Homestead_Burns SLATE TORN 5 ..IR3 14M1 o. - .MASOIER PORN TSIA
APPROVED BY STSIF WlARDOF M"tnINTS.]tr PICESOLIBED BY nil OFPARTair Of UR:aL ravommit r fNANCEW 4•1.1-E141
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 exer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 134-1-2000 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings_This information will he kept confdential and can only be accessed by authorized county officials.The Depannlent of
Local Government Finance will um this information to create tots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Bums, Elaine Y __ - —
_— _ - _ _ _ _ _ _ _ — --- - - - - - _ __.__ _ 620 L Emerson S'1'
Princeton IN 47670
2778
Elaine Y Burns
620 E Emerson ST State Parcel Number Leal Description
Princeton IN 47670-1902
IlltrllrttltllttltttIII IlltlttlltttttltI hill III X 26-12-07-204-000.293-028 019-00293-DO NS LOT 2PT R2
Spouse First Middle Last
f/A1 A/6' 7 5g4AS
Malibu!Address(Number and street,city.state,and ZIP code) ffi-Sarne 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 elicible 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.
CLAIh1 FOR HON�STEAD PROPERIY TAX CRmIT FOR YEAR 19� °,/
SEE BACK FOR FILING INSTRUCTIONS ��9- 0��'3- 00
I.-��n�e) ��iQ.c�r�2_Y oertify that on the lst day of
;�, 19 ,,( as our princioal olace of residence the follv,aing described real
rty for which a H tead Property Tax C7edit is hereby being claimed:
I, (We) � aanai �
i
Q aze buyinq unier oontract n"1 �
� have a beneficial i�nte�reJst in the taxpayer . �
Pm�rty Description in �Q%� _.-,1� County � TownshiP
Taxing District (City, Ta•m, 'Ibwnship):
Parcel thm�bes or legal description shown on tax stata��ent:
�.,� a/2a�T
I£ buvina on �ntract: Owners name (fee simole owner)
Contract re..rorded in Fe�rder's Of£ice - Recard No. Page
If any portion of the residential structure or the land, not e�eed.ing one (1) acre that
imnediately surro�u3s that structure is use3 tn produce incane, describe the use and portian of
the pmperty utilized to produce income
Pny other �imties in which individual o,ans or is buying real property:
- �lII1tV `IbrRlSh].P
*Individual either aans or is buying uner a contract that provides he is ta pay the
property taxes on the rFSidence, or has a beneficial interest in the taxp3yer.
- F(1R ASSESS(N2 � S USE ONLY -
True Cash
Value
Iarrl not exceeding 1;one) acre inmiediately
surrourriing residential i.�mv�neints (1) /530
Other I.and
Total Land
P.esidential Innrvv�rnnts
I)caelling
Garaae
Total
(2) --
c3) lS3o
(4) �%?O
(5)
(5> �??o
Other I�rovanents ( 7 )
Te '� I�iov�nents - Line (6) plus (7) equals (8) (B) ��? �
I he�seby certify the above is true, correct, arxl �mlete.
�
Aa�:ova.-' :
- ACTInN BY AUDITnR -
Date:
Assessed
Valuation
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Date
Hanestaa�l
Valuation
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