Homestead_Moody STATE FORM!I •IRI Nw1 tRFASULLR F(RM 73-1A
.ArrRmeo BYFL.R MARDOr A(CYUCTS• V PEFa[WBED BY Till DEPARTMENT Of LOCAL 4WERNMFLT FI:ASCE IC 6-1.1-17.4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one honlesteaJ standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser 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 teethe the
benefit and to provide additional identifying information Iletr.Say 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 Depanntent 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
Moody, Danny L/Jeanine L
931 S Stormont
Princeton IN 47670
1513
Danny L/Jeanine L Moody
931 S Stormont State Parcel Number Legal Description
Princeton IN 47670-2734
I.l.ill FFI VIII III II all I Iltnitt'Inlnl nllFnt'li ll,.l 26-12-18-202-000.373-028 019-00373-00 SS ADD 282
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
L
JO-�-�� e- { o N Al o o DY
�g Address(number and street,city,state,and ZIP code) S Same as property address
93 / S. STo R ,'1 Al Pt? ,NG E%o ,t/ =L ,J Li7470 - 2 7 351
Spouse First Middle Last
SEAN / n/ F 400 / S./4- /il o c pJ-
Mailing Address(Number and street,city,state,and ZIP code) E Same as property address
fl ! S Sao ,swJ 7 P c r: %o r, —A
- - — --- — - -- -
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.
Owner I Signature Date
. - -
•
' �/� �
��� -
�, ...,�
CLAIM FOR HOMESTEAD PROPERTY TAX
'�� ' CREDIT/STANDARD DEDUCTION
`a:'
State Form 5a73 (R2 / 5-92)
S��'
INSTRUCTIONS: See �everse side !or liling inshuctions.
. .. � . . .- . . �.�^:-, � .",,,�CEHTIFICATION�STATE
1 (We)
I(We) occupied as our princi place f sidence the foilowing described real property for i H
❑ I(We) owned ❑ Are buying under contract
�� Have a beneficial interest in ihe entity that is liable for the property taxes on the t�
_ •.•-Oi
� -- • , CONTRACT RECORDED �' : .-
If buyirg on contrect. Fee Simple owner's name
Recorder's oflice where contract is recorded
FORM YEAR
MC10
��.., �_:�c._ � - -
�LVj that on the 1 st day of �March, 19_
� tead Prope Tau Credit is hereby daimed:
�,5 ingtgft�€Ity r is buying under a con[ract.
_ � .. . _- _.r 8..� . ; ,.
Record number I Page
. " . . . . . � - � PROPERTY DESCRIPTION ' . 8" . . , .
Counry Township Taxing district (crty, town, tovmship)�
P�cel numbe= oO � Legal description n
lJ �
If any portion of the resWenGal struaure or the la� not exceeding one (1) acre Ihat immediately surmunds that swcNre is used m produce income. descnbe t�e use and
ot t�e propeM utilized to protluce income.
� � PROPERTY OWNED BY CLAIMANT.IN OTHER COUNTIE5 - ' �
Caunry Township Counry Township
I hereby certiy the above statements are true, correci and complete. Si re of daiman� �p
d
�Atltlress (number arrd streei, ciry. state, ZlPCOde)
3 S
. � -ASSESSOR USE ONLY � �UE TAX ASSESSED HOMESTEAD . NON-RESIDENTIAL`�; � .
� � � VALUE' VALUE VALUE VALUE >
Land noi exceeding 7 (one) acre immediately (�) _ � � , " �
surrounding residential improvements.
Oiher land (2) � �� ' �
Total land (line 7 plus line Z� (3)
Dwelling (4) . " . -, " -
r-
Residential improvemenis - �
Garage (5� . �� �
Other improvements (6) �
Total improvements (line a through line � (7)
Tota1 value (line 3 p6s line n (g)
I hereby Certity the above i5 Irue, correct, and Signamre of Assessor Da,e si9netl
complete.
Venyirg action- SignaWre of Autlitor Date sgned
19_Pay79_
Lesser of 7/2 Homestead
Valuation or $2,000
of Audiror /� , \
�
vCJ
5