Homestead_Boyer 3l ATE FORM'15a I R_/!Jrvt IltESSURER FORM ZIA
ArrRr'[n By MAIL MASC.OF Arn PNTS.Tn PUSCIIBFm BY Mt UEPMiMGYT OF LORAL CAStRNMFI.T FINANCE IC 4-1.1.224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead uaadanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than excr 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 elicible to receive the
benefit and to provide additional iden:ifvine information necessary to allow county government to better monitor homestead
filings.this information will be kept confidential and can only he accessed by authorized county officials.The Department 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
Boyer, Billy D
'` tIN 47
\\f`�\\`\L Princceton n IN Race 1555
Billy 0"Bump"Boyer
1221 S Race State Parcel Number Legal Description
PRINCETON IN 47670-3033
IIIIIIIIIFIFIIIIILttlll
11111 IltttlltttlFIIIIIIFillll 1( 26-12-18-203-003.061-028 01303061-DO SS ADD 208
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
II
tg Address(number�treet.ci ,state, ZIP c e) p.Same as property
1 D\� ► �� . et CO r\'Q"c f x'767
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 Pan 4 below)
sag:
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 I Si nature Date
•l
CLAIM FOR HOMESTEAD PROPERTY TAX
" CREDIT/STANDARD DEDUCTION
t � Spte Form 5473 (R5 / 10-01)
��� Piescribed by Na DepaMieM of Lacai Govemment Finance
INSTRUCTIONS: See reverse side /or filing instroctions.
FORM
HC10
YEAR
� M�e) � �Cl I�JV `7�—�� certify ihat on tuhElrel day oi��ai�cTi, 20_
I(We) occuwed as our prin I place ot residence Ih Ilowing desaibed real pmperty tor which a Homestead perty Tac Cr it i reby d ime �
❑ I(We) owned ❑ Are buying under contrad
GIPSn�� (`n,,..- . ,_.-.,.,
� Have a benefidai interest in the entity that is liable for the property taxes on the property and that owns the property oi is birying under a contrad.
If buying m conVact, Fee Simple ownefs name
Recorders olfice where contrad is recorded
:�^`x�'cv'�h�'�'�e}�.�i-�2F+'�
County � Tamship
disUicl (ciry, town, (ownship)
Recard number � Page
�v rce/l tp�umcer/-� h / j� L tlesc^riDtion(� j� T Is the property in question:
1 1� l)� V b I-(J �CC� Q/ � V� ❑ Real Dropsrty ❑ Mobile Homa (I.C. &1.
N any poNon of the resitlentlei struqure or Ne tand na exceeAinp one (1) aae thet immediatey surrounds ihet sW cNre is used b produca inmme, desrnbe Me use
of the proDerty uWized in produca inmme.
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