Homestead_Gonzales (4) stnnn FORM Me.tPC 041.1 - TREASULE;FO/LM:a-u
APPROVED BY STALE BOARD or YYM:MA.Mao Ptrnans BYnlr DEPARMe`IT Or LOCAL C-0VCLVsrs,FINANCE IC 41.1-21t1
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 incenthr than nor for homestead fraud.Homestead fraud causes higher tan bills for all;therefore.
0 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
FILEDyam, benefit and to provide additional pt c identifying information and necesaana to allow county government to better monitor homestead
J/�J filings This information will be kept confidential and roe only be accessed by authorized county Officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
FEB 6 2012 Taxpayer Name Property Address
C d Gonzalez, Edgar T
1902 Taylor AVE
GIBSON COUNTY AUDITOR Princeton IN 47670
1225
Edgar T Gonzalez
1902 Taylor Ave State Parcel Number Legal Description
PRINCETON IN 47670-3206 _
ItlrtlltttitllPtlrrtlll IlFtrltlllttttllttlltttttlrltrllll 26-12-08-203-002.689-028 019-02689-00 DIKE ENLG 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. -
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�� �r -t
I0ntafs 0Cz_c_Ie �
to Address(nun.and street,city,state,and ZIP code) n e'�ame as property address
161D2— 0.-t//or Ade 2noCe-kt,v ZAJ 476'70
First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) I Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sea
i" PART 3:CERTIFIC<TION'
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, 1• t r she may be liable for back taxes and substantial financial penalties.
Owner 1 .gnat• Date
•
i�`��""°- CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUC710N
� ��' SWte Fortn 5473 (R2 / S92)
•��
INSTRUCTIONS: See 2verse side for �ling instructions.
FORM
HC70
YEAR
� CERTIFI STATEMEN
I(We) ' ` ' i� that on the�lst,day ot March, 19_
I(We) occupied as ou principalplace of reside e e followi escribed I property for which a Ho ead P�ro�erty �7i Cr�iit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract � J �
❑ Have a beneficial interest in the entity that is liable for the property taees on the property and that owns t�lopQty'�or�i�6uying under a contract.
�� ,
CONTRACTRECORDED (,-� �
It buying on coniract, Fee Simple ownefs narne %' ��'✓1N J�
�" � ,�uSCN GpU TY AUDITOR .
Recortlers oHice where contract is recorded Record number Page
� PROPERTY DESCRIPTIO
Cau Township Tawng tli � 'ry, t , mwnship)
P cel r Legal descnption
a� �
If any ponion of the residential structure or Ne land not exceeding one 1) aue that immetliatery su tls that ruaure is used ro produce income, describe the use and portion ot
ihe Omperry uGlized m protluce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Caunry Township Counry Township
S' , r imani
�ereby certity the above siatements are true, correct and complete. � (�i�t l�-
[
d (� /bg5�np�t. d n , ZIP codel /f . �j/� L n � �� �
( U c.� i �v'�° �-
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediatety (��
surrounding residential improvements.
Otheriand (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvemenis I
Garage (5)
Oiher improvements (6)
Total improvemenis (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
1 hereby ceRify the above is true, correct, and Signamre of Assesor Dare signed
complete.
Verifying action - SignaWre of Auditor Date signed .
STANDARD DEDUCTION ALLOWANCE �
19_ Pay 19 _ .
Lesser of 1/2 Homestead S
V lualion or 52,000
Si re of Audito Date sign