Homestead_Hull (5) SI ML FORM`)'MIR.I.- .' TAMS4tER FORM CIA
AMOVED BY SThTL aMRD OF MPYLNT&9w Itrnaam BY mE DEPARTwNr OF LOCAL COVER-NUM FINANCE It 64.1-214.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead s andanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than exer for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to recene the
FILED. benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
1 filings.This mformauon will be kept confidential and can only he accessed by authorized county officials.The Department M
Local Goverrament Finance will use this information to create Rvls that will he. county officials eliminate homestead timid.
PART 1: PROPERTY INFORMATION
JUL 2 0 2010 Taxpayer Name Property Address
// Hull, Harry R/Joni A
N 1107 S Gibson
GIBSON COUNTY AUDITOR Princeton IN 47670
1480
Harry R Hull
1107 S Gibson State Parcel Number Leal Description
PRINCETON IN 47670-3001
liIitIIiiiIiIIiiIiiiIIl IlEIIrEEII IIIIIIIItIIIiIIIII 26-12-18-201-001.702-028/19-01702-00 SS ADD 86
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 17/4r First Middle Last
r Rr4-i Ncc �l
Ong Address(number end street,city,state,and ZIP code) Same as property address
//n � 9 • l b eno S4 • `17670
Spouse First Middle Last
#4 1
Mailing Address(Number and street,city,state,and ZIP code) D�ILSaame7ass property address
//6 7 S . l'I t�p S-F O ��1 i)"1 N OP 4zrt —t3 x�l 7 2O
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 1 Si attire Date
4,!
` CLAIM FOR HOMESTEAD PROPERTY TAX FoRM Y�
�° CREDITISTANDARD DEDUCTION HC�o
t Stale Form 5173 (R61 a-03)
Preambed byNe Departmem ol Local Govemment Finance
INSTRUCTIONS: See reverse side Iw �ling instnicfions. t.,.
�
_ `- i'...Nr�J::S.i.ai '.�r'.e%_nti: >t+.r`:��.. .: ' F et t : ��-`°='r!: Fl TION�.STAIEMENT �i..-•. ' '
. T �'�$ ., 3 � _ 4';
I(We) certify Nat on Ne ist day of Merch. 20
I(We) ocwpied es our "pal place of raside Ne tollowing describetl real prope (or which a Homesteatl Property Tac Credit Is hereby daimed:
I� 1(V✓e) mmed Na b�ying undar contract
, Have a benefidal interesi in Iha entiry Ihat is IiaWe for the property texes on Ihe property and ihat ov+ns Ne proDerty or is buyinq undar a conVect.
II Wy4ig on conirett, Fee Simde axnefs name
Recorders o:RCa where wnvea is mwrtletl
Counry
J � —�' V i �L�
II any ponim ol Na resitlential swCUro a
d Ne poperty uWized m P�uce incane.
TownShip
Legaldescriptlon
aae
coescw
Tsrin
Rewrtl numbar
YTIONY ' ".:"'i':7�. '`_-}:`T-+?t;'*;:`
g 'tt (ary, rown. rownsniP)—.'., = ' - _
��s� \ : .
15 Na proparty in QuBSUan:
❑ Reel proparty ❑ Mobtle Home (I.G 67.f��
su�untls Net sWCture ls use0 b produce Inwme, tlescribe Ne use antl porGm
Couniy TwvnsAip County
�. 1 here6y certiy the ebove stetements are We, correct end compbla. SI am�
�'Ertss (numbar and sreet, ciry, staro, 21P cnde)
�
r
r
SlgnaNre
20 _ Pay 20 _
Lesser of 12 Homestead
valueuon or 535,000
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