Homestead_Hicks. a1ETE r11RAI.tWIrz_r a., IR1qUarIsomumaA
.ArPM'EnbYRVEMNRnMAlm*N6low rrrr,IBEDBY7Mr UEPN RMFYt(il(S.LLrAatNME%rin:.ASCEIC.Ar!.A.I
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Ilomestead fraud causes'higher tat bills for all:therefore.
flEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they at eligible to receive the
benefit and to provide additional identifyine information necessary to allow county government to better monitor homestead
filing+.This information will he kept confidential and can only be accessed by authorized county officials.The Depanntenl 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
Hicks, John C/Constance J
505 N West ST
Princeton IN 47670
2454
John C/Constance J Hicks
505 N West ST State Parcel Number Le°al Description
Princeton IN 47670-1437
ItlrtlIttt lt11t t1t tt111 11t1t t1tt11t1ttt 111tttt 1r1Et11tt1 26-12-07-102-001.192-028 019-01192-00 FOREST PARK 2 PT
N
PART 2:TAXPAYERINFORMATIQN
Owner I First Middle //// Last
...c.---.0/61
agate illcks
-' g'Addrlas(number and stria&city,state,and ZIP cod:)- -- - H Same as property ad( s.- -- — - . — _
SoS AL X05 71 Sf. Pr;noe�on ) .Z Ai 1i76,70
Spouse First n Middle /� Last
I .OaS7&PCe JatAiter �!/cts
Mailing Address(Number and street,city,state,and ZIP code) ❑Same as pmpenv address
CO 5-- AL Wes).- S--/ / /;nr'eTAlr 1Al V7c070
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 Si attire Date
•
�.....1 �.��A. L1 JL.:LU :M..Lu �..� ♦..., w.i1��1:�:�1V:0.:i4
, .� CLAIM FOR HC!''ESTFAD PROPERIY TAX CREDIT FOR YEAR ]9� ��✓
_:-. SEE BACK FOR..FILING INSTRUCTIONS �� - �ll.�l01' d d
I, �'�,re ) � " C:. �� � oertify that an the lst day of
M• h, 19 , as our pru�nal pl of res3denae the follqwing deacxibed real
'��erty a.: Har�estead .Pzoparty Tax Qreclit is hereby bei.ng clai.med: +
I (We) �owt�ed'� '''``r`: `� ;.'r.'. . .
, ❑ 8Te bup!11x� uildet. oDntlact' � ' . ' � ' .
� �1dV9 8. �'if�ni n] C ]SI �1@ t�dXpdj�El . . �' �//J /�f , � � .. �
PZ�D�@S'�Y � DBBCr�OS1�. j.T1 �� (�11i1� /. �/�[� '�bFRI$�llp
Taxing Dii.stslct . (City.. 7bwn. ZbwnsluP) :
Paroel tltnber _ �'° ar leg desrriptinr�► on tax statenent:
_ .. :.. . „ ' :�4Zn� 7<' )`''�„�;' o� ��
>,�- •�-- --- ,
•".'. . . „ . . _
If buying om m�tracii "Ow�ra .x�auie (fee sim�le owner) ' ` �
. . �� •
O:mtract�� reooxde9 �in Remrdes's Offioe - Reoord Ab. Page
If any portion of the residential �re or the land. mt e�eeding one (1) acre that
inmerliately suszoiriis that atrtr,�tine ia used to pmchioe inoane. �aa�+►p the use airi partiaai of
the pxope�tp •� { t i� to gmduoe in000ne .
. ....�:- ,.,.. _. . . • x�.
� . .. . •.;p•( . ' • , � . - . .
AITy O�1BI. �tIIlt�B � �21 Md1LCt1 ��V�LYil. OW718 Or �8 �].T1CJ Z'edl pYOj�ESt,j�i •�IIIIt . ZbW118�Lip
� � _ �� i . , .. . . - �, , ', .
. • .� , .. '.-u,�. � . • ,. - � .. . � .. .' . .
OBI'�� �}� 8b0'V� BtBtHl�lt 18 tI1]er GSJYi9Ct BfY�
� o4r-r 5�76 id
IrdividuaY either owns or is buying uner a aontract that pmvides he is to pay the
property ta�oea on the�residenoe, o� has a be.neficial intarest in the tax�yar. .
..� - F(1R ASSESSOR � S USE ONLY -
� Tsue Cash
� � Value
Lai�d rot exoaedi.nq 1(or�e) acre LRnediately_
s�srotiu�ding xesi.dential iap¢ovsnents �' (1) ,3 % �{j
Othar Lar�d . � . (2) —
Toral Iana . : .
Residential Inp¢�ovmBrsts "
ott�r �,�o�erer,ts _ .
�ib �: L�u+ovanents -' Line (6) plue
I hesebY certify the abwe is true,
� . � ts) 3� �ro
Dwelliry9 (4) ��DOO
Garage (5) �-
Total (6) // DDO
. n� —
(7) �e. (B) , (8) �� DOp .
carrec.-t� and out�lete. �
- ACT1oN BY a.uplTnR -
Ap�rovc�d: �� �.s ..,✓ � Date: _Jr" ^ 3 - �5�._----
� � .
Assessed
Valuation
%��o�
--�---
iac.o
Date
iiarestead
Naluati.on
%aGo..
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