Homestead_Morrison (24) STATE rnRM!tMIR_raw} TR:AS-ant FORM:}IA
la IMPORTANT NOTICE TO HOMESTEADrP PROPERTY OWNERS
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and mrried couple.:are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HE.\ 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 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 Ikpanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PORT 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ - Morrison, Anita L
213 S Stormont
Princeton IN 47670
1067
Anita L Morrison
213 S Stormont State Parcel Number Legal Description
PRINCETONIN 47670-2229
.�tln�lur�r��n�nr���nr n�r�n�r�n�t��t� ��r t��t�ru�� 26-12-07-401-002.546-028 019-02546-00 PT SE 7-2-10.19 AC ,-
•
This form MUST be returned 6o Counfy Auditor's office.
Please do NOT send this form back with y:•:rur tax payment to the county treasurer.
• - PART 2:TAXPAYERC1NFOR%IATION
Owner h First Middle Lasl
NO tR �YNN PRISK‘
One Address(number and street,city,Hate,and ZIP code) S-� ,� Same as property address
? c-F-t f— + t y-7 (4`70
Spouse First ` Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 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)
Slate
•.. PA'T3: ER . CA ION. - ... .,-. �.� �. )
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
•
_4k R��°+, CLAIM FOR HOMESTEAD PROPERTY TAX
= CREDIT/STANDARD DEDUCTION
\ � State Fortn 5473 (RS / 10-0t)
�O� Presrribed by ihe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side (or (ling instructions.
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i�7 s i� ;�t
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::;CERTIFICATION STATEMENT`? . ; ,. . . ..
1(VJe) 1\\ S. �-�_ -,-- ��—�`�' ��m, J c� that on th 15t / of M , 2
I(We) occupied as our pnn � al place of residence Ihe f oofl wing described real property for which a Homest .E - s imed:
�(We) owned ❑ Are buying under wntracl
GIBSO�COUti;`•' � u�:v., �
�iave a benefidal interesl in the entity that is liable for the property taxes on the properry and that owns the property or is buying under a contract.
c�;.i:;=�.:v3t�'���?t , �z.a�< + =° '� ' � ;+T�-�:CONTRACT'RECORDED�':" - ` r a,+i : ' ' -
I( buying om m�Vaa, Fee Simpie ownefs namey
Recorders olfica whera wntracl is recorded Rewrd number Page
Caunty
Tavnship
�own,
.; . atw:•. _ . _-._ .. ...
Parcel number C' / �.^ Legal descnption Is the property in queslion:
Q�Q �- ��� l lp'vJ ❑ Real property ❑ htobile Homo (I.G GiJJ)
If any portim ol �he resiEential sWClure or Ihe Wnd no� exceeding one (1 � aae Na� immediatety sunounds that s'uuaure is usetl b produce income, desuibe ihe use and portion
of the properry utilizeA m produce irrcome.
County
Township
I hereby certify the above statements are W e, correct and wmplete.
and sbeet, ciry,
d�
MANT IN
County
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0
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�� S 4-.:..7 . � _ -+, .....
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��-=t-� �, ASSESSOR USE ONLY £-� y '~ � ssTRUE TAX ASSESSED V/LLUE >HOMESTEAD, ��� r� NO NTIA �' :��
. � --� ? VALUE= � AT.100Ye OF�TSV VAI.UE; N�RESIDE _ L
�i: r^.1. v ..-..ri _ .. ��}?-. .._ _ . .�....r . _... .�. o .___,._ .. . -�.,.,... ,: ,-.. ,_-�`'.—..� . J _;'VALUEr..:��i�,r�
Land not exceeding 7(one) aae immediatety fi�' --�` "" Y�. � s 3 :
surrounding residential improvements. ��) „�:�.-�. - •,;;1::.,;%,��,,�-;�
Otherland �z) � �'�D',,,sct.�n� ` �
_ :n �..a�,-
Tdal land (line 7 plus line 2) (3)
Dwelling (4) 's° i � r J� Y JT "`�t` �'.
Residential improvements � - °� z�' ��` � '`
_ � y� � ..�
Y'• .La)...
Garage 5 't�e ' 'U rr,�'�. 3�. - �
( � ': <St:.•-.:C:=.$�` y . r.? ^i ,-�+! -
Otherimprovements (6) - =� �"��-��
.iif.
Total improvemenLS (line 4 thiough line 6) �7)
TUaI value (line 3 plus line n (g)
I hereby cedify the above is We, coveG, and signawre ot�sseswr oate signed
complete.
Verifying ac�on - Signature ofAuditor Oale signed
��w�f� .t=� a� �;�`� `� #- �ti= � � �, �"STANDARD.DEDUCTION'/LLLOWANCE . � . `
:tily.-._. ,��.'=s. .%.�_"' �.':�t�5�`�.-..�",.ti'� z._., -�°_: Ysr?'•'�-�� -
20 _ Pay 20 _
Lesser of 1I2 Homestead
Vaivation or 56,000
5
Synawre of P�itor Da�e s" ned
3�