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Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS''*
101 N. Main Street Individual and married couples are limited to one horns •ad standard deduction. As the receipt of this deduction becomes
Princeton.IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud cau,es higher tax bills for ell:therefore.
IltiA 1344 200'1 requires taxpayers who receive the homestead standard deductionQo verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allows' county government to better monitor homcaead
filings.This information will be kept confidential and can only-be accessed by authorized county officials.The Depanmert of
Local Government Finance will use this information to create took that will help county officials climirnc homestead fraud.
. PART 1:PROPERTY INFORMATION'
Taxpayer Name Location Address
James, Michael F
901 S SEMINARY
PRINCETON IN 47670
1257 II
Michael F James II I III_tIII �I I I III III I��IllflUII I I�IIDII_II�I�II�II 10111 I��IIDII I II I II
901 S Seminary St
L ` PRINCETON IN 47670-2635 �— `— —
11 111111111111111'1111111111111111111111'11'11111r11111'1111111r1 State Parcel Number Legal Description
26 12-18-201-002.105-028 SS ADD
T FILE
D
JAN 301013
This form MUST be returned to County Auditor's 6f �
Please do NOT send this form back with your tax payment to the coun lIi rra
Pi • .- PART 2:TAXPAYER INFORMATION • •
2 r I First Middle Last
7c�tQ�� F at e_s
Ned g Address(number and street city,state.and ZIP code) Rabe as property address •
V&l S• ceyn1nLt ,~
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's LicensciStm st c ID Number (la s:5 digits) Other(please specify in Part 4 below)
I I I I - sate
- • • 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 I Si Ito Le Date
.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S�a Fortn 5�73 (R7 � SO�
Pre�Led by Ihe De(strr�eni of Loml GoVerrvraY Fvw�oe
�NSrRUCnoNS: s� ��� sda ra ra�y r�rn�do�.
FOR� �
HC70
� �
I M�e) � certifY Ihat on ihe 1 st day of March. 20
I(We) omipied as wa pmd place of residence the descrted real popeAy for which a Hunestead�T�t is hereby deimed:
��M�1°� ❑ ��Y°�9�g�°^�a GIBSON COUNTY AUDITOR
Have a benefidal u�iere� v� tl�e entity thaf is liable fw Ne popeAy t�ces m ihe popaty and tlat ams Cie poperry or is Gryug urder a contract
;�. ;pF.�; x.. r '�. .t� : �. �h�..,;:..' y�,_ .�Y� r� ; ... t �.b �[ .�.'�+"..'i F +2'.� � � �1,•
..�] ..�.��. .i...._..... ... .,,�, . %, :.., . . CONTRACTif�CORDmt:..rt cY: ,•,S..i�.i�':.. »�rt,...�5`... _.,1r,«a..,S'
If Wy"�g on m+tracl Fee Sirtqle ow'�efe reme
F�rdefs dbce whae m4ed is iecaded Recard numbm Page
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d Me prope�ly �(�d Oo prodce'vim'a. .
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'.<,.tit ,.`,� r :.: �' r.,i. �,f�rti. �;;�4�.��-;nPRUPEXfYOYYNED�BY.CLAl11ANT�QiOTHHtCOUi�lTfES�f. .�.'�'� -' r,}�h4s,�'..''e�:�.. ?�:'�rMt�.-;':?.Y.'..q�
Counry Tovnship Caunry Tawrm�ip
� ne�eyr cBrnty me aeore sramrrrnts are vue. oonea ara compem. s'�ja°+'a °� �'0$/ ."_
u�te.adafreet " z�aoee)
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. � . ,., . � . . c� � � �' �E i i 4i� . � T%JE TAX' AS�SS� VALUE ' HOI�S7EAD � '.r� "�� NON�tESlD6iTULLi�%' E�'r;
� 1 •rASSESSOR USE OMLY . > 'AT 100X OF�iTV f:4 .:" YALl1E v ��� ' � '�..��.., - VALUE � '� r+
,v4�Y," �F s �r, '!.. � � i* .�5.lv� .' V/iLUE;N e .i�.a . # Tt�'�2 , } :��5` ,s{1C,t,�i,�
Land not erceadrg i(one) aae irm�a�ly ..• "���Sr,u'���"5,'� ;'�.��� ��`+� y�`���y;Pp�;,+
5iuloi8ld'egfe5idenfialimp�vvert�erlt4. ��) :'ii?�?;J,h?J�£•.."`z°.'['�''.���'n!{�u'`'�,X'�'ni
7� a? z 5�,,;; .
Ofherlard (p) :
r ;�` ts �irlM �{'2J
Td� lard (lire 1 p6rs Ime � i3)
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Resieentia� imprwemerrts arAnrwaly "x-+�,-�,�.���w�t,a �M.a,� &?:��i
Assessed Alod'.e / Almut�CGaed Florne � .r r�s�k,�,a+c y �, � �3 � . .�t���, �p.±'��-��y�,
�e (5) '" f'd,���.'-.��«.�i'a .�3"�i'%at$�-i�d^^R"
1
on�er vnpwar�� (6) '' i� x H.�..;
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Tdal "vnp�overtierAS (Gre 4 tivrnx,p' Bne 6) (�)
Tilal value (I'ore 3 pda 6ne � lg)
I hereby cerGfy the abwe is true. wrfect. and 36�� MAe�so Dale signed
�rt�p�tB-
Vaiyug aClan' Si�pm4ie of M�IU Ualn signed
.r
20 _ Pay 2(1 _
Lesser oF 12 Hortestead
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