Homestead_Meyer inn FORM My.,IF:i•-yo tmFASURER FOAM 7-IA
.APPROVED BY snit POixo OFM•PNT[.mem PREAWOQ)BY 111E DEPARTMPNT OF LOCAL GOVERYMFMT FINANCE IC 6-1.12_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homesxead eandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net-for homestead fraud.Homestead fmud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and can only he accessed by authorized county officials.The Uqunment of
Local Government Finance will use this information to create owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
FI ._
' Taxpayer Name Property Address
Meyer, Dada J
APR 9 ZULU 303 Olive DR
Princeton IN 47670
1618 t
Dada J Meyer
303 Olive ON COUNTY AUDITOR
Princeton IN 47670-3459 State Parcel Number Leal Description
Jill I I I t 11I t I I t 1I t 11I I I 11.11111111111111111 I I t t 1I t I I 26-12-18-403-002.465-028 019-02465-00 ROSS PLACE 27
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
DarIcc_ a Meyer
en
g Address(number and street,city,state,and ZIP code)
t t�
l4 Same as property address
n
303 OLve, nr-Ive Qr; nce+-on ) 1 N 47(n70
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)
Sum
I PART 3:CERTIFICATION r
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.
Owne ' aturc Date i
d��^n :t\ CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
�E�I" CREDIT/STANDARD DEDUCTION HCio 5
�.� Stare Form 5473 (R2! 5-92)
: �u
WSTRUCTIONS: See ieverse side fo� liling instiuctiona � -
/
CERTIFICATION STATEMENT
I�"Ne) ' Certi�y Ih�i � 0 7�
��) occupied as our prLn¢p lace of resid ce ihe following described real property for which a Homestead Property Ta��}��T���e�y cla�imed:
I (We) owned ❑ Are buying under con�ract
Have a bene!icial interest in the emity that is liable tor the'ro�erty taxes on the'ro�erty and that owns the'ro�eny or is buyin� under a contract.
CONTRACT RECORDED
II buying on conttact. Fee Simple owner's name
Recorder's o"�ce where wntrac� is recortled Rxortl number Page
Gounry
Parcel number
� ��-i�c��Q� I
II any portion of the resitlential stmcNre or the land not
of ihe pmperty utilizetl ro protluce income.
PROPERTY
;ownship)
one ( t 1 acre that immedia;ety wrmunds ihat structure is used ;o produce income. describe the use antl ponion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately I(� I I
surrounding residen�ial improvemenis
Otherland (p)
Total lantl (line 1 plus line 2� (3) I I
Dwelling (a) I
Residential improvemems
Garage I�g) I
Other improvements (6)
To�al impmvemenis (Ime d lhrough line b) (7) I I I
Total value (line 3 pLs line 7� (g) I
I hereby certify the above is Uue. corred. and Signamre ol Assessor I Daie signetl
complete.
��ng ac:ion - Signa:ure olAUtlimr Date signetl
19_Pay79_
Lesser ot 72 Homestead
Valuation or 52.000
Signalure of Audi;or
STANDARD DEDUCTION ALLOWANCE
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