Homestead_Held t
MATE FORM!Mee 12'r...'t TPESSURIR rows-its
VPRIAED BY STSTE BMBtl OF M TT Nrs.9n PIrYNBm BY nIT DEPMIYEMT OF LOt'A1 COVEANSinti iDNNCE to i-rat•
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
MOTE beneficial.there is more incentive than ever 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 recehe the
benefit and to provide additional identifyine information necessary to allow county.government to better monitor homestead
filing..This information will he Levi confidential and can 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
Taxpayer Name Property Address
Held, John A/Connie J
914 S Hall
Princeton IN 47670
1393
John A Held
914 S Hall St State Parcel Number Legal Description
PRINCETON IN 47670-2334
II III I III I I II II I I III III I 26-12-18-101-002.032-028 019-02032-00 ROBERTS PLACE 9
t o nt t n nr nm t o ru n n ur r n t o
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 1NFORMIATION
Owner I First Middle Middle He2, > Las t
,T M i`/ . c(/
0,g Address(number and street,city,state,and ZIP code) ❑ Same as property address
7/ Y S Pi /N , 4/74o 7 O
Spouse First Middle Last
CO.vov/e ,T, Yield
Mailing Address(Number and street,city,state,and ZIP code) Same as property 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 .y be liable for back taxes and substantial financial penalties.
Owner tgnature -/ Date
•
CLAIAA FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION b1
stffie Form s/73 (R7 � s-06� � •
P�esoiteA by Ue Depatrrient d Loml Gorarmad Fa�ar� �•
INSTRUCTIONS: See ieverse side for filing ins6ucti�.
FORM
HC10
_
�(�) `-Y� cerfity Mat on the 1 st day of Mardi, ZO_
1(We) oca as au prmdpal plaoe of reside�ce tlie descr�ed real poper�r fa whidi a Hm�estead Property T�c Crcdit is hefeby daimad:
��(We) ❑ Are buyuig unda mntract
Have a benefidal 'urte�es! ui Uie entity C�at is liade for ihe property laxes m ihe popaty and tlwt awns Ihe properry or is buyug under a contract
:"9� :�.' .�..' .:�.` �� �.��: . .�..��.�., rJi.�'7�:.:a�..1:,CONTRACT:RECOFiDmi��".�,.. �;•t°M1:�ti''.7.:r.�'� � �:`w`�i^�s'.ii.,tj'"`i:'iea.�.�'°i.��1`
tf buyip on m�Vac1. Fee Sirtqle awnefs �me
fLemCe/s aiffice where mrpacl is �ewded Recvd numbar Page
�..�'�JU/
I:r`T�
Tomship
I " ' � ��
N enY Wrtio� d Ihe rasiderdiai struchue ar the Imd
d tlre papa'ly �imd Lo prodca i�mrtie.
�.. . „
(i$: mwn. fp�
Is Uia
� � L`�Raalpraperty LJ Ma6ibHane(LC.61.1-� �
ai�aiA tl� is used lo proGce eimnie. deaTbe Me m arW pvtion
I / � . • I � 1 � . � �
� �i � I � i � � / I�i 1
Counry
Tornship
I h�.aeby oertify 9ie above sha6ernents are true. mrred mM cartple�.
�m, LPaoee)
C sT �/�iNc� fi,�J
� 70
_
��..A � ` � l" ,..; �yiry����s, ur7li�lETAX t �" /LSSESSEDVALUE HOlffSiEADp�. Y 2 NON�D@tT1AL"h�,.'u�'
,`!Yi _ 1 nASSESSORUSEOPILY yt. � '� �t;<t .` VAL:UE;q� .� �AT100%OF77V� �*?+x;VALUE.�*�'N` -M1'�„¢`rr��3�dt"wnVAUIE��"2y.5,`.��4"SS..�:.�
"'$:.' N. .� n4 ,,-� n .. y1 _ 9i. a@1 b.(� a w..,..,
Lend na eueadirg 1(me) aae irm�eQia�ly () i s�e r�s`��,1',aS` �£"�9+3`���; �,`�'.;�ffi� �
�ne� .��a� ��+�- � �r �S �.���':�� d� ���'�z� �.
.,..<;,-:,:r f;r:.:
. �, ,,
oa� �a �2� »
, :r � ;,�.,�„�
TUeI tand (1'vre 1 pbslire � �g1
§ Sti� i����M1>' a � 5"4-�'�iY�.�'Y�'!
Resdential'vnprove�,ientsorMrwally ���8 (<1 "4i�r''- ���r � s���,`a���'-3�u'�.��'�
AsseseA Abble 1 Mmpffac4red Home �. {p` ia�r i� � �y���i
��e �5) i+i�'�,`y��'����.'���:ic�:+J.�,
/ �� _,
Otlierimprovert�ents (6) 1 ...,i;t{�'�� 1_�
1..:FJ.1.%aiL,._F/."anrA .�`�.1
Tdal'vnprovemertls (iare 4 t/vou� bne 6) (7)
Talal value (I'vie 3 pGs ffne � (g)
I haeby certify fhe above s true. wrcd. ard S�ee oFASaesmr Date aigied
�lefe.
Wifyinp adlw� - Si�LSe af Au�r Date s�pwd
.l, T,s4i'<ii:.$T/WU/1RDDmUCT10iJiU:LOW/U10Er5 '+';t`°` w.,U�.S'S:° .d��r�:r�i�-.,etK .:�f'����a��f��y,Y4
2b _ Pay 20 _
Lesser oF 12 Ha�estead
Wduatian w 535.0�0 s .
Si�ue af adm. � s�