Homestead_Morrison (20) STATE mti”YN,P0./esNI MEASLIER FORM TS-IA
ANION Ell DY SI\IL BOARD Of P ITPUNTS.`m+ PREYA16m by tar DEPMfEVT OE LOCAL re)vttyNmr FINANCE MLI.Ir-s.'
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuate and married couples are limited to one homestead uandant deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eter for homestead fraud.Homestead fraud causes higher rat bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiIintc.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Loral Government Finance will use this information to create tools that will help county officials eliminate homencad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Morrison, Richard L/Sara
303 5th AVE
Princeton IN 47670
1476
Richard L/Sara Morrison
303 5th Ave State Parcel Number Lesal Description
Princeton IN 47670
26-11-12-1``01-000.847-028 019-00847-00 TOWER HGTS 184 PT
PART 2: TAXPAYER 1NFOR\7ATION
Owner I First Middle ✓1� Last
PiCA &rd Lynn 01rlSon
lalpg Addrtss(number and street,city,state,and ZIP code) - ® Same as property address
3o3 N. ri- +A , v. Pf hee fr ti I -rAi 41617o - )02_3
•
Spouse First Middle Last
S1Qca SILL /forrison
Mailing Address(Number and steel,city,state,and ZIP code) Same as property address
30.3 N, P i 4-f h AV Pr,'nee-fo n , -mil✓ 47&7o - /OP23
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 hack taxes and substantial financial penalties.
Owner I Signature Date
•
�.f -T`"R
�'' '°„ CLAIM FOR HOMESTEAD PROPERTY TAX
_��� CREDIT/STANDARD DEDUCTION
.,,�,``� State Form 5473 (R2 / 5-92)
�eu
INSTRUCTIONS: See reve�se side 7or /iling instructions.
FORM
HC10
YEAR
3
� • - .. � � CEHTIFICATION STATEMENT � " ' -- "` ' � `"`y' �'
e) _ ` certify.tHACbh tHe 5'st'tl5yb1 March, 1��
e) occupied as our principal place of re dence the following sc( ed real property for which a Homesiead Property Tax Credit is hereby claimed:
I(We) owned ❑ Are buying under contract '. � . ' i.r�ii�pxiI ftilf�T(✓�ip1.wr�
Have a beneticial interesi in the entiry that is liable for the property taxes on the property and that owns the property�t-5 tfupng � der a conirect.
. CONTRACTRECORDED . -
It buying on contrect, fee Simple owner's name .
flecorder's ofliCe where Contrap is reCOrded Record number Page
Counry
Parcel ou er
/'��� �G
If a y portion ot ihe resid
ot ihe prooeny utilized to
, Township �
r
Legal des➢ripti n
n �
stmcture or the land not exceeding one
oe income.
PROPERTY DESCRIPTION
Tazing diSMCi (
structure is used to produce income, describe the use and portion
PROPERTV OWNED BY CLAIMANT IN OTHER�COUNTIES �
Counry Township Counry h"o
��.
�reby certify ihe above statements are true, correct and complete. Signamre o� aimam
_ �
Address (number and streei, ciry, state, ZIP code)
,�v3 �� �. �
ASSESSOR USE ONLY , TRUE TAX � ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE VALUE VALUE �
Land not exceeding 1(one) acre immediatety
surrounding residential improvements. (�)
Oiherland (z) .
Totai Iand (line 7 plus line 2� (3) .
Dwelling (4)
Resideniial improvemenis
Garage (5�
Other improvements (6) �
Total improvemenis (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby certify Ihe above is VUe, corrett, and Sgnature of Assessor Dare signed
complete.
'yifg action - SgnaWre of Autlitor Date signetl
iaWre of AuEimr
.C__�
19�ay 19 �
>ser of 1/2 Homest ad
.. . .. _.. __.. � 5
�
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