Homestead_Boling SIAVE runt 51 •(RN vs'O TITAN:ER FOAM 3-IA
Armc,BY STATE MISR°OFHYTI«TS tun PrmmmnY NIT OEPARTMEtt OF LOCAL GOVEINMnnT F*A\TE MLI.1_al
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 ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
0
HEA 1314-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling.This information will be kept confidential and can only he accessed by authorized county officials.The Depannlent 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
Boling, Charles J/Christina L
• 708 S Main ST
/ Princeton IN 47670
995
Charles J Boling
708 S Main St State Parcel Number Legal Description
PRINCETON IN 47670-2650 n
I I I I I I I I I I I I I I I I I I I IIIIII IIIIII II IIIII'lIt III III11II1I I I 1' 26-12-07-304-000.146-028 019-00146-OO PT SW7-2-10.25 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
Owner I First Middle Last
CIerk JaSOn toVkn
�ng Address(number and street,city.state,and ZIP code) r Same as property ad
- 107( s. - tit VN
Spouse First Middle Last
Ch r`Sti na Lee- i r\
Mailing Address(Number and street,city,stale,and ZIP code) '_Same as properly address
-
Each undersigned certifies.under penalty of perjuq•,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 Si Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Steta Form 5473 (R6 / 403)
Prasaibed by Ne Department of loral Govemment Finance
INS7RUCTIONS: See reverse side for (lirg instnictions.
��
YEAR _
� �e� —� ` certify�Lpw.Ih��t�daY of March� 20_
1(We) occupied as ou rincipal place of residence the following described real property ( hich a Homestead Prop T� �C�� eby daimed:
❑ I(We) owned ❑ We buying under contract GIBSON C: NTY ���i ��(�P�
, Have a benefidal 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.
If buying on conVad, Fee Simplo ownefs name
Recorders ofice where conVact is recor0ed
�""���'��.�7f%-?!i'k, m:_���>:. ��'s
w °sY��..�s�to��,�is
Counry Tamship
Tating di5� Scity,�wn, fownship)
mer ,// le � e5G lOn I Is �ile p!o',
- �� 7`� - C� ,� /% � - /�
m o1 Ne residentlal aW cWra or Na land not eaceeding one (7 ) acre that immetliatety wrtounds that
erty uGiized� produce income. .��%�' C
��/�/Tr
o7L-ia-o� 3o��i�Z-o��'
Record number � Pa9e
al property ❑ Mobile Homo (I.C. 6t1-7)
is used b produce income, desfiibe the use antl portior�
-�s.��.��`� ±�,�":�.'�ie:"n+_'�_i�:e?.`�`��.�YS'#.`3,�STANDARD:DEUUCTION�ALLOWANCE:,�.,�;;�.?1ig����"'����_�fis'"'�,���;�;;�
20_Pay20_
lesser of 1/2 Homestead
VauaUOn a E35.000 S
SgnaWre of Audibr � Date signed