Homestead_Newton (5) STATE FORM!) •1n r-u i TASUau EOtM:5-M
APPROVED AT STATE 111■11ADOT AMOUNTS.mr, PlUAXI may TIM DEPARTMEMTOF LO CAL GOVERNMENT m:ACE ICt.I.1.r.S.1
Gibson County Auditor N
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individua l.and married couples are limited to one homestead standard 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.
1, HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tfilinfn.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
F
' ' °,',ucai Government Finance will user,this information to create tools that will help countT officials eliminate homestead fraud.
ART 1: PROPERTY INFORMATION
- Taxpayer Name Property Address
APR 7 LUIU Newton, Mary R
706 E Water ST
'7),44`3 4g:74,
Princeton IN 47670
1100 GIBSON COUNTY AUDITOR
Mary R Newton
706 E Water ST State Parcel Number Legal Description
Princeton IN 47670-2244
26-12-07-402-002.119-028 019-02119-00 HIGHLAND HOME
Iiiiilleidilleolseelli t I tI ItIrI u rI n tan I I uI nI r I
1PT/2PT/3PT/4PT
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
MnRy cost 4/E7c} 72:ii
/ling Address(number and street,city,state,and ZIP code) Q Same as property address
70 6 E, lc/9-725-72— S 7---
•
_
Spouse First Middle Last
22.1C eEi¢S�/I
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's Licensc/Stare ID Number oast 5 digits) Other(please specify in Part 4 below)
sat
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is we 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
•
l,Uill.l I Uf\-IIU.L�ICYW I IIUI Qli i i�7n �iu�ii i vn ivv� L�.
� 5[E BACK FOR FIL1h7G lt•ISTRUCTI0h7S
l, '•., re) � certify that on th� lst day c I
PL-irch, 1� I, (F1°) oc imied as princioal olace of residen� tl�e .follv�aing describ�d real �
��-oFnr-ty zor o• '_ch a I]a�r�s�.�d.Pmp°sty Tax Csedit is tiereJ�y tp.ing �laui�ci: !
Z, �� a:,�neri : . ." ✓� I
(� are bu�incl urrler crontract �
�i9.oa.zi�y i
� haye a b=��°ficial interest in the taxnayer i
prnc•�rty Ascription. in �unty 7b.��r,tii �
'i•atiing Dis`sict (City, Ta%n, TocY�nslup) : �
i��cel i]��L�:s or legal descript-ion slr.n�m on tax stata�rstt
�} p �, � �im�� )�l �- j
� � �.
I= bu}�in� on �n`.ract: pQaness �n� (res siar�le Q�m�s) �
���J�OTd°.�' 1R �_°�TC3S�S �if1C2 - P�ard Pb. Pagc
I� ��y mr`�on ot �' _° ° tial su'-u�lure or the land, not e��e<xiing on� (1) acre tt�at i
urt�:_diatel�������� � structure is used tn produce incarw_, descri}r_ tlie use arr] rortioii o.` `
�
tils om�.rty u` z to prcv3uce ir�orre
r�n•1� o;her �wi�ies in F;hich indi�zdual a^�is or is bv�'inq real prop�.sty:
r
e
��o
is true, corre�t arri con�lete.
�un �
('it�a�
Tc7:.nsluo
�
�%/ �%�
*Inciivid�ul �J���'-�—ls b�ying wier a mntract t}y�t provids he is tn pa� tt�_
Uroe'-�ty tax:s on tl�e resid�ice, or has a k��ficial int�sest in ttie tar.payer.
� DEC � �' ]989
- FOR ASSESSOR�S USE OP7LY -
l�nvx-t� Yx��u'S —
, AUDITOR
Llyxl not e�c°e"�ng 1(one) acre incr�diately
surrourr3ing residential innmv��its
O�}ler i anr]
'i'otal Land
P�siclential Ittp*_o��-3rents Raelling
Garaae
'ibtal
Oth�r lroravan�,�s
(1)
(2)
(3)
(4)
(5)
(6)
��)
�us Cash lu-sesssi tY�i�st1.:.�
Val� Valuation Valuatic_i.
7b ' In�rov���ts - Line (G) plus (i).eauals (f3) (8) _
?�re:,� c�*`�iiy the abo�-° is true, correct, arr3 cutmlete.
� ia�uture oi rssesscr
� �/ /�,;//
% `��/'%
- ACTIOI! F1' AUD[TnR -
: : _-�;�� _:: ��, ,�n S� �9 ei� ��. u,t�: � �
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