Homestead_Spore StAt£FOR 4!)K Ile/Wit TREASURER r014 iSMA
A/MAID BY sT TE B(W(O(f AT"RINTS.]„• r.'smnt BY nn OETARTffT OF LOCAL CAIWR.4MTNT FINANCE IC 41.1-17-!I
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 exec for homestead fraud.Homestead fraud cause.higher tax bills for all:therefore.
al
RCA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county officials.The Depanmrnt of
Local Government Finance will use this information to create tools that will help cams'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
- Taxpayer Name Property Address
_ Spore, Cheryl E
RT Box 334 1
Princeton IN 47670
871
Cheryl E Spore
1595 N 450E State Parcel Number Legal Description
PRINCETON IN 47670-8977
26-05-35-400-001.167-004 002-01167-00 S SE 35-1-10 1.296 AC
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; PART 2: TAXPAYER INFOR\IATION ,
Owner I First Middle Last
Ove2f L 6 UN-% n2 S?or e
Address(number mfdstreet city,state,and'LI P COdc)_ — — — —_ ___ _ _ _ Btmuc u;ptnpcnv adds—_. ____-- _ ____ —
159S /J 4S1) C Yrl nce4—on-1 Tr\.. Y Rico?o
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) 0 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)
sow .
I. PART 3:CERTIFICATION:e 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.
Ow l $' tore
Date
rill
yf RA)t
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92)
roil
INSTRUCTIONS: See reverse side for tiling instructions.
..., Cl : CERTIFICATION
L 1 i Q R
' , ' )
I (We) certify that on the t st day of March, 19
��-II (///We) occu ied as our principal plauv-otrestdettea the following des ibed real property for which a Homestead Property Tax Credit is hereby claimed:
(We) owned ❑ Are buying under contract
ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
_ CONTRACT RECORDED -
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
'PROPERTY DESCRIPTION
County
Towns .
Taxing district (city, town, township)
Parcel nu er
ooa -oi '1 -O
Legal description '7 `�
SSE S- i-Io .2-
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
q,7&-.>c>
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Si a a of clai ant
e �.
ss (number and street. city, state. Zl Lc,7 e
R- - a B 3 4/F .t e� �
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ASSESSOR USE ONLY -
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pfu line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
I Date signed
STANDARD
19 Pay 19_
Lesser of 1/2 Homestead
Valuation or $2.000 S
Signature of Auditor 4 1 Date signed
/ 2 31 `%Z