Homestead_Hughes (8) STATE FORM!Jrta,R I..r,l WARMER FORM:SIA
AIPMNED BY AkTL MMD OF IlOrr r 9x PLFANBED BY air.DEPARTMENT OF LOCAL rAWE0.MMFFT Fa:Ascr 1CH.1-LJ.I
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 of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
.� HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they ars eligible to receive the
benefit and to provide additional identifyin_ information necessary to allow county government to better monitor homestead
filing..This information will he kept confidential and can only te accessed by authorised county officials The Department 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
Hughes, John D
RI Box 53
407
�� Patoka IN 47666
John D Hughes sat cl4errtrci
1610 W Glenwood State Parcel Number Legal Description
PRINCETON ETON IN 47670-1039
IFlttlltrrlllltrlrttlll IIII Ilt!tlttttrllll III 26-11-12-104-000.851-028 019-00851-00 TOWER HGTS 51/52 PT
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 1 First Middle Last
Joild plied IA/GNE_3
e Address(number and street,city,state,and ZIP code) Same as property address •
670 G,Ceiv'evo,o p0\ rR)Ivcfe7Od 1f,lo20
Spouse First Middle Last
1 LAue.il
Mailing Address(Number and street,city.state,and ZIP code) U same as property address
/Co lD t-&-A14/COD 22u, Pw rou //4 z)--7470
•
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 S... Date
. _
��A�CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� State Fwm 5473 (R6 / 403)
Prescribed by the DepartmeN o( Local GovemmeN Finance
INSTRUCTIONS: See revc�sc sidc Ior Iiling insvuc(ions.
�
'�� FORM
HC10
YEAR
��e) + certi(y ihat on the 1s d y of Mar�i, 20_
1(We) occu d as our principal place of reside c the (ollowing descnbed real property for which a Homestead Propert�{�T�c Ci,edit is�y daimed:
❑ I(VJe) owned ❑ Are buying under conUact
` Have a beneficial interest in ihe en6ty that is liable for the property taxes on the property and ihat owns the perty ocis buying-�der a conVaCY.
il buying on conVaq, Fee Simple ownefs name
Remrtlefs olfice where coniracl is
�+nh Tamship
Par I m=r ���� escription 1�
H
N any portion of the resitlential sWqure w che land not axceeding one (7 �
ot the property utilizetl W produce i�ome.
Rewrd numCer � Page
district (ciry, fown, (ownship)
�property in question:
�_
❑ Real property ❑ Mobile Homo (I.C. 6f. f-7) .
Ihat sWGure is used b produce income, desuibe the usa antl portion
�J����-��� A E R� E ON Y��.��� .�TRUETAXns�� ASSESSED�VALUE �HOMESTEAD�`�' -� ' N N-RESIUENTL4L �{q��+
' . '�%.„*_;r'.�3^.��.`�,. ��S""+c�.a^_�,.c+....,4'_`'�'�5.�; ?�VALUER°x vy � AT 100%._OF�T,N� �,n.,VALUE�.� ���.�'�-`.aVALUE'�?..as?��
Land not exceeding 1(one) acre immediately ='�i'�s ,�:`'� '4, T��'r`=,;���}.?i%i�,v
surrounding residential improvements. ��� ����'=��,yY�4 ��?���z
��, nw K
Otherland . (Z) s7'�. ��
LE�V���
Tdal land (line 7 plus line 2) (3)
�`x'.l�.'�--`�-�����s �'�
Dwelling (4) ��� ���. �,�.�'4P�24
Residentiel improvements or Mnuatly � �*{ �-�-`� ��
Pssessed Modle / MariuF�acYUred Homa Garage �5) �. ;,.�y��" rv��ic"�r.
� vz.�r�e- � 1n'�v5,'�
M ��-�
Otherimprovements (6) � .�� �"' `�� - '
��sl. y'<'"6�:;'ecJ?a=`.�
Talal improvements (line 4 through line 6) (�) �
Tdal value (line 3 plts line � (g)
I hereby cerlify Ihe above is W e, corred, and Signature otAssessor oate signed
complete.
Verilyifg action - Signature otAUditor Date signed
��'�.+��TT=ti`1..�16'.+�'�':�i:au�*-''u�-�:=a�6a+x:�.'��''—.,`-.STANUARDAEDUCTION�ALLOWANCE-���'�!3:r`?�.�"�a�.���y�`.�?:i'„3�#,�`�.' �a.'.z
�a ers�- 'P> L � .�'3aa� _.�:
20_Pay20_
Lesser of 1/2 Homestead S
vewaUOn w E35.W0
SgnaNre of Auddor Date sign
� �.