Homestead_Douglas (6) •
a1Mt rnAM!!w ITC/ 1 tRl.• lafR TORN:-IA
.Arrw%'En BY CLATE WWI)OF ACM nit_n+ PRISAIBrn BY elf BrrARRAcVr(FLOCAL GrnitNMLTT FEsNcE M 6-I3-r-t.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
'({ 1 more beneficial.there is more incentive than ever for homestead fraud.homestead fraud canes higher tax bills for all:therefore.
® ' 7 D HEA l344-200 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to reecho the
benefit and to provide additional identifying informavon necessary to allow county gosemtnent to better monitor homestead
tiling..This information will he kepi ennlidential and can only be accessed by authnrind county officials.The Depanntent of
Local Government Finance will use this information to create twls that will help county officials eliminate homestead fraud.
APR 7 LULU PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
727a ..e J&J Douglas Trust
GIBSON COUNTY AUDITOR 427 W Monroe
Princeton(/147670 c- •
2921
Joe Douglas
P 0 Box 268 State Parcel Number Le_aI Description
PRINCETON IN 47670-0268
Itirt11rrtlllltrlt III11111 111111111111111111111111111 rl11111 t1 -1 26-12-07-303-003.451-028 019-03451-00 PT SW 7210 .25 AC
Spouse First Middle Last
-Z-41N El G � . uJLF}S
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address'
Po Box a (oC' Pk) A)cQtoAl 1A) '-f '7670 — o zee,?
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.
•
�.; CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� State Fwm 5473 (R6 / 1-03)
Prescribed by Ihe Department of Local Govemment Finance
INSTRUCTIONS: See rewrse side Ioi Iiling insfrticlions.
FORM 1'EAR
� HC70�—+
� � { a � i
� � � i �.y'
�(yVe� 't � i �j� �l f�
ce'(y ihat on�the 1st day o( March, 20_
I e ccu as our ' i al lace of residence the fol 'n described re ����V� �`�� � � �
,..,M,/� )y p p g property forwhich a Home ad�P�operty�T�c�Credil is hereby daimed:
L/F 1(We) owned ❑ Are buying under contract
, Have a benefi6al interest in the entity that is liable for the pmperty taxes on the property and that owns the property or is buying under a wntraU.
IF buying on conirdq. Fee Simple owners name
Recadels ofice where coniraq is recorded
�j: y� .�..v-z._.tr•.:.-Yv
�Y;._:�.;�-- :. �;c�Fh`��'.as�`$a�+r3a`*.
Couny Toxnship
Hany
oFlhe
Counly
Record number � Page
(dN. rown, rownship)
nbe/r� �'\ L��Q. Jal descrip,tCbn ` '` Is the property in uestion:
'�_SJ_ � y�' � KJ 1� v� �� �� 1 U �eal Droperty ❑ Mobile Homo (I.C. 61.7-71
ion ol Na resitlentlal sW cture w the lantl not e:ceedinp on�e1 (t ) ace ihat immediatety wrrounds that sW aure is used to produce income, describa Ne use antl portion
>eAy uLlizetl to produce i�oma. . oC. ��
Coumy
I hereby certify the above statements are We, corted and complete.
(number anQ speet, ciry, state,
�z �t� =.4-i,�):.:� cv_ :� �--i� "` e�k °tiw�..`..�tt�g . ..�. * .
'� i ��� aTRUEcTAX �h ASSESSEDNAIUE HOMESTEAD^" � NON-RESIDENTIAL �+
���, � A�SESSOR�USE ONLY�� � -� VALUE`°�� � "AT3100%'OFTiV � VALUE� � 3'* "�VALUE`�' " �'
'�c.,i �.«c�-� df#4Fs`s5^-�;:a,._� � iEf�t-.�...., ,.-sr-..� � «-s..,eLs� „6'�.�`"d. ...-..N�?�..`.r �LI;�. ..�`3``���''�'�
tand not exceeding 1(one) aae immediatey ���',� J° ,��-`��"'���!%
surroundingresidenlialimprovemen�s. (�) ��-�,''���.4°������:'�;,
Other land
� �` ,'4�.,�+;
(Z� ee�i,^,.:, x _ �
Tdal land (line 1 plus line 2) (g�
�.-�.^c-�r � '.� �" �
Dwelling (4) �-�T��""� • �`�r't,y,,����
�a,.kid.�s� � "'
Residential Impfovemenfs or Mnually �
Assessed Alo6ila I Manufactured Hmre Garage (5� ��,.��r;, 'a ;���*�`�
� » ��" �� ���
�:s-�`' ��j ' .
Other improvements (6) � � .�-"�
� V't.: Y
Tdal improvements (line 4 through Irne 6) ���
Tdal value (line 3 plus line n �g�
1 hereby tertify NB above i5 W e, corred, and Signature of Assessor Date signed
complele.
Verilyirg aUion - SignaNre o(lwditor Date signed
20_Pay20_
Lesser of 1/2 Homesread
vauanon w 535.000
S
Signature of Auditar � I Date signetl