Homestead_Baker (5) •
• •
f STALE FORM:VAN ORE/4141 IRSASURLA TORN IS-IA
APPROVED RV AAE ROARO OF Mt 0 Tta,it M ?RGKRWED BA In1.DIPMIALl OF LOCALCOVFNStIST FL•lt(E le-LI-SAt
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS: '
101 N. Main Street Individuals and married couple' ale limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more irccntise than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore,
40 PEA 1344-2004 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to teethe the
benefit and to provide additional identifrin_ ir,ihnation necessary to allow county government s better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Goverment Finance will use this information to crate tools that will help county officials eliminate homestead thud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address
_ Baker, Michael D/Shirley J
1001 S STORMONT ST
PRINCETON IN 47670
3827
IIII I0 i 001 I I till III 1110111111 IL 11010111101 L 11 011011010111 IMichael D/Shirley J Baker
1001 S Stormont
Princeton IN 47670-2736
11'II11I"II111IIIII1I1I'1I1I1'III111ll1l1tlll1l1ltt'I11I'Illl'I State Parcel Number Legal Description
26-12-18-202-002.897- i 279 PT/280
NOV 13 2012
This form MUST be returned to County Auc '�SFt dfFite DDI
f UTOR
Please do NOT send this form back with your tax payment to the county treasurer.
' it dill 3zvamtol 'I `
_r I , First Middle Last
aid�/ F j�
0 et—t-tyel Q— 0 C
Mailing Address(number and street city.stare and ZIP code) Q El/Same as property address
Spouse
nj�(n�` First Middle ry/��� � Last
N ,j ' 4 AMAX 1`/
Mailing Address(Nu er d street.city,sate,and ZIP code) Same as property address
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
.�•_; , CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR �
:�� y ° CREDIT/STANDARD DEDUCTION Hc�o /q�Jp
�+��' State Form 5473 (R2/1-90) � �
'°�• INSTRUCTIONS: See reverse side (or filing instructions. ✓
CERTIFICATION STATEMENT
I(We) m.{.{�.�t,�.�; f�- �•/�ertify that on the�t�a of Qllir�9 �
�
�We) occupied as our principal place of re ence the following described real property tor which a Homestead
roperty Tax Credit is hereby claimed: � I(We) owned ❑��yjn�er contract
�Have a beneficial interest in the entity that is liable for the property taxes on e prop
property or is buying it under a contract. _..
buying on contrac[. Fee Simple
Recorder's office where contract
T
CONTRACT RECOR
SCRIPTION U
Taxing Disj�ict (City, town, township)
and that owns the
S
1D
)��e-�Oa�97 I ��'_'e ��,t- 274 �t%%. t�.Z�a
If any portion of the residential structure or the land not exceeding one (t) acre that immediately surrounds that struc-
ture is �u ed to produce income describe the use and portion of the property utilized to produce income.
✓leir i1� nf%�,'-/I'7,k� v� �l�J Q. G�f� /xa,-.u- ,c%X�I�vL. `�a3-�o
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES'
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding resideMial improvements (� 1
Other land . (2)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling (4)
Garage (5)
Other improvements (6)
Total improvemenis - line (4) lhrough line (6) (7)
7otal value - line (3) plus line (7) (8) .
I hereby certify the above is true, Signature of Assesor '" '""'' '" �' '"` Date Signed
correct, and complete
Verifying Action - Signature of Auditor - Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 7990 1990 Pay 1991 1991 Pay 1992 19—Pay 19—
�esser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
�'`� Valuation or $2,500 Valuation or $2.000 Valuation or $1,500 Valuation or 51,500
Signat e of Auditor Date igne
,(9-�. � -�9 90