Homestead_Nelson SINE FORM.53,411C I faro WRFASOUZ FORM TS-2A
RocEIMPORTANT'NOTICE TO HOMESTEAD DEPARTMENT
P PROPERTY OWNERS z,
Gibson County Auditor
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 on for homestead framL Homestead fraud causes higher tar bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
t benefit and to ptocide additional identifying information necessary to allow county goverment to better monitor homestead
( ding.This information will be kept confidential and can only he accessed by authorized county officials.The Department of
�,Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART I. PROPERTY INFORMATION
APR 8 ZULU Taxpayer Name Property Address
Nelson, Bradley T/ Irma J
— 77700- ,et 1110 S Stormont
GIBSON COUNTY AUDITOR Princeton IN 47670
1521
Bradley T/Irma J Nelson
1110 S Stormont State Parcel Number Le2aI Description
Princeton IN 47670-3040
ltiullu rlt�lnlnrill lirllnuinlli Illiurlu lt� 26-12-18-202-001.645-028 019-01645-00 SS ADD 295
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 1 First Middle Last
(3 Pik 19 I- V 1 t F L't'sill
�g Address(number and street city,state,and ZIP code) 3Same as property address
Spouse First Middle Last
a di A- 5 u n e n i l Son
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
1 110 ' S. 5 Formon 4-- er. 0cet-or\ i-�✓ 7v7,
- -
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( Signature
0
•
,.•=,•..
a� ; CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
! CREDIT/STANDARD DEDUCTION HC�o �
i��`
.�,-,�� Sta1e Porm 5473 (R2! 5-92)
uu � �� m�� �� <s�
INSTRUCTIONS: See reverse side Ior filing instructions.
� iWe) _Q��y�� �'�/� ��1._��� . .certify thatDK!Ae�Cfia�'61'�arch. 79_
r
e) occupied as our pnncipal ce of residence the following de xibed real pmperty for which a Hom ead Property T�,qB' edi ��{ed:
�v
U I(We) owned .❑ Are buying under contract , y',^ �
❑ Have a beneticial interest in the entity that is liable for the pmperty taxes on the property and that owns the propert�lF{�6� i�L-nder a contract.
- - CONTRACT RECORDED -
If buying om m�tract. Fee Slmple owner's name . . - �
ReCOrder's oflite where wntrac� i5 recorded Rewrd number Page
COUniy
Parcel number
PROPERTY DESCRIPTION
Township . ' Taxing dis�ric� (city. �town, tawnship) .
Legal de5cription
(J I"j �(;/ I F2 Y 5'CJU I V U tiLC7Ld OC-I J
Ii any portion of the residen[ial structure or Ne lantl not exceeding one (1) acre that immediatety surrounds that sWCWre is used to produce i�ome. tlescribe Ne use and portion
of the pmperty utilized m produce income.
PFiOPERTV OWNED BY CLAIMANT IN OTHER COUNTIES
County TownShip Coun�y TownShip
�reby certify the above statements are tme, correct and complete. Signam• f ciaimam
Address (numbei and street, ciry, stare, ZlPcode)
(
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENT7AL
VALUE VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding residential improvements. ���
Otherland (2) �
I
7otal land (line 7 plus line Z� (3)
Dwelling (4) .
Residential improvements
Garage (5)
O�her impravemenis (6)
Total improvements (line 4 (hrough line � (7�
Total value (line 3 pUs line 7� (g)
I hereby certify ihe above is true, correci, and Siqna;ure of Assessor oa�e signea
complete.
�fying action - Signature of Autlitor Date signed
19_Pay19_
Lesser of 7/2 Homestead
Valuation or $2,000
. l, I �"' .-"
STANDARD DEDUCTION AILOWANCE
5