Homestead_Barton (3) STAVE FORM.!HI cr ■Pt TRESSURLA FORM:SIA
\rrmnED BY Stfrt 111WtO OF AnCrINTS.a,v PRLNIUam BY TIT.DEPARTMENT OF LOCAL r vaMCAf MAW::r 11.1-:4.1
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 e'er for homestead fraud.Ilomestead fraud causes higher ta'bills for all:therefore.
• HEA 1344-2009 requires taxpasen who receive the homestead standard deduction to verily 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 he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead Gaud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Barton, Linda J
X- 122 dc--"'Box 90 �
Princeton IN 47670
3283
Linda J Barton
2204 Taylor Ave State Parcel Number Lesal Description
Princeton IN 47670-3212
I I I I III I I I I I I I I I I I I I I I 7• 26-12-08-204-000.826-028 019-00826-00 DIKE EAST EXTENSION 2
t o nt r u ut tot rn it l nn n u n PT/3
PART 2:TAXPAYER INFORMATION
Owner I First + Middle Last
L./ Ain U . J?)R.�To
--eg Address(number and street,city,state,and ZIP code) — ---❑ Same a s property address — - –– — "
no1 —ERN LoK %1E 'YlKIn&CE-ron1 IN) 4-11070
— . —
Spouse First Middle Last
nI J�
Mailing Address(Number and street,city.state.and ZIP code) El Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
State
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 I Signature Date
�-�`5T�" CLAIM FOR HOMESTEAD PROPERTY TAX
�
! '° CREDIT/STANDARD DEDUCTION
�� State Fortn 5473 (R2 / S92) .
��d�
INSTRUCTIONS: See reveise side /orliling instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT �
I(VJe) � � � � c' th s y of arc , 79_
I(VJe) occupied as our principal place of residence the following described real property for which a Homestead Prop�ty Trvc�Cr¢dit�ia09reby claimed:
�CD 41 Lu
❑ I(We) owned ❑ Are buying under contract � - �
❑ Have a beneficial interest in the entlry that is liable for the property taues on the pmperty and that owns the perty or is nder a ntr t.
CONTRACTRECORDED �
It buying on conVaci, Fee Simple owner's name I
Recorder's offrx where conVaa is recorded Record number Page
PROPERTY DESCRIPTION
Counry / Township ���� / Taxing tlistrict ( to�m, rownship) /
� � f /�J �l '� L�/C!'� �!/l�C� �/
Parcel mber Legal description
— O e7
If any portion of the resitlential structure or ihe la� imi exceetling one (i) acre that immediatety surtounds that s[ruclure is used �o produce income, descnbe the use antl portion ot
the pmperty utilized ta produce income.
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County Town5lup County Township
Signature of tla ni
ereby certify the above statements are We, correct and complete. �
Atltlress (number and s[reet ciry, slate, ZIP code) -
.2 O �l o� I �!- O
ASSESSO SE ONLV TRUE AX A SESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 7(one) acre immediatery (»
surrounding residential improvements.
Other land (2)
Total land (line 7 plus line 2) (3)
Dwelling (4) � .
Residential improvements
Garage (5)
Other improvements (6)
Totai improvements (line 4 through line 6J (7)
Total value (line 3 plus line 7J (8)
I hereby Certify the above is lrue, torteC�, and Signa[ure of Assesor Date signed
complete.
Verifying action - Signature of Autlitor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Less of 1/2 Homestead S
al or 52,000
Sg�Wre of Audimr D te signetl
L �--1l-0/