Homestead_Morrison (26) S1ATE FORM n..tle ) t MIASMIC FORM 5-IA
APPROVED By AT.IE ODARDnr.NTxRA%T%_`>w PRIISCRIBED BY PIE DEPARne4Tcw UXAE rovrLNstrTT FINANCE ire-u.rat
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 individuaLs and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net 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 receve 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 Depannunt 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
Morrison, Ronnie A/Patty A
803 S Ilan
Princeton IN 47670
1414
Ronnie A/ Patty A Morrison
803 S Hart State Parcel Number Legal Description
Princeton IN 47670-2643
111111111i11111111Trlll 1 1 ��rrr Iry Iry IIr II 11 rr I 26-12-18-102-001.737-028 019-01737-00 HALLS 2ND ENLG 28 PT
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 n Middle Last
RD1) n7e A MornJon
ill!Address(number and stray,city,state,and ZIP code) Same as property address
ko 3 S. 4/1Rr //�y�f
Spouse ''tt First n Middle Last
P1YT N • IT.0.4
Mailing Address(Number and street,city,state,and ZIP code) laSame as property address
'
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
•
a`�� �n' g CLAIM fOR HOMESTEAD PROP.ERTY TAX-
. CREDIT/STANDARD DEDUCTION
�� .
�,<'� State Form 5473 (R2 / 5-92)
�a� .
INSTRUCTIONS: See �everse side Ior Iiling instructians.
FORM
HC10
YEAR
� � � � � - � - • . - CERTIFICATION STATEMENT '� � � - - _ ' �-' '�
I"Ne) C. V 1 S� . certity. that on fhE � 5t �ay'of ��c/h, 19_
�� occupied as our principal place ot residence �he tollovring described real property for which a Homestead P rty Tax Cr it i� reby daim
(We) owned ❑ Are buying under contrac� . ..
❑ Have a beneficial imerest in ihe entiry that is liable for the property taxes on ihe pmperty and ihat owns th pro�%� Tu�dNd9rdd�}a t.
- � . �CONTRACT�AECORDED��". � � � � - -
If buying on contract, Pee Simple owner's name - � - �' . .
Recortler's oHice where contract is recordetl Record number Page
PROPERTY DESCRIPTION
Coun . ' Township ' ' ' � � - � Ta<ing d:3tricrj
l f7SOn • ' �
ParC I nu er Legal e ption
�l�-C�173 � -D�D a.l �S -�,-�
It any portion of ihe reSWential strucWre or �he land noi exceetling one (7) acre that
ot the pmperry utilizetl to produce income.
�� a$ �-�
nme iately surrounds Nat structure is usetl m produce income, describe Ne use and ponion
PROPEflTY OWNED BY CLAIMANT IN OTHER COUNTIES
TownShip County
cenify the above statements are true, correct and complete. I Siyna}ure-f
\l
(numberandstreet. ciry, 51afe, ZlPcode)
r�
ASSESSOR USE ONLY . TRUETAX ASSESSED ' HOMESTEAD NON-RESIDENTIAL
VAWE VALUE. VALUE � VALUE
Land not exceeding 1(one) acre immediately � -
surrounding residential impmvemenis. (�) - ' . ��
Otherland , (p)
7otal land (line 7 plus line Z� (3)
Dwelling (4) .. . .
Residential improvements �
Garage (5) � � � . '
Oiher improvements (6) � �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g�
I hereby certify ihe above is true, correct. and Sgnamre ot Assessor oaie signetl
complete.
�ving aaion - Signamre of Auditor Date siqned
of
�
19_Pay19_
Lesser of 1/2 Homesiead
Valuation or 52.000
STANDARD DEDUCTION
�
Date