Homestead_Barrett (7) f lirt FORM 53M IR'IYNI TREENPIA W0.M ZIA
'FIRMED BY STATE BOARocwnxnLsrs.a Ptr9E111BW BY THE DEPARTMENT OF LOCAL OCATR.N1mr FOC.%CE IC 6-1.L17.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes
inert beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher In bills for all:therefore.
® HEA 13-14--2007 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 confidential and can only be accessed by authorized county officials.The D epannont of
Local Government Finance will use this information to create tools shat will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Barrett, Rose M
X206 N Sib ST
v/^1 Princeton IN 47670
423
Rose M Barrett
206 N 8TH State Parcel Number Legal Description
PRINCETON IN 47670-1112
—lrlr,llr,EltlltrI III Iln rII IIoI IllnnllutI I I $ 26-11-12-203-001.811-028 019-01811-OO BMA 56
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
7?05e_ /nor i^ �/ 0CLr r e tl-
�.g Address(number and street,city,state,and ZIP code) / Et Same as property address
;o &-til ' f ri/rreeto. A IN. 4/7674
Spouse First • Middle Lan
Mailing Address(Number and street city,state,and ZIP code) 0 Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 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
unlaufitlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
d�-`•R
°g CLAIM FOR HOMESTEAD PROPERTY TAX
s:a��� CREDIT/STANDARD DEDUCTION
,�,;�� State Porm 5473 (R2 / 5-92)
�i�T� � ,
INSTRUCTIONS: ��everse side lor (iling instructions.
• �
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4r : �
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1!We) ___ . � . certify that on tRM's11ta March, 19
�a occu � our principal piace of residence the following � scribed real property br which a Homestead Property Tax Credit ishereby claimed:
[� 1(We) owned ❑ Are buying under contract . . �
❑ Have a beneficial interest in ihe entity that is liable for the property taxes on the property and ihat owns the property or is buying under a contraci.
� CONTRACTRECORDED . . . � .
If buying on contract, Fee Simple owner's name .
Recorder'S oHice where contract is recorded Recortf number Page
Counry
Parcel number
If any
ot the
County
Atldress
PROPERTY
0
town, town5hip)
I the residen;ial strucwre or the Wnd not exceetling one (t) aue that immediatety surrounds that swcture is used to produce income. describe ihe use aM portion
uiilized to produCe income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County Township
certify the above statemenis are ime, correct and complete. I Signature of claimani
�. n
andslreei, city. state. ZlPCode)
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land nol ezceeding 7(one) acre immediarely
surrounding residential improvemenis. (�)
Otherland (2)
Total land (line 1 plus line � (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenis (6)
Total improvements (line 4 fhrough line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify the abOVe is true, Gorrett, and Signature of Assessor Date signetl
camplete.
Veritying action - Signature of Audiror Date siqnetl
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