Homestead_Jines (11) 575E FORM 9'n tRJ fdl t irssee R FORV i
APPROVED1T SLQt MARL)Of.AM XIWIS 9w PREYAItEW BY THEOEPMh2Yr OF LOCAL GOVERNS:MI FINANCE IC bl.1 t
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the hotnestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifym= information necessary to allow county government to better monitor homestead
filings.This information will be Lep confidential and can only be accessed by authorized county officials.The Department 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
Jines, Danny R/Tammie M
2128 S Main St
Princeton IN 47670
1596
Danny R Jines
2128 S Main St State Parcel Number Legal Description
PRINCETON IN 47670-3402
26-12-18-304-002.073-028 019-02073-00 PT S 1&2-10.13 AC
In toI t I I nI il III I I nI n III nlnI rI nIt II 11I 1 I sal I I ( 11 )
--- - -- .
N
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 I First Middle Last
p vi)N (ZA'I S�vfS
ele Address(number and street,city,state,and ZIP code) ❑ Same as property address
2/a- 8 77070
— —
' . -
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 Signature Dale /91510/O
•
; CLAIM FOR HOMESTEAD PROPERTY iAX
CREDIT/STANDARD DEDUCTION
t .i S�a�e Porm 5473 (R614-03)
Prescn6ed by t�e Departmenl of local Govemmen� Finance
INSTRUCTIONS: See �evcrsc sidc lor liling insbucliou;:.
�5�.:1§.? 1 � _ .: �. ...,1' e` . . �
roperty for which a Homestead Prope,rNt i7�cFr�it,j�gg�eby daimed:
❑ 1 e owned ❑ Areb �-��« 1 [�
(W ) uyirg under wntract
iHave a beneficial interest in the entlty Nat is liabfe for the property taxes on the property and that owns Ihe propMy.pr is buyiAg,ynder a conVact.
II buy'u�g on contrad, Fee Simple owners name
Remrdars ofice where cantract is recorded
Counry
If any ponion W
or the wooertv i
Remrd number � Page
"° - -:� � �=-r"� � � PROPERTY �ESCRIRTION°�,;..� � � . .. . - - _ ._ - .
Twvnship Tacing distnc� (ury, town, fownship)
1 d ripti Is the property in queslion:
� ' ❑ Real property ❑ AAohile Homa p.C. 61.1-7)
slrucWre w the WnA not exceeding one (1) acre l�at immediatey surtounds Ihat swcture is used to produce income, desuibe Ne use and portbn
ce income.
S:=y:;.c - . . _ __._ __ . _ .
....�u .r,.'��--._.-.�` t�" -.�;:-� �.. .'.. :' sFROPERTY;OWNED�BYCLAIMANTiN'OTHER'COUNTIES� � '":' � ���s,.,�;r
,•,..i
Counly To.vnship County Twvnship
I hereby cenify ihe above statements are true, conect and comp�ete. S�gnature ot ciaimant ,
s
Address (number and str t, ury, s(ate, ZIP code)
a-t a 8 � b�d
��`=� � + ++';� - - � � � � " �,TRUE TAX ASSESSED VALUE -�HOMESTEAD � NON-RESIDENTIAL,
,� a,�; y�. � F �� ASSESSDR�-0SE ONLY �_ . ,. , , �
_;.'ry1'3i�. x:..:.r. . .� sr�:^... � �: ' VAL.UE � �. AT700%a�OF.TTV �' VALUE',',:. ..>:�. VALUEi. ",: '.
Land not exceeding 1(one) acre immediately - . . �
surrounding residential improvements. (� � . . �: . � _
Otherland (p) � ' .,
Tolal land (line 7 plus line 2) (3) �
Dwelling (4) � � - �_ `-� :- . . . .
Residentiai impmvements or Mnually . :'� `:'�� f'"�.''� `:`:: �;':`' �,�'� ;
..x.,:;.:.�cti--,-}<��--.?, .. -
Assessed Mobile I ManufaGUred Home Garage (5) ` . - . _. . . . .
Olher improvements (6)
T�tal improvements (line 4 through line 6) (7)
TUaI vafue (line 3 plus line n (g)
I hereby certify Ihe above is Uue, cortect, and signawre ot �asseswr oate signea
complele.
Ven(yin9 action - Signature of fwditor Date si9ned
20_Pay20_
lesser of 1/2 Homes;ead
wuauon or 535.000
SgnaWre
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