Homestead_Hurst ` MMAU FORM 5CW,R=/EMI TRF19:FER CORM TRmA
• .RrrR(T1n BY',FATE E• DOE!•11R\%152n FUSAInmBY me DEPARTMENT OF LOCAL ra VEILNMG'E FINANCE IC 6-1.1-224.1
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 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 verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept ennlldential and can only hs accessed by authored county officials.'r he Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead hand.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hurst, Tracy A/Karla K
ot Rr I Box 357
Francisco IN 47649 iF
4552 /� Il l/
Tracy A Hurst �"
2079 S 650E State Parcel Number Legal Description
FRANCISCO IN 47649-9205
1t1tm11rtr1r 11r mrir tlltlt tltltt ttltllitrtFltltim mtlir lr tlr mi.I 26-13-19-400-000.323-004 002-00323-00N NE SE 19-2-917.00 AC
X C-1 D-7
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
RAcy ALkIJ N11RST
-- •tg Address(number and street.city,state,and ZIP code) ---- -- -- 12-Same as pmpenv addrly--
2..0R9 S 6 SO E FRAMCUSc o , ni t47641
Spouse First I Middle ' Last
KAPLLPc Kitt' N�2 ST
Mailing Address(Number and street,city,state,and ZIP code) LJ Same as property addtts
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
S
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HC10
State Forrn 5473 (R7 I 5-M
Prosailbad by the Department of Local C; emrnerd Finance
INSTRUCTIONS: See reverse side for Ring Instructions.
I (We) \1 Z( awa— ./( 'J. A La-41-41 certify that on the 1 st day of March, 20_
I (We) occupied as our cipal place of residence the following described real property for which a Homestead Prop&�i dpgtby claimed:
171 10 t Am buying under contract
GIBBON COUNTY AUDITOR
Waves beneficial interest in the entity that is liable for the property taxes on the property and that owns the properly, or is buying under a contract
'C ONTRAC Ti REC ORD ED $
11 buyng on contract, Fee Staple ownees name
Recorder's office where contract is recorded Reard number Page
PROPERTYOWNiEDBY; -CCAJMANtiN'OTHEk'COUNnESi� ,4'n.a�rS�`ui�l�-�t6,W;�t�-,
PFiOP.ERTY,,DESCRIPTIdN;
C�%
KIP
(cif z*
I �, looQ
1"6,5
$
, -0
Parcel number
Legal description
is the property' —
uBsbon.
- .1 -
13P C.
YR-1 PUP" Mobile Horne(LC61.1-7)
if an n of the residential structure or the lard not exceeding one (1) acre that immediately surrounds inat sliucture is used to produce irxome, describe the use and portion
h-Wrty utilized to produce income.
PROPERTYOWNiEDBY; -CCAJMANtiN'OTHEk'COUNnESi� ,4'n.a�rS�`ui�l�-�t6,W;�t�-,
County
Tomsltip
Comfy Township
I hereby certify the above statements are true, correct and complete.
ye of mant
$
(number and street cd)4 state. Zff2 code)
--'A,�4STAND 0 UC ON, L
ARD ED TI AL
20_Pay2O_
AD
'N N4tESID
Valuation or 535,000
$
MT t00N. OF 21
2.,,MVAML1TE
-'—FSJE
.itVALUE
Land not exceeding 1 (one) acre immediately
Q ",�t
wa,
surrourlding residential improvements-
Other land
(2)
Total land (line I pbs line 2)
(3)
Dwelli ng
*'*n %X'
Z om
Residential improvements or Annually
(4)
•
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
A-�Zk- MEMO
Total improvements (&a 4 through fine 6)
(7)
Total value (line 3 plis fine 7)
(8)
1 hereby certify the above is true, correct, and
signature of Assessor
Date signed
complete.
Verifying action - Signature of Audlor
Date signed
--'A,�4STAND 0 UC ON, L
ARD ED TI AL
20_Pay2O_
Lesser of 12 Homestead
Valuation or 535,000
$
S4nature of Auditor
Date signed