HomeMy WebLinkAboutHomestead_Cain MATE FORM 5'W IR_t HMI TRLASEtIA FORM 711A
.APPROVED BY SLVEwwRo Or ACCOUNTS.!vu PREYIUBU or tarnEPARINMNr(F LOCAL oovgRYNEAT FPANCE IC 4-1.:t22.11.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individua6 and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
--s.
more beneficial.there a more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
' benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he 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 feud.
PART I: PROPERTY INFORMATION _ _ ___ _Tat,
— Taxpayer Name Property Address
Cain, Max/Betty
— 425 W Mulberry
Princeton IN 47670
2919 •
Max/Betty Cain
425 W Mulberry State Parcel Number Legal Description
Princeton IN 47670-2345
I r l t t l l r t t l t l l t r i t t tilltttt tIt itt llt tlttltititttirit itltt it itl k 26-12-07-303-003.417-028 01303417-00 PT SW 7-2-10.16 AC
Spouse First Middle Last
1„d ) b
Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as popery address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Sum
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is rate 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
/
�, N� . CLAIM FOR HOMESTEAD PROPERTY TAX .
= CREDIT/STANDARD DEDUCTION
S ' State Fwm 5473 (R4 / &00)
ui.
INSTRUCTIONS: See reverse side lor filirg instructions.
FORM Y�R
HC10
I(We) 1 � certify ihat on the tst day of March, 20_
I(We) ocwpied as our princip ce of residence the following described real property for which a Homestead Property T�c Credit is hereby daimed:
�(VJe) owned ❑ Are buying under contrad
ave a benefidal interest in the entity lhat is liable for lhe property taxes on the property and Nat owns the property or-is buying under a contrad.
II buy"ug on wntract, Fee Simple ownets name '�-
Recordels otfice where contract is recorde0 - � • . ,.,. - � • . _ , Record number Page
Counry TownsNP Tadng disVict (ci(}; town. (ownshrP)
Parcel number Legal descripEon
- 3 ��. � �a-1 �. ba9c.
If any pwtion ot Ne residential sWClure w lhe Wnd rrot exceeding one (7) acre that immediatety surtountls ihat structure i5 used to produce income, Oescribe the use and portion
of the propeny utiizetl ro protluce income. � � .