Homestead_Marx al•il I O101,, llet 1 TPFASULFA FORM:31A
Arppn'En BY CT∎Tt BI■RD II*∎nn .crs.`nn 'PrLRmm DY fir DLPARneeTrw LOCAL t VE RNMIXFFn:LLi M<I.I"J:P
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couple are limited to one homestead standard deduction.As the receipt of this deduction become
more beneficial,there is more incentive than ewer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they am elicible to reeene the
benefit and to provide additional identifvin_ information nett:son to allow count go.emment to better monitor homestead
filings. this information will be kepi confidential and can only be aceessnl by authorized county officials.The Depanninit of
Local Gosmunent Finance will roc this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Marx, Jerome A/Judith A Life Est
— P 0 Box 36
Princeton IN 47670
2291
Jerome/Judith Marx
P O Box 36 State Parcel Number Legal Description
Princeton IN 47670-0036
III I III I I III I I I I II I I IIII I I I I I I I 26-12-06-204-003.197-027 006-03197-00 NORTHBROOK HILLS
t tt fir r tI rtt Fir II tt tr r tiOh PHASE III 61/63
✓ o
PART 2:TAXPAYER INFORMATION •
Owner I I First Middle Last
dF-RDmE A/✓T/-foAly Al AK:x
! sddrws(number and strut,city,Sate.and ZIP code) — - �-Sa�rr.as property Was; _. — ___ _ ..I_ __ _ ..
® .i P
/8 /9 C oAn000b & , P/nce-ion 1,U 4767o
J (Anf i H ANN MARX
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address .
If 19 CoTo0wooD Dg_. PPI& erol► Lti `7/7670
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 Si nature Date
•
`�E ST�)F �
a �
' ��;
'i'<<�7f
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
SUte Form 5473 (Fi2 / 5-92)
FORM
HC10
YEAR
INSTRUGTIONS: See 2verse sltle tor liling Inshuctions. y. -�
.� \ ERTIFICATION STATEMENT `L�
C- l�-��
I(We) . L��� � -E ity on the 1st d^ay of March, 19_
I(We) occupied as our principal place of residence the follo ng described real property f hich a Homestead Pr1o1p"rty�Tpic �IDis hereby laimed:
❑ I(We) owned ❑ Are buying under contracl • JU�� � J rn{
❑ Have a beneficial interest in the entity that is liable for Ihe property taxes on �he property and thai owns the,properry or 5 b � tract.
� � ,r-'�'"� ( Y P��5S0
CONTRACTRECORDED ' ' � gC,<""`-
If buying on cronVact, Fee Simple owners name
Recordefs office where conVact is recorded Record number . Paqe
PROPERTY DESCRIPTION
Counry Township � � Ta�dng district �fown, (ownshrp)��
l�,� T F''
Parcelnu ber 2 Legaltlescripdon
� l �
If any poNOn ot Ne resitlential structure or the land not exceeding rne (1) acre that immeAiatey surrounds Nat si`ucNre is usetl to protluce income, tlescribe the use and portian of
the property utiizetl to produce income.
��-i�ao �- z�- o� , iW�-oa�
q. 9- ���
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
i naWreoFCI - ni
.zreby certify the above statements are.true, correct and complete.
, Address (numbe nd stree iry, state, ZlP code) / � '
/ � 9 /' %v -7�'7Q
ASSE SOR USE ONLY TRUE TAX ASSES D HOMESTEAD NON-RESIDENTIAL
, VALUE VALUE VAWE VALUE
Land not exceeding 7(one) acre immediately (�)
surrounding residential improvements.
Oiherland (2)
Total land (line 1 plus line 2) (3)
Dwelling (4) .
Residential improvements
Garage - (5) .
Other improvements (6)
Total fmprovemenis (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, correct, and Sgnamre of assewr Dare signed
complete.
Verifying action - Signature ol Audiror Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Le ser of 1/2 Homestead S
luation or $2.000
Signature of Autlitor Da signetl
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