Homestead_Higgins SLATE FORM•a!N IR:I NFI TRPlA:EFE011247.}1A
.SP?ROCEO By STATE BUVtDOf MOXaTS,NAP rrInmm BY Tilt DEPARTMENT OF LOCAL CUv—ctxMENT FINANCE MO-IA-224i
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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.Homestead fraud causes higher tax 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 government to better monitor homestead
filings.'ntis 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 tats that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Higgins, Maxine
226 W Warnock
Princeton IN 47670
696
Maxine Higgins
226 W Warnock State Parcel Number Legal Descriptior: %
Princeton IN 47670-1434
1111111 nr((tt Itt 1rr1t1r11trr11r r1 26-12-06-304-002.207-028 019-02207-00 FOREST PARK 41 PT/42
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•Y%2G - , •
tg Address(number and street,city.state,and ZIP code)
Same as•ropeny address
202 G �G c c 17'
7z7o 7,-.2
Spouse
v/�/� q�,_ First Middle Last
L-/L . /
Mailing Address(Number and street,city,state,and ZIP code) • ❑ Same as propeny address
Social SecurilyNumber(lasts digits)--I Driver's License/State ID Number-014S digits):- Other(please spceify.in Pan 4 below)— -- -. ---
saw
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.
Owner I Signature Date
• I
,�f Q
�a� �
:��±,�-
� _��
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Form 5473 (R2 / 5-92) �
INSTRUCTIONS: See ieverse side for (iling instructions.
FORM
HC10
YEAR
� • CERTIFICATION STATEMENT
r��'.l �T .� �- _�',
I(We) � certify thatbr�Ui��1st d�y�of Nlarch, 19_
I(We) occupied as our principal p�ace of residence the fol n scnbed real property for which a Homesiead Pro�erty TaeCredi4 is lier2�by�claimed:
❑ I(We) owned ❑ Are buying under contract � �nr J �� �
❑ Have a beneficial interest in the entiTy that is Iiabie for the properry tazes on lhe property and that owns the prope yrt -o�s bi ying�InBe a wotract.
! , / �C n /1
CONTRACT RECORDED t; 1 , . . .�,�--fS.. �.J�$: � � /J. [/
If buying on contract, Fee Simple ownels name i.� - -»,� y -�— --_ -
Recorders office where contract is recorded � . _ Record number Page
PROPERTY DESCRIPTION
Couniy Tovmship Taning di5lric[ (City, town, fownship)
Par i numbe� �� �� legal tlesc �� � �
If any portion of Ne residenlial shucture or Ne IarW rrot ex i� one (1) acre thai immediatety surrounds Nat st cture is usetl t roduce income, describe ihe use and portion ot
the properry utilized to produce income.
PROPERTY OWNED BY CLAIMAN IN OTHER COUNTRIES
Counry TOVmS�ip Coun Township
ig at re of Gaimant
, ereby certiry the above statemenU are true, correct and complete. "/ '
w!�
Address(num6erantlstreel,r�ry,s(ate_ZlPCOde) � � � � (
b w �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatery (��
surrounding residential improvements.
Oiherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify Ihe above is true, correct, and Signawre of Assesor - Date signed
complete. �
Verifying acUon - SignaNre of Autliror Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead $
Valuation or 52.000
SignaNre of Autlitor Date i ned n
�O V