Homestead_Spear VI ATE FORM:13,0,11/Z/4+M TIEANIrA FORM TS-IA
APERIT"EO BY CT\TE scrum nr■YYWt%1 C.'nM Plt4RTA)BY PM DEPARTerf OF USA,.r LYMR.c FINANCE M VI.I"4.1
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 mgr for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are etieibte to receive the
benefit and to provide additional identifying information neces rr to allow county gmemntent to better monitor homestead
filings.This information will he kepi conlideruial and can only be accessed by authorized county officials.'the Department of
Local Government Finance will use this information to create Rtals that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Spear, Shawn C/Robin R
R 1 IL,65 A 4Q 79 SO,i'k SO'/last
Ilaubstadt IN 47639
2661
Shawn C Spear
9979 S Joy Lane State Parcel Number Legal Description
HAUBSTADT IN 47639-8611
II l ll II I I I I II I I Ill Ili III 26-18-35-104-001.947-024 SUNSET ACRE LOT 1 Pt NW 35-3-11
t o nt t nu E t n n n nut nt set t o t tt 1.18 ac D-27
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
S ck-wr, CAN.V■ 51-opLe.r SPW-
ag Address(number and street,city,state,and ZIP code) ® Same as property address
947q sou --, Soy Lane }I41,bs , Zn (47 , 39
Spouse (...‘ Middle Last
V-60-1 ee Rae Spear
Mailing Address(Number and street,city,state,and ZIP code) 14
®Same as property address
c479 6ou 1 Toy Lane Ctvlas-tadf , En 117(039
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 t attire (� Date
•
�; CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION _
� Siate Fwm 5473 (R6l!-03)
Prescribed by the Depanment of Local Govemment Financ_
INSTRUCTIONS: See revcrsc side (ar tiling lnslmclions.
! FORM `� d YEAR
`{}-HC10 '; �
li
MAR 17 2�U4.
I M'e) V � GU.(LYI ) l. Q" K U'f/LM /� �/ �/% l ^�c...�.�---,..,.� ir _•, :n� .-�.
certity that on�the:lst'day of Maich, 20_
I(WS) occupied as our principal place o( residence the following described real prop rty for which a Homestead Property Tac Credit is hereby daimed:
1./
L►7 I(We) owned ❑ Are buying under wntract
= Have a beneficial interest in ihe en6ty that is liable for the property laxes o� ihe property and that owns the property or is buying under a contraU.
If buying om m�traq, Fee Simple ownefs name
Remrdels ofice where conVad is recorGed
9`�%2"�t.��'r.:.._'�-'r�.k�-e�x�tp.,�"'S'�€�x�`�'+�
CounN Toxnship
Parcel
Tm�ing
Is �he
Record number � Page
�Q°`l-U/ y'�l7- GJ � �� �.�%i.(]� I V�ea�yopeM ❑ MobileHOmo(/.0 67.f-�
H any portion of Ue resitlential sW cWre or the land not exceeding one (1 � acre thet immediatety surrounds that sW cture is used b produca income, tlesaihe Me use and portion
at the properry utilizeE b produce income. _
-��- _�S- /0'S - �O/ �/�i%- ��7
��';-"�`..��'...-�i��'��--.:3-�.-'��i� ��'$".�'?�-.--�., r"PROP.ERTY,OWNEUIBY�CLAIMANT;IN UTHER'COUNTIES�,:�,?„�^�a��x�;k��v �°.,�""�i��."}f�
County Toxnship County � Twvnship
I hereby certify the above statements are We, corted and complete. Sign Wr ot d" nt ,
AEdress (num6e� and SLee(, city, stale, 21P code) �
�-4� �� A ESS�OR S ONLY'{- �``���� �TRUETAX �i- ASSESSED'yVALUE �:HOMESTEAD.�''F° NON SI�ENTIAL �r
��a-�'fi`'��.,4`a'�`r�-�,.T_?�5 � :kd` `�.^_'-s.�'..... ���a��� �.�tmt..VALUE.i:�..,�� �,.AT 100°/a OP+sq-�Vt$ �.t. '�$�.SVALl1E� ���e �.:��VALUE�'�s�x3�
Land nol exceeding 1(one) acre immediately "�� +x'�' F Q"" +""
surrounding residential improvements. (�� ��"�'- ��� V'�*�'h;•:� ¢. �
fi �.��:�,���r:'
Otherland . . �2) �-'�,�,''"���c,.�,>,'v'^�',=. .
�',i5�.�;.r
Tdal land (line 1 plus line 2) (g) �
� �k,, ����'t�r�.,r'�'�
Dweiling (4) '� �w.= � � �•��� ;y
Residential improvements or Mnually *��- � �* ��'��''�
l�ssessed MoMle / Manufac�red Homa Garage (5) ���.i�a.+.c��! -`''�+�„�",�r;
c�isw-�"M h.���
�.. .; �F
Otherimprovemenls (g) �.��-?'� ''� a
:__� �
Total improvements (line 4 through line 6) (�) '
Tolal value (line 3 phs line n (g�
I hereby terti(y the above is We, corted, and SignaNre otASUSSOr Date sgned
complete.
Verifying aclion - Signature oflwdilor Date s'gned
s1:�r�.a-�+ r-`.F,'�,a_tx��;�,_�3��'�-.•T'a��-�;"?`k' ��STlWDARU:OEOUCTIONALLOWANCEwm-�'il;e;,k.,.,i;�;z`�di„�''�--''.�._;�:—i�-=,��:��`;":��
20 Pay 2
Lesserof 1/2 Homestead 5
vauanon w 535.00p
' n re of Auditp " Date s"yned /
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