Homestead_Stott (2) •
SIM E FORM 53,2111::%Ant TRr'ASUtrxr0AM'SIA
xFrRrsEIMPORTANTNOTICETO HOMESTEAD PROPERTY OWNERS
• Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.I Iomestead fraud causes higher tax bills for all:therefore.
• • HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and ran only be accessed by authorized county officials.The Depanment 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, William B/Kelly A
none
Princeton IN 47670
4092
William B/Kelly A Stott
3763 E 250 S . State Parcel Number Legal Description
Princeton IN 47670-8808
II III I III I ' I III I I II II III 26-12-26-100-001.433-004 002-01433-00 PT NE NW 26-2-10 8.6823
r n tot nut tat u t n t tat n n rest nt / AC D10
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
-- -- tS771� - —
g Address(numb er and street.city,state,and ZIP code) LTSame as property address
•
Spouse First Middle Last
A' 4 cSiaT!-
Mailing Address(Number and street,city,state,and ZIP code) e as property address
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 ignattae Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
w CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
r
1 (We) l r certify that on the 1st day of March, 19
} occupied as our pnnclpal place of residence the following described real propel y for which a Homestead Property Tax Credit is heresy claimed:
f(We) owned ❑ Are buying under contract -
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
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township . -
Taxing district (city, town, township) _
Parcel number
Legal description
Signature of claimant
Address (number and street, city. state, ZIP code)
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. -
Land not exceeding 1 (one) acre immediately
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County -
Township
County
Township
eby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city. state, ZIP code)
ASSESSOR USE ONLY -
TRUE TAX -
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
- VALUE
Land not exceeding 1 (one) acre immediately
'
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2))
(3)
Dwelling
(4)
_
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pfrs line 7)
(6)
I hereri he above is true, correct, and
Signature of Assessor
Date signed
compl
Verifyingnature of Auditor
Date signed
l
STANDARD DEDUCTION ALLOWANCE
19_ Pay. 19_
Lesser of 1/2 Homestead
$
Valuation or $2,000
Signature o�`uditor Q.Q (�
Date signed