Homestead_Harris (6) STATE FORM 53569(53 It-10) TtFAStrt FORM13-1A
APPROVED BY STATE BOARD OF AC(oUVrs,?COO PRESCRIBED BY THE DEPARTMENT OF 41ULGOVEASMEYr FMA`&C 61.1-214J
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNER t..
101 N. Main Street Individuals and married couples are limited to one homestead standard.deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore,
- • HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
S benefit and to provide additional identifying information necessary to allow county gavemment to better monitor homestead• filings.This information will be kept confidential and can only be 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 fraud.
FEDIL - PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address
JUL 19 2011 Harris, Nathan Jr/ ..
328 S Han
C.3.rn..._ Princeton IN 47670
GIBSON COUNTY AUDITOR II011111.�III IIII �IllII II�IIII�II�1[I�IIIII_II-I�II[II IIIII_�II�II�I�II VIII
Nathan Hams Jr.
328 S Hart
PRINCETON IN 47670-2128 •
IIIII"IIIIII'II'IItIIrI'IIIIIIIPIII'II"'P"II'III'1'II'I"ICI' State Parcel Number Legal Description
26-12-07-302-002.893-028 /SOUTHWARK ADD 15 PT
. x
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: - • •
O., I First Middle Last
�U an �,). ' a -rn s •
Mailing Address(number and street.city.state,and ZIP code) 'Same as property address
3a g 5 . 1--/s./7 S-it ri ctcfl. l 2//' /7/ ‘ 7a
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 and substantial financial penalties. .
Owner 1 i try""" ! (/ Date
- -
�rt*° CLAIM FOR HOMESTEAD PROPERTY TAX
'�- � � CREDIT/STANDARD DEDUCTION
'� .. > Sute Fwm 5473 (RS / 70-01)
Presriibed by Ihe Department oF Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing instructions.
��:�.z t `'�. - � - ' +Y�:-� .. . � ., - � CERTIFICA7
FORM Y AR �
H�,o � 6 � j
I(We) ,�\�/vr"'- '
described real property for which a Homestead Pr�a�nv, ,T Credit is hereby daimed:
�(We) owned ❑ !ve buying under contract �--j �� ��
9 d
ave a benefidal interest in the entity that is liable (or the property taxes on Ihe property and Ihat owns the property or+�� b n tra
If buying on conUaq, Fee Simple ownefs name
Retordefs otfice where wnt2d is reCArded
Counry
Tavnship
Taing
�',:�9:: 'ji` a.
�I�p�ber /�� /J� �]�p4 O egal description Is the pmperty in question:
1 �1 i\,/ /� V`� Real pwperty ❑ blobile Homo Q.G b7J-7)
r
If any po an ol ihe residential sWcWre w Ne land noi exceeding one (1) aue tha� immetliatety surrounds lhai sWClure is usetl lo produce income. desrfi6e Ihe use and portion
of ihe propeAy utilized to produce inwme.
County
I hereby certi(y the above statemenls are troe, covect and complete.
�es num6 andsUeef,`�" stafe,ZfPcode)r
_��,.l�l,t7r'f"./�' Ot�n)�
Land not exceeding 1(one) acre immediately
surrounding residential improvements.
Other land
Tolal land (line 7 plus line 2)
Residential improvements
ONer improvements
Dwelling
Garage
(�)
IZ)
(3)
(4)
(5)
(6)
Ta1a1 improvements (line 4 fhrough line 6) (7�
Trtal value (line 3 plis line � (g)
I hereby certify �he above is 1rue, corteU, and sgnamre ot�ssessor
complele.
Verifying action - Signature ofAutlilor
J�
of
signed
signed
��.rt
�"*r5_�:`_�;-��` -fi-,';a"-.-:=i�r ��...b:-'��-u ?�;=..;STANDARD:DEDUCTION�ALLOWANCE �.rv'.r:�"r„?a'r.:re��'} �-��r.�,r'��Yfr:e 'ir..,�.._'!
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuatlon or 56,000 S
SgnaNre of Auddor Date si9ned