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'l ALP/AWED BT'T'TM.WAY O Or ACCOUNTS._i/v PAFTAInm BY mi DEPARTMLYr(WLOCAL GOVRKNMR.'i FINANCE MVI.I-E_-r.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1144-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necesrry to allow county government to better monitor homestead
tiling..This information will be kept conlideluial and can only be accessed by authorized county officials.lie tkpanment of
Local Government Finance will tau this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Bazer, Regina E
8 1 1 S Prince
Princeton IN 47670
901
811 S Prince State Parcel Number Legal Description
Princeton IN 47670-2625
�rtt���trttt�t�t��ttt t�r�t�t�tt tt��tr t���r�rt� 26-12-18-102-002.577-028 019-02577-00 PT NW NE 18-2-10.17 AC
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Spouse First Middle Last
t /kJ a 1 Fee r
Mailing-Address(Number and street,city,state,and ZIP code) ❑ Same as property address
?it ,S ?C : .mac e S k %- : A.,c e o-•, .L/-J (176?a
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.
0
� A rt•� t CLAIM FOR HOMESTEAD PROPERTY TAX
- � CREDIT/STANDARD DEDUCTION
t � State Fwm 5473 (RS / 70-0t)
°° Presriibed by ihe Department of Local Govemment Finance
FORM YEAR
H�,o � a 6�
INSTRUCTIONS: See reverse side /or filing insfructions.
�.:..��.� �-��' ���,-'
ihe follo g described reat property which a Homestead Property Tac Credit is hereby daimed:
/
S� I(We) owned ❑ Are buying under wniract
�ave a benefidal interest in the entity that is liable for the properry taxes on the property and that owns the property or is buying under a contract.
11 buy'uig on conUad, Fee Simple owneYS name
Recorders olfice where conVad is recorded
Couny
Tavnship
T�ting
Record
//� S� �� O Legal deunpUon Is the property in que n:
pC eal properry ❑ Mobile Homo (l.C. 61.7-7)
I tha resWential sWCWre or �he land not exceeding one (1) aae l�at immediately surrounds thai sWCture is used lo produce income. desaibe the use and portion
utlized to produce income.
t �il°�� -.����.Y.t`a..�zfSx��� •`" r' �i��'2+ s. »-� ' l��e.` »�`S -� :���_�.,� ..
<_.,r,°,a?,,,;,.;� ;=,x„STANDARDAEDUCTION ALLOWANCE E_s,.�•„�.i.�`n�..��,, _.!���s., , � ,,M. _,: �-
20 _ Pay 20 _
Lesser of 1f2 Homestead
V�uation or $6,000 S
Sgnamre ot Audriw Date si9ned