Homestead_McKinney •
MATE WPM!ye. /4N1 1REASI:PIA TORVi11A
A,,PrsED BY STATE BMRDnr somisns.zion PrIrBIBEWBV 1111 DEMFUNIENT(F LQAE GOVERNMENT MACE IC a-I.1-n-11
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 nor 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 reecho the
benefit and to provide additional identifying information neces ry to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county 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
McKinney, Brenda K
1402 Mary Lee DR
Princeton IN 47670
1203
Brenda K McKinney
1402 Mary Lee Dr State Parcel Number Legal Description
PRINCETON IN 47670-3116
ltlttlltttltilttltttlll Ilttttlitttlltilttllttttt�t�tt��t! 26-12-08-104-003.146-028 019-03146-00 EAST HILL 15
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 Middle Last
VY' nae_ <a / /4' /� f n n y
lig Address(number end street,city,stare,and ZIP code) ® Same as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propeny address
•
Social Security Number(Iasi 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sea
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.
Ow Lettt rc 'Date
ti�
N y� CLAIM FOR HOMESTEAD PROPERTYTAX
CREDITISTANDARD DEDUCTION
S � State Fortn 5473 (R4 ! &00) .
INSTRUCTIONS: See reverse side (or filing instructions.
FORM Y�
�,� 6
NOV 2 7 2001
1(We) � `L /cer(�ti�l�BirtHe'"t'st ila"y`of tviarch; 20_
I(We) ocwpied as our principal place of resi the following described�real property for which a Homestead Property Tac Credit is hereby daimed:
�(We) owned ❑ Are buying under contracl
�iave a beneficial interest in lhe entity that is liable for the property taxes on the property and Nat owns the property or is buying under a contrect.
If buy'ug on wnVacC Fee Simple ownefs name
Counry
Tavnship
Record �umber
Tac�disiricl (cif�y.Pown. town hiP)
U
Page
PQceI number_ � �� � � Legal Cesaiplion
iQ �
II any poriion ol lhe resiEential sW cture or the land mt exceeding one (1).ave that immediacey surtounds that struGUre is usetl to proCuce incame, descnbe lne use aiM
of ihe praperry uUlizeO to produce iMOme. -� - - �
't��+�%����,E,��x�?-��3?�y"�°,���`',T"�'',STAND/1fiU:DEDUCTION�ALL0INANCE��.-?{y„=s;"��,'���;y -s,��;`'' ��"�"�`c�
_.�
20_Pay20_
Lesser of 12 Homestead
Valuation or E6,000 $
Signature ofAudita Date signetl
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