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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited in one homestead standard deduction.As the receipt of this deduction becomes
® more beneficial,there is more incentive than ester 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 recent 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 be 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 INFORMATION
Taxpayer Name Property Address
Monk, Marvin D
910 E Broadway
Princeton IN 47670
3201
Marvin D Monk
910 E Broadway State Parcel Number Legal Description
Princeton IN 47670-1924
It 1t t11ttt1t11tt1ttt111 ���t�ttat�t�r�tt�rtt����ttr�t�tt� 26-12-08-103-001.322-028 019-01322-00 JERAULDS ADD B PT/9 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
frLvisJ
. ) 14-Al /� D N
—®ng Address(number end iva-L,city,state.-and ZIP code). -. - — — ---- Sere as property address_. _ __ _
1D r• �2oAAw Ph/NKEraN, X . c7L70
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Ei Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
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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
unlaw ,he or she may liable for back taxes and substantial financial penalties.
Owner I Signe Date
aE �; CLAIM FOR HOMESTEAD PROPERTY TAX
;��� CREDIT/STANDARD DEDUCTION
.�:;;� State Form 5<73 (R2 / 5�92)
,ei•
INSTRUCTIONS: See reverse side !or (iling instructions.
FORM
HC10
YEAR
�
1(We) _E 1 I I 1/ l/ ` i �(/ V�-V � � certify ihat on the 7si d�_of March, 79_
T—�_—.'_`!�*_..- ,��-q �fi
�e) o ed as our pnncipal place of residence the follo vin des ribed real pmperty for which a Homesteadr7�p]"p'fe rt�TaX Cred �he�eby Gaimed:
(We�ed ❑ Are buying under coniract , 1L � �!���� �
❑ Have a beneticial interest in the entity that is liable for the property taxes on the property and thai owns the propertyor s buyi�g�tQ�QCSa contract.
���� t �
If buying on contract, Fee Simple owner's name
Recortler's oNice where conVact is recortled
Counry
!= Q �� ^ -� T' Legal deuripiion
"1 l 1
o� �-q
of the residential structure or the land not exceed
y utiGzed to produte income. �
CONTRACTRECORDED
PROPERTY
acre that
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
certify the above statements are irue, correct and complete.
(numberan�.street, ciryystare, ZlPCOde)' /
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surrounding residential improvemenis.
Other land
Total land (line 7 plus line �
Dwelling
Residential improvements
Garage
Other improvemenis
Total improvements (line 4 throvgh line �
Total value (line 3 p�s line 7�
I hereby certify the above is tme, wrreci, and
complete.
Verifvirxe anion - Sianawre of Autli�or
79_Pay79_
Lesser of 1/2 Homestead
Valuation or 52,000
(�)
(2)
(3)
(4)
(5)
(6)
l�)
(8)
o laimant �w �
'ti/
TRUETAX I ASSESSED
VALUE' VALUE
olA55essor
STANDARD
S
Fetord number
HOMESTEAD
VALUE
Page
tlescribe the use a� portion
NON-RESIDENTIAL
VALUE
signed
siqnetl
Date signetl