Homestead_Luth •
SIAM FORM!Mt.IR'/ TRLAWLFA FORM to 1A
APPRISED BY 5151E B[NROOF ARYR i‘`VW PRf9(RIBm BY Tilt DEPARTMENT OF LOCAL ro42RVMEA1 FINANC'EMVI.I-r-..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
more beneficial,there is more incentive than 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 reeecite the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Depanntent of
Local Government Finance sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Luth, Sharon
627 Makemson AVE
Princeton IN 47670
1423
Sharon L Luth
627 Makemson Ave State Parcel Number Legal Description
PRINCETON IN 47670-2831
1t1rr11rrrlrlll rlrFr��� ��rr�ttr��rl rr��Fr�r��t lr�rr��l� 26-12-18-103-000.445-02ti/ 019-00445-00 MCKAW SUM 29 PT/30 PT
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
1�(_\n Middle Last
//�j c
li'tg Address(number and street,city,state,and ZIP code) Same as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and 211'code) ❑ Sane as property address
Social Security Number(last 5 digits) Drivel's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
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 I t ure Date,
41111[
•
rt CLAIM FOR HOMESTEAD PROPERTY TAX FORM YE
s__. . CREDIT/STANDARD DEDUCTION HC7o 4 6�Q,�
t� � SMate Fortn 5473 (R5l 10-01) H ,
�� Pieurihed by �he DepaM�en� W Local Govemment Finance �
INSTRUCTIONS: See reverse side /or �ling insfructions. 1
�'• `rr`�a?'�xw�iT* ', "'tP�'°�su-"-*�.,�..asL�''-'.�� .s -��t"$ i'CERTIFICATION STATEMENT:�,%' �_s����`�3�r-�' �: ��-_,�.-�.�,��x+�`s��t�.�'�+...'�'�.
)
1(We) certi al on the 1s da����!1 Marchr20�
I(We) occupied as our principal place oi residence the following described real property for which a Homestea/���mr�5hefeti�fd'ain%d:
� I(We) owned ❑ Are buying under cont2ct
GIBSON COUt�7Y AUDI iOR �
�
� Have a benefidal interest in the entity that is liable for the property taxes on ihe property and ihat owns the property or is buying under a contract.
If buyim� on conlraU, Fee Simple ownefs name
Remrdels of6ce where wnVad is recorded
� -.t'�a�'k�i�� �.��i'�T��.
County � Tpmship
N any
ol ihe
sWCWre w Ue IanA not exceedinp
icei�ome.
wrrounds Nat
I RacorA wmber I Page
��'{'t�TT €��o,.���.._�-:3E°���_.���'IaF��`+f�'
'aU/�-/
ies6on:
al properry ❑ Mobiie Hwno (I.C. 61.1-n
is used W produce income, describe Me use and portion