Homestead_Barrix STALE IOtM ON.IFC/taps) lSLASIREB FORM 75-1A
APPROVED BYRSTE BOARD Or SSTTtLATt:,.ps P rnmm BY 111E DEP.MTxMV'OF LOCAL rO ZR.4NFA'r rM:ANCE M L1.1.22...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 tat bills for all:therefore.
HEA 1344-3009 requires=payers 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
filing.This information will be kept confidential and can only be accessed by authorized county officials.The Depannlent of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Barrix, Steve/Cheri
605 W Mulberry
Princeton IN 47670
938 //-
Steve Bamx
605 W Mulberry State Parcel Number Legal Description
PRINCETON IN 47670-2349
III I III I I II I III I I I I III 26-12-07-300-002.777-028 019-02777-00 PRINCE PLACE
Milli utt rater runts nu rte nntur t 51/52I5364I55
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
( #cue_. Ro/Y
�sg Address(number and street,city,state,and ZIP code) D" El..Stant as property address
1.0O A A� 4eri �f' / �;nOefon X/U 1712 0'
�
Spouse First Middle Last
Cori /Hattie gorriX
Mailing Address(Number and street,city,state,and ZIP code) [f as property address
LDS U) iiu`het r/ St Pr%a ctif1J7 ,/L 97/ 7lJ
- - -
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 �� vEAR
' CREDIT/STANDARD DEDUCTION HC10
� n• /'• Siate Form 5473 (R6 / 403)
Prescnbed by the Depanment d Local Govemmem Finance
WSTRUCTIONS: See �evc�sc side loi lillnq inslrur.bous.
�=�` i� � = `��.;Y'�^�"%"'."" ` - � - " ' CERTIFICATION STAlEMENT" �- - � - ' .
— CGR 9��[ 9f1�.
I(We) � C.C�(JL�L� certify that on Ihe tst day of March, 20
I(We) occupied as our pnncipal place of residence the following described real pmperty (or which a Homestead Prope�, ai.Cr�''''g"°,'(��,� reby daimed:
❑ I(VJe) owned ❑ Are buying under wntract OIBSON COUNTY AUpITOR
� Have a benefidai inieresf in the eniiry that is liable for ihe property taxes on the property and that owns the property or is buying under a contract.
I( buying on contraa, Fee Simple owner's name
Remrdefs olfice where conVacl is recorAed
County �
� � �5 vS�/X-
u�� /�C71 i i i—v�
�( any portion ol the resiEenUal structure or
of the property utilizetl tn produce i(xome.
'r�-.- .�`.��`'a="4':"BROPERTYDESCRIP.TI- N�'�.. - ..
Tavnshi0 Tain di � t(city, fown. t�
Le a desuiptian T Is the properry in
d/ �
a land not exceeding one (1) acre �hat immediatety surmunOS Ihat wcW
BY
To.vnship
1 hereby certify the above s�atemenls are W e, correct and complele.
Address �number and stree[, city, stale, ZIP code)
y4 � zv�4 -�},c, x ,...ly � r ..
f-..+w�' �<4�';,ASSESSOR 11SE ONLY� . - . . _ . �T VAL E�
Land not exceeding 1(one) acre immediately
5urrounding residential improvements. (��
Other land (2)
Tdal land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements or Mnually
Assessed Mobile I Manufadured Home Garage (5)
(6)
Other improvements
Tdal impmvements (line 4 through line 6)
I p)
3al value (line 3 plia line n
I �e�
hereby certify
the above is We. cortect. and
omplete.
��edM�o aclot�- Sg�a�o�e ot Plid�m�
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Qay2o �
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o(pssesso�
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Caunty
:
5
Rerord number � Page
al pm0erry ❑ Mobile Homo Q.Q Gf. f 4�
is used b produce income, describe ihe use ana poRion
D VALUEI_,HOMESTEF
OF.TTV "' VALUE'
.�
�
Tavnship
IYVI� �
'� ^ :-`. VALUE
� . -.- �'za�i:�...
:. 'i�5{�..�^k'�C-: "°
aACi'l:'_ . �
)ate signed
Date si9ned
�— -
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