Homestead_Sparks (3) •
slalE FORM!MO.!R_r..NI TREASURER Po0.a73-7n
.Arrx[e'Ef MT snit MVm or MYMlNI&Non pREXAtmmOT mE DEPARTMENT OFLr nrInsrNMrrerrINANCE ICK1-_tis-
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 01'this deduction becomes
more beneficial.there is more incenthr than e'er for homestead fraud Homestead fraud causes higher tan bills for all:therefore.
HEA 1544-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he aceesmd by authorized county officials.The Ugiannaatt of
Local Government Finance will use this information to create wads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Sparks, Jay L/Rebecca M
RI Box 341
I au tads IN 47639
9555
Jay L/Rebecca M Sparks
601 W 1200 S State Parcel Number Leeal Description
Haubstadt IN 47639-8724
26-22-13-200-000.969-024 004-00969-00 PT NE 13411 .59 AC
l IIIIt�a�t t�tt�t�rtt�tt�r�r�tt 1r1rr1IIIl II11 I 111 11111111
Spouse First Middle Last
M
Y
Mailing Address(Number and street,city,stale,and ZIP code) Same as property address
1200 S Ora i3-4-ait4-, Lt_M Lid 63
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.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R7 � sa6� .
Praea3ed by Ihe DepeMent of Local Gwemrtre�d Fuw�m
residence the folbwirg dewiibed real prope fix which a Homestead Pro}pe�Ay Tmc C//redil is hereby dairt�ed:
n I M�e) owncd ❑ Pre buying unda mntract �`a�-/ '`� �'
�iave a benefidal interest in ihe entiry that is liade for ihe propeAy taxes an me property and ihat owns 164'�ty'� one3�du�' � �a contract
If bry'ug on aontraa Fee Simpe ownals rmme
Recadera ot6m whae �arOad u recnded
'��''7:��(�i�i�:�?L��.L-`3r'.x'�°r1f�i?}���:'iy:yYt rr�
Cwnb Tawrrstup
rown,
Recard number � Pege
���, � N� ia v,, °,s9,��"'a o"�� ❑ M�b��,,.�. �.,.,_�
H rry portion d iha resitlerAial u4uchne u ihe Imd ral arceeding ona (1) ecre tlwt unmediatdy wrtaunds thal structure ia used In produce'viawre. tlescribe the use ard 7�n
d eproperty Ni(�d tn pm�,ce uwome.
a�-��-�3 -aoo -000. q�9 - � �s�
. . ;. . ,,. . ...
Tarnship
1 hereby certiry fhe above shafements are we. correct and cortqlete.
(nuMer ard sheet dty. 9ate. LP oode)
'„[') I ul iar�n S 4�c�
Caunty
E� �
'' }�.'.���`,°y`eu4o.'�5'8tk.�_'s'1R:iii�ius4�?'� `£z`s�F..1 ',`..k?iMa'6'SLVJDARD'QEDUCTON�ALL'OWANCE,.� �, f`�:�a'.�`4�:•y.� ��' � >1- {,�;;�vt"+.�1 �e .'?�,� E:
. . a�!+;;�''=v5 . �2� ���t >..,�...+. �. �'SL _ 5,.,�
20 _ Pay 20 _
Lesser M 12 Homestead
Valuetion of 535,000 E
SiEyiauae of PLdrtor Date signed