Homestead_Lewis (9) SAME FORM!MW ER_!VIM TRLASU[EA FORM}i l
VIRIWEO BY MIL B%MitnlfMMY:STS.9n pEFARIBED BY nil ere nnSeYT OF LOCAL rAV_R.x'MFBT MNA\CE M6-I.13_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive dun eser 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 rrcene the
benefit and to provide additional identifyine information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he acreaed by authorized county officials.The 0.7unntent of
Local Government Finance will use this information to create totals that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lewis, Teresa L
416 NE Avenue
Princeton IN 47670
3911
Teresa L Lewis
416 Blaine AVE State Parcel Number Leea1 Description
Princeton IN 47670-2902
II III I III I II I II I I II II II I 26-12-18-301-001.620-028 019-01620-00 BALDWIN HGTS 9/10/11PT
nn
r n nl l u ul I n l I nl r m n BLK7
l 1
Spouse First Middle Last
f,e.S Lo ca.1 sE Ltd, ; S
Mailing Address(Number and street,city,state,and ZIP code) f2l Same as property address
L/ l i- 4/CL r\ e A- E fc i n c e -fo � fi n) �(714L�7
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 deduetidn on this property. Each ridersigned also understands that;by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
M•_•••
s�/'=" °Y CLAIM FOR HOMESTEAD PROPERTY TAX
;����E CREDIT/STANDARD DEDUCTION
.. ,�r .,��� State form 5<73 (R2 / 5-92)
..,.
INSTRUCTIONS: See reverse side !or /iling instructions.
-Iti� i ��
�� � i. ,�;
,
We) _p�,¢..�J1;�D _ ���i o�. n.�ZL- � certity that oMJ�?ttSl.tl�y,�'Ma( �
.z) occupied as our principal� described real property for which a Homestead Property Tax Ci�ilii�h�(�(��ed:
❑ I(We) owned ❑ Are buying under coniract
❑ Have a beneficial interest in the entity ihat is liable for the pmpeny taxes on ihe property and that owns the property or is buying under a contract.
� . ,
- � CONTRACTRECORDED . � � '
11 buyinq on comract,�fee Simple owner's name - - . � . . . � . �
Recordefs oHice where contract is recorded Remrtl number Page
Counry
Parcel number
PROPERTY DESCRIPTION -
... 7ownsNp Ta<ing distrkt (ciry, fown, township)
l ^^ A [ I Legal description n � ^l� � ) � � /
_riM"> y�J V //O /!
�esitlential stmaure or the IarM rrot exceeding one (7) acre ihat immediatety surround t at strucWre is used to roduce
�d to Oroduce inCOme.
describe the use and portion
t=
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VAIUE
land not exceeding 7(one) acre immediately
surrounding residential improvements. " (�) �
Otherland (p)
Total land (line 7 plus line 2� (3)
Dwelling (4)
Resideniial improvements
Garage (5)
Oiher improvements (6)
Total improvemenis (line 4 fhrough line � (7) _
Total value (line 3 p�s line � (g)
I hereby Certify ihe above i5 irue. wrreGt, and Signature of Assessor Date signed
complete.
�`�irg action - Signature oi Autlimr Dare signed
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000
STANDARD
� •
S
Date signed