Homestead_Heldt •
'1'lE FORM 5'Ma 12/•N1 MAMMA FOAM 711A
s11PtwEn BY Stott B(1•111)Of Accou;tx.9v PRE`%Nnn)BY PIr OFLOC-AI CAn2R.VMFwr ra:ANCE K I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than mer for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity That they are eligible to remise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials,The Depanmmnt of
Local Government Finance will u.c this information to create tavls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
_l r Taxpayer Name Property Address
130110 Fran _) Rapp, John
802 S Race
Princeton IN 47670
1483
Brittney Heldt
802 S Race St State Parcel Number Legal Description
PRINCETON IN 47670-2723
ItlttlllIIIIIIIIIIIlIll I IIiiiIuiIiI iIIill 26-12-18-201-001.858-028 019-01858-00 SS ADD 240
1111(111
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
ri+one c L • 5-I-oc.l!c-r
ng Address(number street.city,state,and ZIP code) 1� Same as property address
Foa 5. cu c RI . Rri n c.e.-wn
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
.
PART 3:CERTIFICATION ------ - . --� -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.
Own ignalure Date
n& smut 'T b hf MI is house . LJat Ort 1st all unr
Ir1I- ns Lai4 jnqvn& Alarm has titan d t `'MockYd-
r.
CLAIM FOR HOMESTEAD PROPERTY TAX
- CREDIT/STANDARD DEDUCTION
` Slata Form 5473 (R8 / 7-07)
` Preunbed �he
by DeparUneMOtLoralGovemmentFinance
INSTRUCTIONS: See reverse side Porfiliig ins6uc6ons.
A FORM
�� HC10
� � � �
YEAR
�
�(�'�e) T certify Nat on the 1 st day of March. 20_
I�e) occupied as our prind lace of residence the fdlowing described real properry for which a Homestead Prope�.,TWC Cred��reby daimed:
�, I(We) owned ❑ Are buying under contraC ��rd��`r �,- -
� Have a benefidal interest in ihe entiry that is IiaWe fw the property taxes on the property and that owns the p��r r3 �ying unde9a �trad.
If buying om m�trnct, Fee Simpe rnmels rmme
Recpdefs at4ce whera
Caunry
Parcel number
ttany portion of the residerrtial sVUClure w
of Ne property utifized b pmduce income.
(ciry, town,
Is Ihe property
not exceedirg one (1) acre Ihat immediately wnwnds Ihal
��-/���-�O/-�/. ��-oa�'
Recwd number � Page
Real property ❑ Mobile Fbme (IC 61.
is used lo produce Nwrtre, deuribe Ihe use and pption
20 _ pay 20 _
Lesser M 12
Homestead Valuation
a
Signature oflwditor
45,000 for 2007 pay 2008 42.000 fw 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signad (month. daY. Yea�