Homestead_Meier MATE FORM,PRAIA_/'AN) IAFASUIII.TORN 73-IA
.APPROVED BY SATE MVDM Aflt.T5.2%M PRESCRIBED BY 7/1E DEPARTHEIT OF LOCAL r)vtt.NMFNT FINANCE IC 6-1.1-22-1 I
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 ever 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 receive 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 Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Meier, Colleen Kay
1107 E Water
Princeton IN 47670
1265
Colleen Kay Meier
1107 E Water State Parcel Number Legal Description
PRINCETON IN 47670-2251
111111111 dllittlt ttllitttttIII11111111 Iii ttlilltr tlttt iltlttl 26-12-08-301-002.012-028 019-02012-00 LYNCH 1ST 73/74
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
CD Heed Ka) Me i.e.r
tg Address(number and street,city,state,and ZIP code) Same as property address is
/0,7 E kIahr St. Pndce , r� 47d ? o
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 Pan 4 below)
sax
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.
Owwnne",1 Signature // Date
��•�° CLAIM FOR HOMESTEAD PROPERTY TAX
e�"� � CREDIT/STANDARD DEDUCTION
S J State Form 5473 (RS / 10-01)
Prescribed by the Department o( local Govemment Finance
INSTRUCTIONS: See reverse side for (ling instmctions.
STATEMENT'-_ . � .. - .
FORM YEAR i
1 I
_�
JUL n � 2002
i(we) l=,�,r'�L[S/,L►'� T� y� ��(x.(L�> certif�dat-�Bqngth�4Cs`li�`�; r
I(We) occupied as our principal place of residence Ihe following described real propeAy for which a Homestead Pr�erryCP�c GQe�it is here� y� aimed
❑ I(We) owned ❑ Are buying under wntracl
�Have a benefidal interesl in the entity that is liable for the pmperty taxes on lhe property and ihat owns the property or is buying under a contract.
�:`hs:=-.Y.� e � `'. .'�',�"s„ :b '�a> .. rr� .::_:CbNTRACT'RECORDED,':�;r,: . u.-_ ai.. <j'� ' .
^:+,-.�'i'.z;'; tr , ."�r� �,. � �i'�e C'� = t'as..-._..<:� 3 - :^3
If buying on contrad, Fee Simplo owner's name
Recordefs olfice where wnVacl is recorded Rewrd number Page
Counry
I( any portim <
ot the propery
Tavnship
sWCture w ihe land not dceeding one (1) acre
ite intome. 1
Tacing dislrict (ciry, fowq township)
Ihe propert�yin 'que✓stian:
� t �rarrerproperty ❑ Mobila Homo (I.C. 61.1-7)
itls Ihat swcture is used to produce income, tlescri6e the use anA poNon
?i"e,'� �_��.�.�.:i.?icF'��@;�y'� 1�+.,.�1„??�PROFERTY..OWNED�BYCI'AIMANT�IN�OTHER"COUNTIES+_',..C-�'--:.' v 1� �t. �. :,,i�, -��s -%:.
. .. <-..+
County Tavnship County To.vnship
I hereby certify the above statemenls are true, correct and complete. 'g '�e lai •
,eR/!L �,
�1re n m andsVee 1a , ZIP e) �
� �-tq�'' �''s'`� -" ' "`— �'Y ��"��''� �}sTRUE:TAX � � ASSESSED VALUE� - +HOMESTEAD .�T, s.f�, NON�RESIDENTIAL`i� �
'�}����µS�ESSOR�U,SE'�ONLYz`�r�,��L��>VALUE;�' y AT100%,OFTTVt.3�,�„ VALUE�'s��..��"� .1,'R"VALUE �.���.f�Y f'
Land not exceeding 1 (one) acre immediatery �? t �°r �t '� �= ' -1� �' �a ` - �
suvounding residen6al improvemenfs. (� � �`31� �C��� � ; ,�. • `�a "`�. -:"
�w< �
Oiher land (Z� '� .: ^_ ����"� �
r. r_., t:�
Total land (line 7 plus line 2) (3�
"s ` `"` v "-ri."�", :�
Dwelling (4) r`J r^' i-�'^!-,�t�' �' J ,Yt ,'.
Residential improvements � �'�'� ��� �' � - ���� �'
"�-'� ?i�^-' "N.�s"�,`ct� z�r.':<?3�r1'1r ..
Garage (5� N� rt.}a :�,�'�S,��r.��f•�,.¢•�yyi �`
�-„?F_.P`n,��s.'�...r�. i;, t yt.��-�
F'-? `�,' � -
Otherim rovements 6 �� ��• � '
P ( ) -.."-:4'F::<±-�'�'
Tdal improvements (line 4 through line 6) (7�
Tctal value (line 3 plts line n (g)
1 hereby certify the above i5 W e, cortect, and Sgnamre of asseswr Date signed
complete.
Verifying ac�ion - SignaWre otlwdimr Date sgned
20 _ Pay 20 _
Lesser of 1!2 Homestead
V�ualion or 56,000
Sgnature of Auditor
5
Dates�d ��
�