Homestead_Stott SIATEIOLM..'ta 1R_/.J+I - 1PFANEEA FOAM ZIA
APPROVED BY SLATE IYHRO MrM ( TS.TTw PRFaIUAFD BY TIE nrpA&en Or LOOM.C ILNMFtRreeAscEICLI.I-2:4.1
Gibson County Auditor
101 MMain
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.Homestead fraud causes higher tat bills for all:therefore.
al HEA 1344-2009 requires aspayers who receive the homestead standard deduction to serify that they am eligible to Incise the
benefit and to provide additional identifvin_ information recesatry to allow county gtTRnment to better monitor homestead
filings,ibis information will he kept confidential and can only he accessed by authorized county officials.The Depanmenl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Stott, LesaAEtal 3% 41 E a50 S
R2
Princeton IN 47670 ect
4089
Lesa A Stott Etal
3841 E 250 S State Parcel Number Lezal Description
Princeton IN 47670-8809
I I I III I III I I I I I I I I I I I I I I 26-12-26-100-000.679-004 002-00679-00 PT NE NW 26-2-10 1.50 AC
I u ur t u ru ut .. r .i r rn r ur el ur r n ' 010
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
LESA hN )J ST of T
tg Address(number and sere.city,state,and ZIP code) -- - ----- - - Smce property address
7A-I E . so S PRi0cf-1o0 J & ��6� 0
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ 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)
Star
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. ___.- - - -
r I Signature Date '
7
RiW*. Iiiw ■ ZU
13
CLAIM FOR HOMESTEAD PROPERTY TAX JUN 1996 FORM
CREDIT /STANDARD DEDUCTION ;T HC10
State Form 5473 (R2 / 5 -92) ajrl/
INSTRUCTIONS: See reverse side for filing instructions. AUDITOR -
YEAR
1 (We) Q)L � certify that on the 1st day of March, 19
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
6I (We) owned El Are buying under contract
i
Have 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 o °ice where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
owns .
Taxing district (city, town, township) -
Co
Parcel number
Legal description
ress (number and street, city, state. ZIP
R R a Qo X) 5 zl
yl/ moo. �� a
If 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.
(2)
C
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature ofmant
ress (number and street, city, state. ZIP
R R a Qo X) 5 zl
yl/ moo. �� a
Signature of Auditor
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2.000
Signature of Auditor
Other land
(2)
(D'
Total land (line 1 plus line 2)
(3)
1
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
�1 STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 112 Homestead
S
Valuation or $2.000
Signature of Auditor
Date signed
(D'