Homestead_Hurst (8) •-ATE FORM'3 IR I5 n) WRrASURER FORM YIA
AP/ROVED BY SI Alt WMRD nFM uO.NT.gr PRFs,Innm BY 111E.DEPARTMENT OF LOCAL GOVERNMIN7 FINANCE ICs l.I114.1
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 of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead(mud causes higher tax bills for all:therefore.
HEA 1:44-2009 requires Taxpayers who receive the honestea l standard deduction to verily that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This infnrnution will he kepi confidential and can only be accessed by authorized county officials.The IkNnnumt of
Local Government Finance will use this information to create hauls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hurst, Joseph P/Lana P
P O Box 182
Princeton IN 47670
2450
Joseph P Hurst
502 N Hart State Parcel Number Legal Description
PRINCETON IN 47670-1448
IlIuuIIuIuIuIIllIillIII IIuIltIlIuiIIIuIltl Illtttll 26-12-07-102-001.156-028 019-01156-00 OLD PLAN 106 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle 77 II Last
Joseph �Gl� rich f�lk(St-
•4 Addry(number and street city.state,and ZIP code) _ Sege as popery address __ - — -- — _
6 0 g 1)) • Nan+ St . Pfincetbn, IN 4--R-7o
Spouse First Middle .
Lana Pa�-rlc1a 1uk-rsf
Mailing Address(Number and reel.,city,slate,and ZIP code) ... Same as properly address
5 0 a 0 1 1\\ Li-IL-7o
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.
Owne ignature Date
III
4,� rt�' : CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
��� f State Fwm 5473 (RS / 70-Ot)
Presfii6ed by the Department of Lacal Govemment Finance
INSTRUCTIONS: See reverse side Ior (ling instructions.
cc.-_:� '�r- � . � .. ^ � ;.?�:- , _ . � .- . CERTIFICATION
RM YEAR j
Cto
OCT 0 u 20U2
� (Wel —ib_
� � �Qf � �QaY�O�.YYTd9fh, 0
I(VJe) occupied as our principa� pl ce o( resi ence the following described real propeAy for which a Homestead Property T�c Credit is hereby claimed:
'��e) owned ❑ Are buying under con�racl
Have a beneficial interest in lhe enUry that is liable for the property taxes on Ihe property and ihat owns the pmperty or is buying under a contract.
�`, �'� t�'.�`?:''�.? , .�.` ��r,.?' .,-�, -.._'..`''-":.o"'"CONTRACPRECORDED'._ � ,...,�.� .:.._..._ . � ,-s .. _
�__ t '
If buying on contrad. Fee Simple ownefs name
Recorders ofice where contract is recorded Rewrd number Page
County
Tavnship
.� � `1 ^ L'Z�J (o ^�) I
If any portion o11he residential structure w che
ot the properry utiiized w produce income.
r:.°.f.
exceeding one (7) acre that
a
, town. h
�
I Is lhe propen" i�estion:
I property ❑ Mobilo Homo (/.C. 67.14�
sunountls Iha� sW .ure is used b protluce income. desui6e ihe use antl ponion
.. � ..:n ,s .c . w
.��4� s y ASSESSOR�U�SE ONLY ; �. _�' ''� ...4-v u"'T VALUE ,. �: ,AAT 100 /e OF T.N �HOVALUE D.i .�3 �+NON VALUENTIAL�� -:x�
� ..+§:a.i-r�, .;_.i !
Land not exceeding 1(one) acre immediately � 3` ��+y .i=��. : j�� ;_:'
suvoundingresidentialimprovements (�) °t.;; r_ �� , -
.M���.i ��.�'.�.� ., -
'je `A �.� `
Otherland (2) ' .:>y�__. .r^=?.
Tqal land (line 7 plus line 2) (3� �
c ; a 5-v-.•- - ;
Dwelling (4) j s �' s?��'+�e .�,�
Residentialimprovements l� � #�'"'�' ���'�'.
yrj � �L �-�`�'*�.�',�'�`s:.
Garage (5) - .ry ,:.� s:= ��G,'?
- '�f`:.r-...`4..��-�' .��,.':,'
t_ fl T ♦
Other impmvements (6) `-' � � .`>.�` �';
" ,'3:: ;
Tdal improvemenis Qine 4 through line 6) (7)
Tdal value (line 3 phs line n (g�
I hereby certify the above is Vue, corteU, and Signature of Assessor Date signed
complete.
Verifying actbn - Sig�ture oflwditor Date signed
�.`:se�"s.c +�2.��'S `-�.`�,.-..ri,i l ,. �.�'"�t �� _'�.:STANDARD.DEDUCTION'ALLOWANCE r,-z -.l�.a..�:a ��'.• �,..Y `,�y,�...f ���i=-,-�.-.'.
20 _ Pay 20 _
� Lesser of 12 Homestead
Valuation or 56,000 5
SignaWre aflwditw Date signed
— �7 ]C � — �T'? 'A'"w