Homestead_Lawlor STATE FORMS e4IR]/crl MASULEA Po0.w7-1A
APPROVED BY STATE BOIRD OFMT INTS.`fir, PRISCAMED BY no orMan •c OF LOCAL CAtrR.YMEM FN:WEMH.1-Z-
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
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 homestead standard deduction to verify that they are eligible to reecene the
benefit and to provide additional identifying infortnanon necessary-to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized roomy 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
Lawlor, John P/Sandra A
312 Zimmerman DR
Princeton IN 47670
639 - - -
John P/Sandra A Lawlor
312 Zimmerman DR State Parcel Number Leal Description
Princeton IN 47670-3338
lintlintllthnlnnllnitltllnl 26-12-06-203-002.264-028 019-02264-00 HILLS B DALES 10
PART 2:TAXPAYER INFORMATION
Owner I First Middle // Last
TuR-1ng
R I t L LACItO
tg.Address(number and street,city,state,and LIP coder' -- ume as poverty noshes,-- - - --—- - --
Spouse First Middle Last
SCR ANA/ Lto�
Madan,.Address(Number and street,city,state,and ZIP code) El,Setfe 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
unlaufitlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signal Date
S
,e� CLAIM FOR HOMESTEAD PROPERTY TAX
Y� '� CREDIT/STANDARD DEDUCTION
.�; t State Form 5473 (R2 / 5-921
,.�.
INSTRUCTIONS: See reveae side foi liling instructions.
. . . .. - . _ . . � . ::�neer�nn�r�
� FORM
HC70
YEAH
� �(WE) �V � �.4-�� i'�ii7 �, 1 V�� �J�1� �� Q�Oi�,(�1sN� 0 f
I(We) occupi our principal ptace of residence ihe follovring described real property tor which a Homestead Property Taz !Y � is b ed:
� ❑ I(We) owned ❑ Are buying under contract Q
'� Have a beneficial interest in ihe entity that is liable for the property taxes on the property and thai owns the propert �� �� ..
��Tf
� . . � - . .. -0ONTRACT�RECORDED .-' :� . i, �. � . ' .. , � � - . _
If buyirg on contrad. Fee Simple owner'S name
Recorder's oflice where coniraci is retortletl Record number Page
Counry
�
Pa• I�
If any ponion of Ne resid
of ihe pwperty utifiZed ro
� '- PROPERTY DESCRIPTION ' �
Towns�ip Taxing district (dry, lown, townsAip)
� Legal tlescription
�, � h�-e-- �-�- � o�. oay w-�
or Ne land not ezceeding one (1� aae that immediately wrmunds that struciure is usetl �o produce usome, descnbe �he use arW por6on
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �
Counry Township Counry Tawnship
I hereby certify the above statements are true, correct and complete. Signa[ure ot aimant �
.ddr �(nyumber and s^b�eet, ary, slate. ZIP cotle)
V <
-. ��. ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL. +,
. ... . VALUE VALUE VALUE � VALUE �
Land not exceeding 7(one) acre immediately � � �
surrounding residential improvements. (�) - ��
Otherland (p) ' -.
Total land (line 1 plus line Z� (3)
Dwelling (a) � ;
Residential improvements
Garage (5)
Oiher improvements (6) �
Total improvements (line 4 through line � (7)
Totai value (line 3 p�s line 7� (g)
I hereby Certi}y Ihe above i5 true. torreCt, and Siqna;ure of Assessor Date signed
complete.
Veritying action - SgnaNre oi Auditor Date syned