Homestead_Jones (13) STVP'ORM 53X.tie/5401 1)LSSSLI1 iORM'.S.A
.APPROVED Pt RAPE BMW n1 An#stc.Z.. PAFAAIBrn BY ntIDEPARTatr OF LOCAL r) ERNMrb7 EPASCE IC I.I-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
• 7 more beneficial.there is more incentive than ever 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 arc eligible to receive the
hearth and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.nit information will he kepi confidential and can only be accessed by authorized county officials,The IXpanniem 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
Jones, Angela D
• —.
428 E Spruce ST
I, -- — -- — —_-- — Princeton IN 47670
r —2628-- - ._ - - — - --
/Angela D Jones
428 E Spruce ST State Parcel Number Legal Description
Princeton IN 47670-1752
1r11 ullitililltiluutlll lilt uilultlu tt It lii ltllt tluuuilll 26-12-07-201-000.767-028 019-00767-00 NS LOT 5 PT R1
• N
Spouse First Middle Last
A r ce,t 6, -bg,o-cwa -3;,,,,, j
Mailing..Address umber and street,city,state,and ZIP code) - Idl Same as property address'
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
1 receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
r
d�-="� _ YEAR
_;��Y CLAIM FOR HOMESTEAD PROPERTY TAX - FORM
> CREDITISTANDARD DEDUCTION - HCio �J
State Form 5473 (R2 / 5-92) �
iaii
INSTRUCTIONS: See reverse side 1orliling instructions.
/1�(� g, y .�, �.. _ (]
e) _�.�_��\Lf RXh 1LJ certify 1��1 Qp,th�t si ��March, 19—/
I(We) of resid�n�e the following scribed real property tor which a Homesiead �op�9 T��re ereby daimed:
❑ I(We} owned ❑ Are buying under coniract . . ,
/� ���s
❑ Have a beneficial interest in the entity ihat is liable for the property taxes on ihe property and that owns ih j�buyqm er a contract.
lJ� � vrc
� CONTRACTRECORDED � .
I( buying on con�rac�, Fee Simple owner's name
Recortler's ottice where contract is recordetl Record number Page
Counry
Parcel number
��a_ o
PROPERTY DESCRIPTION
Township Taxirg districi (uty. town. town5hip)
If any portion of the resitlential strucmre or the land no� exceetling one (1 � acre that immediarety surrounds ihat siruaure is used to protluce inmme, tlescribe ihe use and portion
ot the pmperty utilizetl to produce income.
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � �
�nry Township Counry Township
I hereby certify ihe above statements are irue, correct and complete. Signanre of ciaimant
Atldress (numberandstreer, ciry, sfate, ZlPwde)
ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surroundingresidentialimprovements. (�) � '
Oiherland (p)
Total land (line 7 plus line 2� (3)
Dwelling (4)
Residential improvements .
Garage (5� � �
Other improvements (6)
To�al improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby cenify the above is true, correct, and Signamre of Assessor Date siqned
��plete.
fyi`g attion - Signamre ot Auditor Date signed
79_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000
�
S
ALLOWANCE
Date