Homestead_Blackard RATE 1ORM• YIR2(iwl TREA9:LLA FOAM 31A
■IRMED BY StAlr Bailin OFMfltNRIIm PRrflEIBFD BY 711E BEPMh4Ft(K LOCAL QRYAYNrNTfBAveE ICH.I-1 a.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 r
more beneficial,there is more incentive than ewer for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2IX9 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifyinc infonnavon necessary to allow county government to better monitor homestead
filing.This information will he kepi confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will me this information to create tools that will help county officials eliminate IRrmesarad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Blackard, James A/ Lori A
203 W Monroe
?C. Princeton IN 47670
2954
James A/Lori A Blackard
203 W Monroe State Parcel Number Legal Description
Princeton IN 47670-2449
Itlt tlltttlt11tr1trt1ll tit tIt itlttlt ltt llt lttll 1�t t1t t11 1. 26-12-07-304-002.477-028 019-02477-00 HALLS ENLG 5PT
PART 2:TAXPAYER INFORNIATIOIY
Owner I First Middle Last
Jf1ve.s Bryn V6 l ots—k a.reS
--40gMrca(rr,:mbcrundsr..-:.city-,mot:,w-.d Z!Pcode)- - __— - - - __ _gS_me_property address -- - . - . —
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ('Same as property address
. 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 Signature i4 - II Date
�: _ .
<i���.a CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
d•, •. '=-i—J
-;�` �, ° CREDIT/STANDARD DEDUCTION �`R Hcio
3'•:•,'��..� State Form 5473 (R2/1-90) �' �
INSTRUCTIONS: See reverse side !or liling Instructions. . ,/
' �' � ` • . !� . . .
;;`� CERTIFICATION STATEMENT
(� —P';� ' �p� �, � ^ /
I(We) V��r„��}- rl '.c�� �l�_.!'XL�t�' certify that on the 1st day of March , 1�
:�� � �� ��
!�� occ,jupied as our principal piace of residence the following described real propert`�or vyhp h��r�estead
9 J
Property Tax Credit is hereby claimed: ❑ I(We) owned Arei-bi jm}g under contract
(��a
� Have a bene(icial interest in the entity that is liabie for the property taxes on the property and thaYowns the
property or is buying it under a contract.
If buying on coniract,
Recorder's o(fice
CONTRACT RECORDED
PROPERTY DESCRIPTION
Description
Record
town, township)
e
� - v �::
If any portion of the residential sEructure or the land not exceeding one (1) re th t immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
;;.
'�: l 99 1 loc� (o
,,
�:,
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY �� TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL �:
VALUE
Land not ezceeding 1(one) acre immediately
surrounding residentiai improvements (�)
Otherland ' (2)
Total land - fine (7) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) ihrough line (6)
Total value - line (3) plus line (7)
certi(y the above is irue,
and compleie
� Artinn - Rinnafura n( Ai.
,1989 Pay 1990
!r of 1/2 Homestead
�uation or �2,500
(3)
(4)
(5)
(6)
(�)
(8)
Signature
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 112.Homestead
�' �; i:ValuaUon or $2,000
Date Signed
1991 Pay 1992 19 — Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuatlon or $1,500 Valuatlon or $1,500
of Auditor � ,�r ,� _ I Date
n