Homestead_Walden .r starI rat"sy-w,III h-tor TR`A%UKLR FOAM IS-IA
AMOV?-131.1 Vi'-IOIRn OF CICA:Nrs.Zug rOFaCRalepnl'n4.IXPARIMGl OF(UC4.COVrX MINI 1 0..4&4 r IC 61.:-224 1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS'.- .
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become,
Princeton, IN 47670 more beneficial.there is more incentive than crier for hotncaerd fraud.Homestead fraud gums higher tax bills for all:therefore.
IIFA 1344-2009 requires taxpayers who receive the homestead standari deduction to y erify that they are eligible to teethe the
FILED benefit and ro provide additional identifying information necessary to allow county government to better monitor hon.eacad
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanmert of
Local Govern at Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I:PROPERTY INFORMATION . -
NOV 1. 3 2012 Taxpayer Name Location Address
Walden, James E/Toni R
CJ.ny
v 115450E
Alp SON COUNTY AUDITOR PRINCETON IN 47670
James E Walden Iliipiiiiim it l ill/HI 011 uI011 II H1111111 01 III -III 00111 iii II II
115450E
PRINCETON IN 47670-8901
"1111'II"I"'1111111"IIIr 'IIIIIII111I'I'lllFllfllrllllllrltlr State Parcel Number Legal Description
26-12-11-400-001.612-004 PT SE 11 210 5AC C-1 D-7
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.
T__-_-_.__„____-_____.____—.PAR112:_TAXRAXERINFOR11IATION.. •..-- :_...1..... Y--------, ------ -- _ --
Owner I First Middle Last
Jihves E o R-I.ozi-J
Mailing Address(number and street,city,state.and ZIP code) Same as properly address
Ii 5 4SD £ {�Qynlcz_rotu /N L/747o
Spouse First Middle Last
7-2N l R N/1-L1? J
Mailing Address(Number and street,city,state,and ZIP code) e-Same as properly 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 nn� YEAR
CREDIT/STANDARD DEDUCTION HC10
Stets Form 5473 (R6 Department Prescribed by the (R6 14-03)
of Local Government Finance
INS j UCTIONS: See reverse side for riling insMicdons. ILED
I (We) ' AA-+ L�-/ certify that on the 1st day of March, 20
I (We) occupied a ur principal place of residence the following described real property for which a Homestead Property Tax C1,i5. he�s�.yYd aimed:
❑. I (We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
Have a beneficial interest in the entity that is liable for the property taxes on the property and that om"s, the property or is buying under a contract.
.r.;
CONTRA CT-RECORDED
t�%;s�`c''�&F -•.'.
If buying on contract, Fee Simple owner's name
Recorder's of cs where contract is recorded Record number Page
`sP.ROFERT.Y.DESCRIPTION'2;-^"'
�+5;•
County
Township
County
Toting district (city, town, township)
County
Tmnship
Legal dpti n
^
Is the props El Realsproperty ❑ Mobile Home (I.C.
H any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
- -` �=• L" x�" r' Y��� "-.,��- ��'�c7��f�!"'ryz --�-a. �P, ROP,ERTY.OW NED' BY CLAIMANT;
IIJ: OTHER "COUNTIES'ix`rrv's.>`',.�r -��
"
��+�`'.�?".�. ?'�b"t�$?- £s{'�r
County
Township
County
Tmnship
I here certify the above statements are true, correct and complete.
Si at of claimant
Ad es (rum'ter lyd street, CR; state, Z(9 code)
X.�iz Do �zs3 4 .-:- Tr
Ir
a -4 "F.ASSESSO USE ONLYY _Y
TRUETAX} .,-z
ASSESSED VALUE
`? f10MESTEAD
1 NON RESIDENTIAL
Z, .-?� .r trr( :_ N;r
.s- VALUEK- t'.�.�'r'
,ATr100 %OF TTVA
1VALUE,�ny=
- sm M E,- s
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
2
()
a -
Total land (line 1 plus line 2)
(3)
'Residentlal
Dwelling
(4).��`
improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus linen
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature ofywditor
Date signed
20 _ Pay 20
Lesser of 112 Homestead
valuation or 535.000
of Auditor
I