Homestead_Lasley (3) <L ATE FORM!!:a.IIRI r+Mt lltECNEfB MRY Ll1A
.AOILO EO BY STATE&WOOF N<TRSTw.`LL. pplARIBm BY ow DEPARTMENT OF LOCAL CIATRAPLIM FN:ANCE MG-LI-24.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and parried 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 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifvine information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will toe this information to create tools that will help county officials eliminate homestead baud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Propertv Address
Lasley, Steven D
415 E Warnock
Princeton IN 47670
715
Steven D Lasley
415 E Warnock State Parcel Number Legal Description
PRINCETON IN 47670-1659
I I I I I I I I III I I I I I I I I 1111111111111
26-12-06-403-001.576-028 019-01576-00 PT SE SE 6-2-10.17 AC
t o tat t it tar nun t nt t t r run
_ _____
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
3 / mac ;, Dovy Q_, Lss / may
' Tg Address(number and street.city,state,and ZIP code) -® Same as property address
//,S E- 1/ A /1 OC/{ PA /1-1 6 Ct-74O-h/ 1 N Li 76-7a
Spouse First Middle Last
Mailing Address(Number and street,ciry,state,and ZIP code) Same as property address
Social Security Number(Last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Slaw
• 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 Signature
j Ihte JJ
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn SC73 (R6 / a-03)
Presuibed by Ne Department W Locai Gwemment Finance
�NSrnucnoNS: s� �re,� � rw fir,g ;n�„s.
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MAY 1 7 2006
I (4Ve) certify Ga���tha 5s{depaf�i�F9C&0_ ' �
I(We) occupied as our principai place oi residence Ihe following described real erty for which a Homestead Property T�c Credit is hereby daimed: �
�(We) owned ❑ Are buying under contract
' Have a benefidal interest in the entity that is liable (or ihe property taxes on the property and that owns the property or is buying under a wnVaG.
I( buying on conlract, Fee Simple owners name
olfice where conuad is recordeA
Counry
Parcel number
Tnvnship
description
v/ � � V /�) //�-�p) I YT
H any portion of Ne resitlentlal sW ctura w the land not
of the property uGlized tn produce incame.
Record number � Page
Taing
Is ihe proper�ryp in. �queslion:
S� �'�'/Q }�rteal property ❑ Alopile Homo (l.C. 61.1-n
one (7) aae that immetliatey wrrounds that sWCtura is used to protluce income, describe Ne use antl portlon
. / 7 cst.
i r�-:�°"�.�`� .z`�-'r� ,r r pz%�: ,sa.A- .��a��, n.- ...W...�, . . {�- �v... .._ -�- - - - �
����.°�'sAS$ESSOR�.USE ONLYe -� i r�`� +`�.3SRUE TAXxy '� � ASSESSED VALUE �HOMESTEAD'F �'� jNON;RES��ENTI/iL �y�Q' ��
+c :L.ci.s.c:rf-'.'t5x^.'.; +�t +.�'t� _-F" ._ i.,...-+tt�d.s��.�'S�'n...�.s Yr�+a�°+••VALUEy�F-,�z �",� AT�100% OF�TTV� �i.,��,VALUE.�� �.�c��j'?`E�.VALUE �4
Land not exceeding 7(one) acre immedialely gh�"�,�,.��+y'°* y'G�1�:S�
surrounding residential improvements. (� � '��,.,3 $"����������r 4� � y'•
v�
� ���A�=
Other land (Z) 3���'���
:
Tdal land (line 7 plus line 2) (g�
Dwelling (4) ������:'{�� �YS. �q S�
�Residential improvements or Mnually
�3S,u_..�'iu� r �-.°s.+��K�s.��.
0.5sessed Mobile / Manufactured Home Gara e � fi�`-r�,�-�'�^�- �•�i��.
9 �5� ':�,�'��-•` ' � E�.,.'�':?�
Other improvements (g) �"`T�°�'� �
� .s-t��, a. �
Ta1a1 improvements (line 4 through line 6) ���
Tdal value (line 3 ph.s line n (g)
I hereby certify Ihe above is We, torred, and Signature oFASSessor Date signed
complete.
VeriFjirg aclion - Signature of Auditor �ate signed
����a�'r.'��-�-= ���S;i�������iST/WOARU'DEDUCTION�ALLDYVANCE�,�,Y?����?.��� �z;�5'`"�"�'r�.�`.��i,-„�*�'"'�^
20_Pay20_ _
Lesser of 1Y2 Homes;ead
vauanon w S35.OW S
Signature otAUditw " Date signed