Homestead_McEllhiney (11) T
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,PrMw'En BY ct•TE BO•RO(N MTTM'NTM'7n Pt/SCRIM BY nIL DFP.Rne4T OF LOCAL onvrtwMtwr new:rr I I_!.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
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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 receise the
benefit and to provide additional identifying information necessary to allow county gcwernment to better monitor homestead
filings. ntis information will he kept confidential and can only be accessed by authorized county officials.lie D.epanmem 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
McEllhiney. Ramona Jo
713 N Race St
Princeton IN 47670
2676
Ramona Jo McEllhiney
713 N Race State Parcel Number Le2a1 Description
PRINCETON IN 47670-1631
11111111 ttltllt 11111111 1111111.111111111 111111,11III tIII 26-12-07-201-003.468-028 019-03468-00 NS LOT 6PT R1
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• 'x. PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
RA'CRC/ NR -To VCAC.--, Cl\h\ Nay
- _,.410ly Ad,.rw(numb.r azzla ect ity,--.-.....d ZIP=de) _ __ __ — -lnt'Sense es p _pony address __.___—_
1 13 N y e\Rea Pr i nx-aTcs , Tt N . q`J m
Spouse First Middle Last
Mailing Address(Number and street,city state,and ZIP code) 0 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)
sew
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.
ner I Signature Date
ill
ry�
, � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S � State Fortn 5473 (R4 / &00)
u�.
INSTRUCTfONS: See 2wrse side /or filing instructions.
�FOR� YEAR
�'°� 6�'
DEC 2� 2001
I(VYe) �� I 4� ��`-� `N -/°cei('r(y-fhat onthe'1st Aay ot March, 20_
I(VJe) occupied as our prindpal place of resid ce the following described real property fo w ch a Homestead Property Tac Credit is hereby davned:
❑ I(We) owned ❑ Are buying under contraG
riave a beneficial interest in the entity lhat is liable for the property taxes on the property and Nat owns the property or is buying under a contract.
It buyiig on wntract, Fee Simple ownefs name
Recorders ofiice where contract is recorded
Tamship
P�cenlbe����� M I.Legaldesai /- /�
� ^�lJ
If any portion ot Ne residential strudure or the WnA not exceeding e(1) acre
of the property Wiized to produce income. �
Caunry -
Twvnship
I hereby certify the above statemenls are We, corred and complete.
(num6er and streeL dtKsfate, ZIP code)
Record number � Page.
.� _i
sunounds Nat struUUre is used to D�� ���. describe the use and portion
County
daimant
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