Homestead_Amsbury ' vrArE WRM!)!Mla_/ford IIIMt2flFO M i}IA
.Arrtta En BY CinrEBMRnnF MXYt ts'r a._ax PVYIUBID BY Mt BEPA0.TCIr OF LO CALrovttNMrAT FINANCE r
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and nurried couples arc limited to one homestead standard deduction.As the receipt of this deduction become_
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
benefit and to provide additional identifying information necessary to allow county-eovemment to better monitor homestead
Mint,: This information will he kept confidential and can only he accessed by authorised county officials.The Iepanniem of
Local Government Finance will use this information to create uuh that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Hicks, John C/Constance J
202 N Prince
Princeton IN 47670
2745
John C/Constance J Hicks -
Nathan& Heather Ansbury
202 N Prince State Parcel Number Lezal Description
Princeton IN 47670-1816 a ,
1r1n11nt1t11n1ur111 111n1nn11t11n11nn I n1 1 U 03-001.740-028 019-Or74tw0 OLD PLAN 42PT
MAY 6 - 2010
Spouse First Middle Last
ca-10-.ex LNP N Ic - Ar✓o\0
Mailing Address(Number and street,city,state.and ZIP code) IA 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 may be liable for back taxes and substantial financial penalties.
�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Form 5473 (R614-03)
Pres[nbed by �he DeDartment o1 Local Govemment Finance
INSTRUCTIONS: See Bverse side lor liling insfmctions.
�NC�O � � YEAR _
i�
MAY : 6 2004
��
of residence the (ollowing described real operty for which a Homestead Property T�c Credit is hereby daimed:
❑ I(We) owned ❑ Are buying undei wntract
. Have a benefidal interest in Ne en6ty that is liable for the property taxes on the property and fhat owns the property or is buying under a contract.
Tavnship
Gv9-O/ _5�-Uo Icf�
if eny poAion of Ne residenUal sWcWre or Ue land
of the property util¢ed tn produce i�xome.
County
(ci�J, rown,
�/(� 7�j I t�p Real Droperty ❑ Mobile Homo (I.C. 67.7-�
�'
one () aae ihat immediately wrtounds Ihat swaure is used b protluce income. dewibe ihe use antl poNon
County
I hereby certify the above statements are We, wrreG and compiete.
arM sUeet, city, uare,
/
of
Tavnship
' � 3 ��"�-"��� �'����'S3 � �'TRUETAX�,,,,f ��ASSESSED VALUE � HOMESTEADR ' '� tNON=RESIDENTIAL����p�=?
�,�; � A�� 'ESSOR USE ONLY•.�- � - ,�yp�;UE� �` �i` AT 100%'OFam� VALUE� � ,. �`VALUE �'
3-�,a. T�;'�,`:�����_�v.-._ �r � �v''^��,.- .-..��'����c�'�'�,�,.,,_ .,���'i�*
Land not exceeding 1(one) arae immediately �°.,��` `�,�`-'��.�F ,F.��{:i,�-�'�
surrounding residential improvemenis. (�� 4 `���'.�y;������;��'�-'i
Other land `�#`"��'�
l2) t�� �'��..'�
: �., 2:�=�
TUaI land (line 1 plus line 2) (g)
.�, ,� r,� .,n,., ,,,� .
Dwelling (4) ��� .�,- i p S� ,�-,`"�47���
Residential improvements or Mnually
Asseued Modle / Manufactured Home Garege _ (5) . �'g� � .�.� ,F�z��i���
':���{°J��-,�.^;��i
Other improvements (6) ��3"='����u�
'�s^s.:�:'���..'sze_4:��'z
Tdal improvements (line 4 through Irne 6) (��
Tdal value (line 3 phs line � (g�
I hereby ceAify fhe above is W e, corred, and Signamre of Assessor Date sgned
mmptete.
Verifyirg action - Signature ofAuditor Date signeA