Homestead_Hopkins (3) a1ME rorM!)w de/srrl MAA:UR KIM S-IA
APPRO..En BY MAIL'MAD Of AMPI.NTs.],v PV9[RIBFD DV tier DEPARTMENTOF LOCAL 00•EILYMIT1 FIANCE IC C1.1-L'/.1
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 or this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax hills for all:therefore.
all HEA 1344--2009 requires taxpayers who remise the homestead standard de duction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county gocemment to better monitor homestead
filing:..This infotnution will be kepi confidential and can only be accessed by authorized county officials.The Department of
Local Government Pinang will use this information to create tcvle that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Hopkins, Laverne M
No Location Description '
m.
Princeton IN 47670 I
3024 y�
Laverne M Hopkins
101 S Race State Parcel Number Legal Description
PRINCETON IN 47670-2253
Illtrlltttllllttltttllltttttlllttllllllltttlllll 11111111 26-12-07-401-002.548-028 019-02548-00 ARCHERS 2ND 12 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle . Last
i
al,iA Ve-r n �1Ata P_►y.41 - - ,04"/" "Js
u Address(number and street,city,state:and ZIP code). —_ — _ __ __ H.Same_properly oddre s
/d/4 O a / e e t5v' f r:.tht9 -of, r/� 7 74
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) - El Same as property address
Social Security Number lasc5 digits) Drivers Licrnse/Statc ID 'tan&r (last 5 digits) Other(please specify in P •
sent
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 Siitore` Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
- CREDIT/STANDARD DEDUCTION
t � State Form 5473 (RS / 10-0i )
"" Pre��a u,e oe
by partrt�eM d Local Govemment Fi�nce
INSTRUCTIONS: See 2trerse side )or �ling instructions.
FORM YEAR
HC10
�`ILE
� M'e) 1\..IL. �� certity.that on the 1st day�of March. 20�
I(We) occupied as our principal place of res�dence the foliowing escribed real property for which a Homeste � Property T� �Creillf�s here y d � ed:
❑ I(We) owned ❑ Are buying under contract �: G�ggpN COUNT � AUDITOR
�Have a benefidal interest in the entity that is liable for ihe property taxes on the property and ihat owns the propeRy or is buying under a contraC.
I( buying On conVaU. Fee SimpiO ownefs nama
Remrdefs oifica where con4act is recorded
��`�� 'xE���"sa'._'€�,'-.Y�SP''�a''"+�
Counry � Twmship
Parcel mber � T� Lega e:
0
rc eny portion of Ne residential strucwre w me Wnd not
af the properry WT¢etl to produce inmme.
County
one T7) aae Net
i
Tavnship
I hereby certify the a6ove statements are W e, corted and complete.
city, atate,
Taing disUict (dry, town. (ownchiP)
Coun�y
Record number
Page
Is Me pmperty in quesUon:
❑ Rwv�wm ❑ MoWeHOmoll.C.bf.f-7�.
iunds that swtWre k usad b produce incane. Cestribe the uae entl portbn
of
20_Pay20_
Lesserof 1/2 Homestead
Valuation or $6,000
S
Data si ed
� -y-D.3