Homestead_Land NIATE FORM 51HIR/WIT rPEASULER FORM TS-IA
.APPROVED BY MATE NMRUIW YYTR.AT,._stn PRESCRIBED BY rnr DEPARTMENT OF LOCAL raaaNMFAT FINANCE MLI.I-_r.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOIIIESTEAD PROPERTY OWNERS
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 escr for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are divide to reeene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.this information will he Div confidential and can only he accessed by authorized county officials.The Department of
Local Goventmcnt Finance will use this information to cream tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Land, Glen/Barbara A
611 N Ilali
Princeton IN 47670
2408
Glen/Barbara A Land
611 N Hall State Parcel Number Legal Description
Princeton IN 47670-1224
III I III I I liI I ll III I oI I of V I I I 26-12-07-101-001.255-028✓/ 019-01255-00 PT N NW 7-2-10 .15 AC
In ntE nut t r r el f t t t
PART 2:TAXPAYER INFORMATION
Owner I 0 G 5 7'tirst Middle Last
L c 10 yy Lt, 'Ob
�gAddu an
ts(numb rd and-Arco ity�statc;and ZIP code)-. -- - _— — _ - -KSame as property address___
� i� A) - LL P21,)ce
Spouse eAli First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 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
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 lI Signature Date / Telephone
ie—czt-" y .✓ pYzY yictfrE �/3 / ( C
•
•
?��*°t CLAIM FOR HOMESTEAD PROPERTY TAX
'�-'� = CREDIT/STANDARD DEDUCTION
�` � j state Ponn sa�a (RS � 10-0�)
Prescribed by the Deparimem oF Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing instructions.
�;�r; v� . .' , �,.,,� _ -' , �:-. -^ _-: N � , �.
, , __ i . . < CERTIFICA710 STAiEM NT'�_ =
� ('�'�e) � certil
I(We) upied as our principal place of residence e following described real property tor which a H esteai
I(We) owned ❑ Are buying under wnlrad
��ave a benefidal interest in the enlity ihat is liabie for ihe property taxes on the property and Ihat owns the
�. � 3_ .-� � , _ -,- a •. �..,...... .. : .
:^�s,=.- r,r,�s#�Y"-:=: r, ._., . . _- ...: � .. � :•,s -.CONTRACT'RECORDED��t'''r' . --. ..r.
If buying om m�Vad, Fee Simple ownets name
Recordefs olfice whera contraU is recorEed
FORM YE R
Hc�o �' 0 0 `�'
�hat odktie�f5rday of AAarch, 20_
Proper�y r� ��i i��by daimed:
1"IH
I" /' /�
�erty or is b ing.0 �der a Co�n'cr�,,(.,'j`
I �f��f'{V`"` 1
U COUC TY hUD t:�n �
v;3S0-_ _ -. . . -
Rewrd number � Page
Counry Tavnship Tmcing tli r y� '�fownship)
Parcel number L I desc'ption /, is the property in question:
��J 7— Z /{� ❑ Real property ❑ MobGe Homa p.G 67.74)
If any po ion ol the revden6al swcture w the Wnd not exceetling one (1) ave tnal immetliatey surtounds ihat swcture is used to protluce income, describe 1he use antl ponion
of the property uWized W produce income. ./� OL
��1 ��'``-� ��'�` "' T •2a+"1F�'¢� �s TRUE.TAX i � ASSESSED VACUE ��HOMESTEAD � � v NON RESIDENTIAL � �
F" ASSESSOR��USEONLY ����.. ri. p...} VALUE- AT.700%OFTN � s:.VALUEys�� '��rl� �VALUE�,��-��``�
���'s:.�r.���'�su Z 4�'s.`"'�€ffi . 4� d. r�. , i� .,�K.
Land not exceeding 1 (one) acre immediatety � � �,�$`. ` M � :. �, � _��
surtounding residenlial improvements. _ 4,._ , _ , � _ . . ;- �
e <'�, i °
Other land (p) ';,� �r,, yr•�
st= .
Total land (line 7 plus line 2) �3)
Dwelling (4) ?;"1 F *Y5`��y,•",��� �`{�„��>�t-_.:
Residential improvements .
�
Garage 5 � r��5� j'n'�� ��' 7 a�::
( ) �«�+.o- t,. ,.�.� �r irx"�', '
.y'eT.' -.:...�
- -°i, . �x.'i4-'
Otherimprovements (6) _."z:5-;>.;�.. a;
�'s:=.:fi��-'• -
Tdal improvements (line 4 through line 6) (7)
Tdal value (line 3 phs line n (g)
I hereby certify the above IS We, cortett, and Signamre otASSeswr � Date signetl
complete.
Vrritying aclan - Si9r�ature of fwditor Date signetl
1 r t�,.� ,F. 's� �. t- gy r. y� � ..�� �- w'�-a., x.�t£.q�+-�- _�`v3_ "
.��,�� � �::`s '� �. . -a ,-�_._ i"STANDARO:DEDUCTIONALLOWANCE �r1.:'.z;a.a.as,.-,a..`= ?:..n�_.� +'�s.,��, �
- 20 Pay 20
Lesser of 1/2 Homestead
aluaGon or 56,000 S
Sgna re afAudit%�r � ` , / Dale signed
K./ � .i��(�-