Homestead_Priar (3) •
•I.TE rn0.M:We.tICf 1 mEASntEa FORM 73-IA
ANWwEn BY STATE an.Pnar.I TT$T%T5.9.v PEL9(10BED BY Tilt BEPARTHEIT OF LOCAL Gm2FYMCnT rn:A\CEM VI.I-LJI
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pnavide additional identifying information necessary to allow county goverrnnem to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanmatt of
Local Government Finance will use this infomntion to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property'Address
Priar, Michael W/Michelle D
R2 Box IS3 I
flaubsmdt IN 47639
3180
Michael W Priar
R2 Box 1831 State Parcel Number Legal Description
HAUBSTADT IN 47639-8022
26-19-32-400-000.238-024 004-00238-00 PT SE SE 32 310 3.69 AC
Illttlltrtllllrtttlltltltrltrllllr r111111111111rllrtlrulu.lrll . 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
/41/icAot.J Ckr9rt PQI:7L
Ig Address(number and street.city,state,and ZIP code) ® Same as property address
/741 6. /err S. /la vtrollavri s,,✓ 4'7 b 5
Spouse First Middle Last
Mi t h e 114 Pen. 'err Pz i.( r-
Mailing Address(Number and street,city,hale,and ZIP code) Same as property address
/ ?d , E /oar S g6„ s rat Si./ l./7t' 9
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
•
�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S�ate Fwm 5473 (RB / {-03)
Presriibed by 1he Department of Local Govemment Finance
INSTRUCTIONS: See 2verse side for �ling instmclions. �
FORM
HC10
YEAR
�� certity Ihat on t �st day of Marehq 28��
I e upi as our principai place oi sidence the following described real property (or which a Homestead Prop�ac Cr fd is he�da'� ed: �
�e) owned ❑ Fve buying under wntract ji� " �
_' Have a benefidal interest in the entity that is liable for the property taxes on the pmperty and fhat owns the property or i�byy�g u�er�gRp(�VaU.
H Lau
If buying on conVaq. Fee Simple awnefs name
Remiders ofice whera conVact is recardeA
Counry
er � ,
�
H any portion of the residential sWCh
of the properry util¢ed tn produce inc
�/_/9
�° GISSON GOUN7Y aUUI i
Record number Paqe
Tamship Tating tlis ' firy, ta n �P)
Legal descriD��on Is the pro in question: � �
eal pmperty ❑ Mobile Homo p.C. bt.7-�
w Ihe land not exceeding one (1) aae that immcWiatety sunounds lhat swcture is used to produce inmme, desuibe the use and portbn
Tavnship
1 hereby certify lhe above sfatements are We, correcl and complete. `( '�j`�
r i i��
�di��`�'a � BaX i�d3'=i �°j.�a�b.d�m� � y 9619
Land not exceeding 1(one) acre immediately
surrounding residen6al improvemenLS.
Other land
Tdal land (line 7 plus line 2)
Dwelling
Residential improvements wMnuaily
Atsessed Mohile / Manufactured Hane Garage
Other improvemenis
TUaI improvemenis (line 4 through line 6)
TUaI value (line 3 phs line n
I hereby cer6fy ihe above is We, coned, and
complele.
Verifying action - Signature oflwditor
20_Pay20_
Lesser of 1Y2 Homeste
(�)
i2)
(3)
i<)
(5)
(6)
1�)
IB)
Signature ol0.ssessor
$
signed
signetl
SignatureoflwdHw ��n �A �1 / � I /�/� . _ �I 1 Y I � in� /�