Homestead_Baker (4) m1it FOrM`!M ICI`-r TULASUIFR FORM 151A
.MrRrwEt By Si taltnARDOF ArtSUNTS.9w PIPAPJLED BY TIr DFPMTEO NT OF LOCAL MATPNMrta FINANCE IC 4-1.I.22.1.1
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
-0 HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to recei(e the
benefit and to pnside additional identifying information necessary to allow county government to better monitor homestead
filings.This ininlmatinn will he kepi confidential and can only be accessed by authorized county officials.The Depannaml of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead Baud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Baker, Damon L
1 nee S Seminary
Princeton IN 47670
3821
Damon L Baker
1028 S Seminary State Parcel Number Legal Description
Princeton IN 47670-2638 7`
IIIaIIrIIIIIIIFLtIIIltlltrldJltIFFILIttlrtlLlLlLltttll 26-12-18-201-002.612-028 019-02612-00SSADD188
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
,OQ,yl5r 2 . /c3Q ler
alp tg Address(number and strx6 city,state,and ZIP code)- - -_ - - 6erne as property eddies;- -- - ______ --
/002k S. Sem,no✓r Sr. 4/'nrttar -z^ 1'76 2v•
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sate
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
unlawfidly,he or she may be liable for back taxes and substantial financial penalties.
O n Signature Date
•
��/ �yf_ `��F _ �
a� °4 CLAIM FOR HOMESTEAD PROPERTY TAX
i,��i: CREDIT/STANDARD DEDUCTION
..�;; � State Form Se73 �R2 / 5-92)
�si�
� INSTRUCTIONS: See reverse side 1or (ilrng instruc(ions.
I � � ' ' - � - CERTIFICATI�
Y �1 ��
FORM
HC10
YEAR
I(We) �( �/f/j?QL[ �'i��/�JC cenify that on the 1si day of March, 79_
I(We) occupied as our principal place ot residence the tollowing described real property for which a Homestead Property Tau Credit is hereby Gaimed:
'��"^.)�owned ❑ Are buying under contract - �� ,
�e a beneficial interest in the entity thai is liable for ihe property taxes�on ihe property and that owns the property or is buyinq under a contract.
RECORDED . -.
I� buying on coniract, - °'-'?le owner's name � ---.
<-' � __- _- .
Recorder's oNice �•� ' ,..ntract is recordetl � —J
l
Record number
PROPERTY DESCRIPTION
Counry Township - Tazing distria (ciry, fown, township)
Parcel number Legal description
- abaao SS " 8g
If any portion ot ihe residential swcwre or the IarW not e.ceeding one (11 acre Nat immetliately wrrounds that swc[ure is used to produce income.
of the propetty utilizetl to produce income.
Page
Ne use and portion
- - PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES �
Counry Township County Township
I hereby certity the above statements are true, correct and complete. t claimant
�� �s
�3mber and stree�, ciry, state. ZIP oode) �
O � �
ASSESSOR USE ONLV TRUE TA7C ASSESSED HOMESTEAD NON-RESIDEN'flAl -
.VALUE VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding residentiai improvements. (�)
Otherland (p)
Total land (line 1 plus line 2� (3�
Dwelling (4)
Residential improvements
Garage (g)
Oiher improvements (6)
Total improvements (line 4 thiovgh lina � �7)
Total value (line 3 pbs line 7� (g) I
I hereby CeRify the above is IrUe, Correct, and Signature of Assessor Date signetl
complete.
Verityirg action - Signature ot Audimr I Date siqned
19_Payt9_
Lesser of 7l2 Homestead
Valuation or 52.000
STANDARD
S