Homestead_Hurst (11) sl.\TE mitm lJ!MIY`r Hnt mast tLR FURY 7S-IA
APPROVED BY MATE IXNRnorirrfR.?TS.law PITSCIUan)BY WE DEPARfME`na LORAL CwErjeer.T MANGE IC 6-I.1-22-1.1
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
mole beneficial.there is more incentive than eta for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Ikpanment 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
Hurst, Tracy L/Charlotte J
520 W State ST
Princeton IN 47670
2503
Tracy L/Charlotte J Hurst
520 W State ST State Parcel Number Legal Description
Princeton IN 47670-1346
11t t11rr 1rt 1r11rrt 1 t 111rrtell 1 26-12-07-103-000.694-028 019-00694-00 DEVINS ENLG 4 PT
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PART 2: TAXPAYER INFORMATION
Owner II First Middle Last
72:0 led Ye ? Ala /5
• ' t
ddress(t .tber and suezit;city:state:and ZIP code)- _ __ .__ _ _ nme as property address.
520 4) S f9tf St y -;nre/'on SN
Spouse// st
First _ 1 Middle La
G' Ar/o7 � Je nrJeLte
Mailing Address(Number and street,city,state.and ZIP code) 111.-Same as property address
.5-ao i s Ci A- ,71ek
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. �
a� �"� � CLAIM FOR HOMESTEAD PROPERTY TAX _
s��;; CREDIT/STAt�DARD DEDUCTION
.�.,;, S�a�e Form Sa73 (R2 / 5-92)
yu
INSTRUCTIONS: See reverse side for liling instructions.
FORM YEAR
HC10
�;' . r , .
�_ i :
I(We) � Q�% � t�rtify t �t on the 7st day o(� arch, 19_�
�e) occupied as our principal pla residence the following described realproperty for which a Homestead /Py�6�p� T� i is reby m
U 1(We) owned ❑ Are buying under contract • �` ,GIBSON U TY AUDITOR .
❑ Have a beneficial interest in the entity that is liable for the property taxes on [he property and ihat owns the property or is buying under a contract.
` . � - -�.�COMRACTRECORDED � � � - �
tl buying on contrad, Fee Simple owner's name • � •
Recortler's office where contract is recorded qecortl number Page
Counry
Parcel number
PROPERTY DESCflIPTION
Township �
Legaldescnption '
II any portion of the residential structure or the land not
of the property utiiized to produce income.
exceedinq one (1) acre that
(own,
to produce income, desaibe the use antl portion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
� VALUE VACUE VA�UE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis. (�� �
Other land (2)
Total land (line 7 plus line Z� (3)
Dwelling (4) .
Residential improvements
Garage (5) _ "
Other improvemenis (6)
Total improvemenis (line 4 throvgh line � (7) (
Total value (line 3 p�s line � (g) � '
I hereby certify the above is irue, correci, and Signature ot Assessor oate signed
complete.
Veri(yirg ac[ion � Signature of Auditor Date signed
�
19_Pay79_
Lesser of tl2 Homesiead
Valuation or $2,000
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