Homestead_Beckel SIAM FORM'pr.IA:14M1 IAFASUREB FORM>IA
Ante'.En DV WWI WARD Or Atern ea%9r, PP.ry(AIBm BY ItIC OEPARTera OF LOCAL CAI'RNNrwr FIANCE le 6-1.1.2:44-
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 eter for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow counn:government to better monitor homestead
filing.This information will he kept confidential and can only le accessed by authorized county officials.The Ikpan colt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beckel, Eric E
804 S Gibson
Princeton IN 47670
1495
Eric E Beckel
804 S Gibson State Parcel Number Legal Description
PRINCETON IN 47670-2610
Illrlll llllllll llllllll I I II 'll'It rllll ltlttlrtll tl X 26-12-18-201-002.508-028 019-02508-OO PT NE 18-2-10.20 AC
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 •' vo
Owner((I First Middle Last
bV (_,
fistC Address(number and steel,city,state,and ZIP code) Dame as property address
B0q S - Ori bS61tSL • c)t• hU- tl q, CO o
Spouse First Middle 'Last
NK,I �-lq e„�{ ke_(
Mailing Address(Number and street,city,state,and LO'code) E.a tr as property address
�6 U `� S . C`l �f..� S - c)f n C._e11'l f�N 4 -2 (1 70
0
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PART 3:CERTIFICATION J'
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 Signs / Date
� CLAIM FOR HOMESTEAD RROPERTY TAX
° CREDIT/STANDARD DEDUCTION
t �w State Form 5473 (R6I1-03j
- Prexribed by Ne Departmeni of Local Govemment Finance
INSTRUCTIONS: See �everse side lor fiiing instrvcfions.
FORM � YEAR
HC10
I(We) C/ l.( Ji�C al certity tha�t o�nn t�he tst 7da�j �fnAr,Aarch, 20
I(We) occupied es our prindpal place of residence the fdlowing described real properry for which a Homestead Properc�YT�r�di415Adreby daimed:
❑ I(We) owned ❑ Are buying uMer contract � /�/!��
, Have a beneficial interest in the entlry that is �iable for Ne property taxes on the property and Nat ovms the prope�qayuy�n¢'Gadar a conVact.
If buying on wntract, Fee Simple ownafs name
whera cortvaq is recorded
Tpvnship
town.
number �Page
i
� V�/ / � � L..`J I �epanpescnpuo / y�� I V _ / ' /� ) Na pmperty� estlon: � ( �
{�
i �� r � D�PertY ❑ Mobile Home I.C. G7.7-
It arry pwtion ol Ne residantial StrucWre or the land rql azceeding one (1) aae ihat immediatey surtounds Nat strdctura is used to produca Income, descnbe the use and portion
w me wopem amizea w proauce mcon,e.
�``�,�� ��`A�ESSOR USE ONLY� �4r�,��'�i �"�UE :TAX''i���y` A.AST.-E OX OF TTV4 � HOMESTEADi ;i„ 3 NON �RESIDENTIAL�� �
'�w , �°`VALUE:-�', _ .iVALUE., �t - �VALUE -. 4'�
._n...rs...:"sre'�.�,:�s�:*:tfiw,�..:��.,. ....w ,.� .� � ..-, �.� i. .� ._._„+.,... �.,, � � -
. `_<r`e. . .y,
Lend not exceedin�g 1(one) acre�immediatety ��� ;i y�`s�. 3�" ti.,e--� �-',r
surtounding residential Improvements. .`,,. � �� +,y "
_ A i, a1;. :$n ..n _ � 4'� r<SY .—
x S './
Other land �p� T -;"t L 3.;.; ,;
.: ��.
To[al land (line 1 plus line 2) �g�
�`ta °`� `CJ �' ...- `c 4<-i 3 s r.�
ResidentiellmprovementsorMnually �elling (4) � i��:,,�.�s� }ta 4"-h #�
���
Assessed Mobile / Manufactured Home '7�iy°-.aa^' �F � ,,�;<- q�`:
Garage (5) '3c< a ��' a s` �x� �;_�.�,,,'i
�''" > :
O�pe� improvements (6) �- � � �?;a� �> "'�+
..�}.: "=`..y,"..sx•.aw`
Tdai improvements ((ine 4 through lirre 6) (7�
Taal value (Ilne 3 phs line n (8)
I hereby cerUfy the above is We, �t and � si9naane atFSSwsor - Dam signed
complete. � � .
Veifying ecUon - Signeture of fu�ditw Data signed
20 _ Pay 20 _
Lesser of 12 Homestead
v��eno�, or sas,000
3
oetB�,�-a �-o�—