Homestead_Sloan (2) SIAM FORM'3NI Rrn-r t ltYMdtEll FORM is-IA
APPRrw'Pn BI'MAIL PRFhtRIBtD BY Till.DEPARTMENT(FLOCAL GOVERNMENT FNA\CEMVI.1.2`JI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than es er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flinger.This information will be kept confidential and can only he accessed by authorized county officials.The Ikpannlent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Sloan, Charles G/Judith A
R2 Box 331 ,`I ,
Princeton IN 47670 rti
770 «l
Charles G Sloan
4550 E Carithers Rd
PRINCETON IN 47670-8937 State Parcel Number Legal Description
26-05-25-300-000.664-004 CO2-00664-00 PT S 25110 1 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
C NCQC S g t) n! Si, o ek. nl
g Address(number-and street,city,state,and ZIP code) -- -- ❑ Same its propcnv uddtesa — — ' - — — -- -
Li 5s0 k r Cas s doe RAo N 41767a
Spouse First Middle Last
3t d iaf h AIJ►) 5L o 0.Al
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
t.
g 5 g o 1 ear/ T h e c-5 I I, - , n;c z--( 0&.) 1 ti� df (fi 70
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 substantial financial penalties.
Owner Si tore Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
- CREDIT /STANDARD DEDUCTION HCto
Slate Form 5473 (R817 -07)
•� a.. Prescribed by the Department of Loral Government Finance
INSTRUCTIONS. See reverse side for filing instructions.
I (We) `/I r \1 that on the 1st day of�rch, 20
1 (We) occupied as our principal place of residence the following des bed real property for which a Homestead6C rily Tax 6rediS is hereby claimed:
I (We) owned ❑ Are buying under contract ii CU110
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the RI+[ty orj9tILyng under a contract.
If buying on contract. Fee Simple owners name
Recorders o5ce where contrail is recorded
Tor lrrlp
Legal descripfion
Taxing district
Is the
Record number I Page
I b/F 'property U Mobile Home (IC 6 -1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce Income, describe the use and portion
of the property utilized to produce income.
T pay 20
Lesser of 112
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
h, day,
County Twvnship
County Timmship
1 hereby certify the above statements are true, correct and complete.
3P Fe of daima
,
r s (number and street city. state. and ZlPcod
,
ILIT
•
IBM
rr ..
Land not exceeding 1 (one) acre immediately,
surrounding residential improvements.
Other land
(2)
.:
Toal land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
*{
Other improvements
(6)
Trial improvements (line 4 through line 5)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of motor
Dale signed (month, day. year)
T pay 20
Lesser of 112
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
h, day,