Homestead_Smith • STMT.FORM 5374.1R.7”4.1 MIASMA FOAM 79-1A
V?R•'EO BY St OE&MROnr'err* c.9w PLrYWBED BY THE DE?Afl '4r((LOCAL GOVELNMEAT FINANCE Ms-.1'4.'
Gibson County Auditor
101 NMain 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 eser for homestead fraud.I lomestead fraud causes higher tat bills for all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to reverse the
benefit and to provide additional identifying information necessary to allow county_ovemthent to better monitor homestead
flings.This information will he kept confidential and can only be accessed by authorized county officials_The Department of
Local Government Finance w use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Young, Daphne J
R2 BOX 2801 'J �
I
Princeton IN 47670 V
3449 I(m/
Daphne J Young
R2 Box 280 6 State Parcel Number Le_aI Description
PRINCETON IN 47670-8879
26-12-11-400-001.533-004 00O2-OD1533-00 PT SE 112101.00 AC 7
PART 2:TAXPAYER INFORMATION
Owner I Middle Last
{o First ne
�g Address(number and street.city,state and ZIP code), - --- Slime ns property oddrei -— --
42�4 E So S Qrtncc, -b-No . IrJ
Spouse First Middle Last
Ctor j /iUn
Mailing Address(Nuniger and street,city,state.and ZIP code) 9 Same as property address
4-264 E 5v S Pr Inca f,. IQ 47(0-io
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 1 Signature • Date
•
•
f
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION C HC10
Slate Form 5473 (R614 -03) `J
Presrnbed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing insfmctions_
I (We) 1Y 'fy that on the 1st day of March, 20�
1 (We) occupied as our principal pla of residence the f 'ng describ eat property for which a Homestad Property T[ax Credit is herr y q/a /Ice d:
❑ I (We) owned ❑ Are buying under contract
--- ✓-�- ?I- tJ:,c- ':..��
+SON COUNTV AUDITC -.
Have a beneficial interest in the entity that is liable for the property taxes on the property and,8id' .operty or Is buying under a contract.
7DE r
If buying on contact, Fee Simple owner's name
Reporters office where contact is recorded Record number Page
County
Tomship
Township
Taring district (city, town, to rp�
1 hereby certify the above statements are true, correct and complete.
Par ryn
33
Legal descri0tion
C �l // 1 e popery in question: -W property
❑ Mobile Home ( /.C. 6- 1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immedialeyftds that str6ctuo is used to produce income, describe the use and portion
of the property ub0zed to produce income.
�:�.'?a�.�' r-' ���' �'? E`'« � .PROP.ERTYOWNEU`BY:CLAIM.4NT1Nr OTHER` COUNTIES#• �c.�,��`��y'= '�'_�`#�.;f�'��p
County
Township
County Township
1 hereby certify the above statements are true, correct and complete.
Si ature of I imant
�1Qdf6jp (nu er and f, city, state, ZIP code) '
ry ax 280 B �n/C�7a,v r iAl 6 D
_20 4STANDARD ..DEDUCTIOWAL'LOWANCE`'`
_ Pay 20 20
Lesser of 112 Homestead
anon 000 $
Signature of Date signfy ��� -0
HHOOMESTEADIE
` NON= RESIDENTUILL� =�
Land not exceeding 1 (one) acre immediately
t
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
rte: 8 cr'
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Gaia e
9
(6)
�R "r'" w.
'`y
fi}ss It
Other improvements
(b)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
_20 4STANDARD ..DEDUCTIOWAL'LOWANCE`'`
_ Pay 20 20
Lesser of 112 Homestead
anon 000 $
Signature of Date signfy ��� -0