Homestead_Burr (2) STATE FORM!,,,anr_',!Nr TREASUL a roam n-ut
.VrnO.FD BY MATE MNRDOFMVi*.'1(a/v rtE9(WBEO BY nir OEPARThe4T<F UA;AI&MSRMMQ.'r FNA%CE MLEI-r4.1
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-700 requires taxpayers who teethe the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying infornutwn necesory to allow county government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county officials.The Depanmcent of
Local Govarunent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Burr, Raymond A/Nancy L
874 S Hall
Princeton IN 47670
1382
Raymond A/Nancy L Burr
do Jennifer Carter
824 S Hall State Parcel Number Legal Description
Princeton IN 47670-2332
ItIuIIutIJlnlntlllun I I ItutllutltlnitltlttllltttI A 26-12-18-101-000.077-028 019-00077-OOL E WOODS 18
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
RRymoNt) pk,-r nf Bo&R-
�ng Address(number and street.city,state,and ZIP code) Same as property address
RAH{ s • Pao. PRINCLTON , t"f- 4711970
Spouse First' Middle Last
KANei . LEE g ukk
Mailing Address(Number and street,city,state,and"LIP code) E Sane 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 FORM YEAH
i;y rt•� � CREDiT/STANDARD OEDUCTION HCio
,�� j SWte Form Sa73 (R2 / 5�92)
s�
u�.
INSTRUCTIONS: See reverse side lor liling instruIXions.
. . .. , . . . "� CERTIFtCAT10N STATEEAENT '- . _ -_ . . . . .
I (We) i /y< .' v.... . . .. . . . certity th t��t [Iay of �Ma h, �
I(We) occupi as our principal place of residence the foliowing described real property for which a Homestead P��y Tax Cr� is her�y�med:
I(We) owned ❑ Are buying under comract PVp\Z�
Have a beneficial interesi in the entity that is liable for the property ta�ces on the property and that owns th�ro - r �jYunder a coNraa.
. - .. . �: . _ �.. a, ,.; , .. CONTRACT RECORDED,�.� ' � °. _ .; ;�_ _,,: : . .
�..-: , . ......,�. ��. �.:; ,_._. .�?:;'.. .
Ii buyirg on contraci, Fee Simple owner's name
Recorder's oHice where comraa is recorded Recortl number Page
... s='.. . ' .
Counry I TownShip/,/� , {�
, s� �y ,�,
P�ey�lnbe���r��—�� ILegalde5tription
J/`� �
If any portion of Ne residential structure or Ihe IafW not exceeding one (1) aae [hat immediatety sunountls that swcnre is usetl to produce income, descnbe Ne use antl
of the properry utilized to produce income.
ASSESSOR USE ONLY . �UE TAX ASSESSED HOMESTEAD NON-RESIDENitAL: �
- VALUE VALUE VALUE VALUE.. .
Land nm ezceeding 1(one) acre immediatety . .
surrounding residential improvements. �� � I � � � °� �
Other land (p) � ' �
Total land (line 1 plus line Z� (3) I
Dwelling (4) � � �. , � �-
flesidential improvements
Garage (5)
Other improvements (6) �
Total improvements (line 4 fhrough line � (7)
Total value (line 3 p�s line 7� (g)
I hereby Certify the above i5 irue, correct, and Signanre ol Assessor Date signed
complete.
Verityirg action - Sgnature of Auditor Date sgned
_�-�