Homestead_Hughes (7) _, , _ •• suit 10KM,37..R:r 5441 TRFASL(fR FORM SIA
.srPgNrO BY ST■11 Rks Ocwn's"R.s'II,Y,x PREA/MDBY TIE OFPARTENT OF LORAL r-0rti'Mrwr FNA\'(E M<1.1-r-rl
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 FILE <,
more 134-L200 there is more incentive receive ever for out homestead fraud.do duttaoI fraud s causes higher tau bills for all:reecho t therefore.
40 lHEA 1311-211(19 requires taxpayers who rccive the holnestcuJ standard deduction to verily fhlt they are eligible to Iccenc the
I f benefit and to provide additional identifying infornunon necessary to allow county government to better monitor homestead
! filing..This information will he kept confidential and can only be accessed by authorised county officials.The Ikpanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 2 6 'GU l0J PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ 7 0sssU0���'''���- �+��/. Hughes, Robert UMargaret
GIBSO 1'COUNTY AUDITOR 1710 Cottonwood DR
Princeton IN 47670
2376
Robert L/Margaret A Hughes
1710 Cottonwood DR State Parcel Number Legal Description
Princeton IN 47670-3326
IIIIIIIlluIIIIIIIIIIIII IIII,IIIIIIIIIII IIII III 26-12-06-402-002.701-028 019-02701-00 NORTHBROOK HILLS 47
N
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
RoSEA L. lfuc Es
�g Address(number and srxn city,-szerc,and ZIP code)— A ---- _- _ ___ ._ v s1 Same as property address - __ __- _ _ _ .
/7/0 LDr7DNLrJOOd )6Q PAigccro;o /0 `,-76--70
Spouse First ,I Middle , - Last
444 4g, Ari /4 McCfl/Es
Mailing Address(Number and street,city.state,and ZIP code) ® Same as propeny address
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.
Ow i azure / Date
• I
�,e ��* e CLAIM FOR HOMESTEAD PROPERTY TAX
a� CREDIT/STANDARD DEDUCTION
,�,, Siare Form 5473 (R2 / 5-92)
l�l�
INSTRUCTIONS: See reverse side lor liling instruc[ions.
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I(We) _ � certity t t e ' , 79_
I(We) occupied as r principal place of residence the following described real prope for which a H e � � �QA'f�r by daimed:
�I �We) owned ❑ Are buying under contract
Nave a bene(iciai interesi in the entity thai is liable for ihe property taues on the property and that owns the property or is buying under a contract.
,. � . . - � - .� ,:� . ... CONTRACT�RECORDED,- ' ,� . .. _� :;,,,-�:;.:,�. .
a.,.. •;;•,
Ii buyirg on contract, Fee Simple owner's name
Retorder's oflice where tontract is recorded Record number Page
� �. PROPERTY
Counry
�-i i- v ot i u�- cFJ i i r�� u,L�.0 u.vc
If any portion of the residential strucwre or the land not exceeding one (7 � acre
ot Ne propeM utilized to produce income.
Counry
Township
I hereby certiy the above statemenis are true, correct and complete.
.-ess (numberarrdstreet dty. state. Z/Pmde)
�
surmunds tfiat structure is used to proCuce inmme, tlescribe the use and portion
IN OTMER COUNTIES
� ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD� NON-RESIDENTIAL �.
. - VALUE' VALUE VALUE VALUE �-
Land noi exceeding 1(one) acre immediately �� ��
surrounding residential improvements. (�) � "' �
Other land (p) ' � ' ,. �
Tota� land (line 1 plus line Z� (3)
Dwelling (4) �� .. �� . . . �
Residential improvemenis � -
Garage (5) - -
Other improvements (6) � '
Total improvements (line 4 th�ough line � (7)
Total value (line 3 p6s line � (g)
I hereby Certify ihe abOVe is true, corrett, and Siqnature of Assessor Date signed
complete.
Verityirg action - SignaNre of Autlitor Date signed
79_Pay79_
Lesser of 1/2 Homestead
Valuation or 52,000