Homestead_Gooch • 'mm (110]AM,R/+wl MEASLIER FORM DS-IA
AFIWWEn nY STATE MAROCEMVTIINI 21, Ftr9(1RED BY TIIf Dr PARINEM IR LOCAL FAN?RYMF.t"T FINANCE ICVI.I-L--L.I
Gibson County Auditor
101 NMain -1 IMPORTANT NOTICE TO HOMESTEAIiI PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eter for homestead fraud.I lomestead fraud causes higher in bills for all:therefore.
• REA 1347-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to remise the
benefit and to provide additional identifying information necesssan'to allow county-go.emment to better monitor homestead
filings.This information will be kepi confidential and can only be arcecsed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Gooch, Ricky/Kristy L
223 F Clark
Princeton IN 47670
3095
Ricky Gooch
223E Clark State Parcel Number Legal Description
PRINCETON IN 47670-2109
�
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;.PART 2:TAXPAYER 1NFOR\IATION
Owner I n First Middle g Last
711,Addles,(number d s art,-city:sate,-and ZIP code) - -
_r, ` ragas property address_ _ _ _ _ _
a ? GCkt • Prcvi T
o
Spouse First Middle Last
1}-{ nn bLU►
Mailing Address(Num&e d street,city,state,and • ) Sae as property address
pa�E - D_cLda. Lvt Tu rnc-icQ�o
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 Telephone
(fitespede j2_
Spouse Signature Date Telephone
� PA�RT t4:ADDITIONAL INFORMATION
•
�^"R i CLAIM FOR HOMESTEAD PROPERTY TAX
i��� CREDIT/STkNDARD DEDUCTION
.,`�.; � Stale Form 5473 (R2 / 5-92)
�su .
INSTRUCTIONS: See �everse side !or 7iling instructions.
. • . n . . .. ..�..����...��
- FORM AR
HC10
'"ve� _ • �� certify that on ifie 1 st �
o pi as our pri � i al pl e o residence the following described real property tor.which a Homesiead Property lll/�
1"111f\
�' I(We) owned Are buying under coniract - /�
❑ Have a beneticial interest in the entiry ihat is liable for the propeny taxes on ihe property and ihat owns ihe prog�rty or is �
��tw�a/v
Gl9.SON C
. �. � . . CONTRACTRECORDED - .
If buying on convact, Fee Simple owner's name . � '
Recortler's oNice where contract is recorded Record number
a
Page
� �PROPERTY DESCRI ON -
Counry - Township �' '- Tazing s� �a' , t.�' . nship)
Qer�e ,u be^� ^ O Legaldescription
J
If any ponion of the residential strucWre or ihe land not exceeding one (7) acre that immetliately surrounds that structure is used ro produce income, describe the use antl portion
of the property utiiized to produce inCOme.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
p Counry
�eby certify the above statements are true, correci and complete.
Address (numbei and StreeC city, state, ZIP code)�"'�
�a� � • � �/1 C�C _ L�"�A�[�I�'CY��
� . ASSESSOR USE ONLY �.
Land not exceeding 1(one) acre immediately
surrounding residential improvemen[s.
Otherland
Total land (line 1 plus line.�
Dwelling
Residential improvements
Garage
Other improvements
Total improvements (line 4 through line �
Total value (line 3 p�s line �
I hereby certify the above is true, correct, and
complete.
(�)
(Z)
(3)
(4)
(5)
(6)
(�)
(8)
TRUE TAX
VALUE
of
�4Zc7
ASSESSED
VALUE
HOMESTEAD
VALUE
Township
NON-RESIDENTtAL
VALUE
Date signed
Date signetl
� - � STANDARD DEDUCTION ALLOWANCE �
19_Pay79_
Lesser of 1/2 Homestead -
Valuation or $2.000 � _
Signalure of AuCiror Date signed