day of March, ZO_
I(We) oowpied as our prindpal place of residence the fdb described real property fw which a HomesteadJ�erly l�c��l is hereby daimed:
,� I(N/e) owned ❑ Are buying under contract `–y,,
Have a benefidal interest in Me entity that is liable fw the property faxes on Ne property and that owns the pfop9iywr,�mqwg under a contraG.
If birying on aontrac7, Fee Simple ownets nama
where cartraa is recorded
Caunry
Tavnship
Ta�ing districl (cify, town, fownship)
RecwE number � Page
���r;(c�n_'�_100.�'����a��criplion (IsNepr �mReal �property ❑ MobileHome(/CGf.7-n
Ol
�If arry pwlion of Ihe residenGal sUUCture w Ihe IaM not zcceeding one (1) acra ihat imrtcediately surtounds Ihal slrucWra is used �o produce income, descnbe Ure use aM por�bn
of Ne property uli6zed N pmduce inmme.
r ,. � 1
� �
�_ � � • .� • �
��•. •
Land not exceeding 1 (orre) acre immediatety " � � '� - . ''
wrrounding residential improvements. ��) �. . ��'� ,�,�` .� - . � .
Other land (Z� � ,-'�..-:
Tdal land (line 1 plus Irne 2) (3�
'. x ` •:'` � � _
Residential improvemenks or Mnually ��h`� �4� . � _ .
A55255Ed Mobile / M2nukCfL2d HOmO '�:r ..� �',�
Ci3f8jC ($� . ' _
6 �5 �+�'� ; -
Other improvements ( ) :.
; 5�,.,,.
Taal improvements (line 4 through Gne 6) �7�
TUaI value (line 3 p!(s Grre � �g�
I hereby Certify 7ie above is We, corred, end SignaWre of Asussor Date signed (rtpnfh, tlay, year)
complete.
Vairying adirn - SignaWre Mlwditw Qate signed (mmN. day. Yea�
�.-� � � • •
�� — PaY Z� — 0.5.000 for 2007 pay 2008 42.000 for 2010 pay 2011
Leuer of 12 qq,000 for 2008 pay 2009 47,000 for 2011 pay 2012
Homestead Valuation S
a 43,000 for 2009 pay 2010 40,000 payable aRer 2012
Signatura oflwdilor Dale signetl (rma�N, day, yea�
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