Homestead_Buchanan •
'MATE FORM!!Y+IR:/!+n1 larAnitEA FORM:}IA
APPRO..ED BY',TITS wMPO(N MTYIETS.inn NU:SOUSED BY TIME DEPARTMENT OF toAE rMtRYV.GT FINANCE MBI.I-r4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344--200c requires mapavers who receive the homestead standard deduction to serifv that they are eligible to reetne the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing,'.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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Buchanp(an, Robert/Caroline
201 Olive DR
Princeton IN 47670
1620
Robert Buchan/an
201 Olive Dr State Parcel Number Legal Description
PRINCETON IN 47670-3457 A 26-12-18-403-002.574-028 019-02574-00 ROSS PLACE 20
1111111111111111111a 11111111111111111111 lI ll l
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
)\D'tS- . _ � Leon �lxc..\13--yr%CLV1
ing Address(number and sweet.city,state,and ZIP code) Same as property address — —
Spouse First Middle Last
e_c,_r 0 1:n.2_ c-RoVbecec` ` LAc-kc,rnC,v1
Mailing Address(Number and street,city,state.and ZIP code) fa Same 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 Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slete Fam 5173 (R6 / 4-03)
Pro9aibed by the DePertrtrorM1 of Local Govmnment Finaxe
wsrRUCnoNS: s� re�. a�a, a�q:�m�mw,e.
y��
��DM�? YEAR
r�S�a )L J
AUG 2 6 2005
I Mle) Al i s r tl� 6� u ��f aX b l��e ��^�.,� cer(li�a��r�thi�lday diNarQch. 20
,I}(,Wne) occupied as our principal place of residence following described real property for which a Homestead Property Tac Credit is hereby daimed:
L�f(VJe) owned ❑ Fve buying under wntract
�1
' Have a benefidal interest in the entity that is liable (or ihe property taxes on the property and fhat owns the property or is buying under a contraU.
If buying on conirad, Fee Simple owners name
RemNefs
Counry
Tamship
tlistr"vy (dry, town,
Parcel number Legal description Is Ne
a.14 -�25��-a
If any portion of ihe residentla� sWdure w the land na axceeding one (1) ace that immediatety wrrounds
of the proparty uLT¢eE W produce iMOme.
County
Tavnship
I hereby certi(y the above sWtements are W e, coned and complete.
(number and slieet, ciry, sfafe, ZIP yode)
Coun�y
ot
Record number � Page
in question:
�teal Droperty ❑ Mobile Homo (I.C. 61.1-7)
2ure is used to protluce inmme. describe Ue use and portbn
Tavnship
�;�� `�A ESSOR�U EONLY�a �� 4��`' ��'�,TRUE�TAX�-5 ASSESSED�VALUE �'HONIESTEAD�'`' �y'i�'NON`-RESfUENTIAL p�,,�'�
�'�i H�� r �°� �aVALUE�,�� CATq700%OF�'TIY� �� VALUE� a�,�'� i'''VALUE ,��'�'
.�'�'.,.�33.T�3'1" 3.�.P's.:. r�� - � .tc.. �e..f.-. _ o�, -L: � � <..� ° �
Land nol exceeding 1(one) aae immediatety i��;�-z, :"'�.,,�� n� �'�;G
surroundingresidentialimprovemenLS. (�) ?;.. ��t,�+y-'��'� �-`.-�.'�b'r'�t:
!i��� Fs-'Y .
Other land (p) F#�����
Tdal land (line 7 plus line 2) �3)
�{.- v-,r .f;,,.va.-yF=t�
Dwelling (4) � i�,..�'s�Q�a.;`" ���rj� T`�:
�Residential fmprovements orMnua�y �t�e^'A'�`� �.•.=�•°�'�"` �
Aasesaed AlohUe / ManufacRired Home Gare e ;�'� `t =� `��.�'.`�'''� q.
9 �5� ;"-� -����'��.�~���
"-���..''#°-{'Z�.'''"�'��� .�--`�?e
Other improvements (6) :� ;-� `^srs �
="iii�`t"?'i.t -.�
Tdal improvements (line 4lhrough line 6) (7)
TUaI value (line 3 plis line � (g)
I hereby certify fhe above is We, corred, and Signawre otnssessor Date signea
complele.
Verilying aclion - SignaWre ofAutlitor Date sgnetl
20 _ Pay 20 _
Lesserof 1i2 Homestead
VauaUOn or 535.000
S
SgnaWre of P+iddw n� " � � � Date