Homestead_Pagea
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• MATE FORM!AM Art Hwl - MEASURER FORM DEA
.APPRIW'EO BY RIDE BOARD OF AMR I:ES.DA PRESCRIBED BY Tilt DEPARTMENT OF URAE GOVERNMENT FINANCE IC a-I.1_ti
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
1 PRINCETON IN 47670 Individuals and married couple.are limited to ore 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.
0 HEA 1344-2009 requires taxpayers who receive the hotnestead standard deduction to verify that they are eligible to receive the
benefit arid to provide additional identifying information necessary to allow county government to better monitor hotttsread
filings.This information will be kept confidential and can only ha accessed by authorized county officials.The Ikpanment of
FILEDlocal Government Finance will use this info ,ation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
JUN 1 LUIu Page, Andrew B/Christina J
120 Olive DR
777v Princeton IN 47670
1617 V
GIBSON COUNTY AUDITOR
Andrew B/Christina J Page
120 Olive Or - State Parcel Number Legal Description
Princeton IN 47670-3454
I tiuHntitllnlnrillnntlln ln�FirininIu It IIIntlulr� 26-12-18-403-002.228-028 019-02228-00 ROSS PLACE 5
• 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
1416 01 Few c e_
Op. Address(number and street,city,slate,and ZIP code) Same as projleAty address
s' (�
/020 OLL've [)rime _ Pri k1rp.--e4., r (0 (r )Q
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) f.71 Same as propeny address
/2v OL_;v-e 3, ; v < Prinice/c. " —7N 9) X )O
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Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible 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
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� �` '
�E R��Tf
':�'_' ; CLAIM FOR HOMESTEAD PROPERTY TAX
�� ia�� CREDIT/STANDARD DEDUCTION
-%.�.;��� State Form 5:73 (R2 / 5-92)�
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/ INSTRUCTIONS: See reverse side for liling instructions.
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� - � CERTIFICATION STATEMENT
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e�_ _ �J`A.�..S ,d - certify that on the 7st day ot March, 19_
�ied our prmcipal place of residence e following described real pro erty for which a Homestead Property Tax Credit is hereby daimed:
I(We)�owned ❑ Are buying under contract �
Have a beneficial interest in ihe entity that is liable tor the property taxes on ihe property and that owns the property or is buying under a contract.
. � CONTRACTRECORDED � -
If buying on contract. Fee Simple owners name . - � - .
Rewrder's ottice where contract is reCOrtletl Record number Page
Coumy
Parcel num6er
O fq • 61;
It any portion of ihe resitl
of ihe pmpetly utilized ro
PROPEflTY
Township
Legal description
fown,
swcwre or the land not exceedinq one (t) acre that immediately surrounds that siructure
keincome.
PROPERTY OWNED BY ClA1MANT IN
Tawnship Counry
�; Rity ihe above statements are true, correct and complete.
v
Address (numberandsbeeL dty. state, ZlPwde) � ,
ASSESSOR USE ONLY TRUE TAX
VALUE
Land not ezceeding 7(one) acre immediately
surrounding resideniial improvements. (��
Otherland (2)
Total land (line 1 plus line Z) (3)
Dwelling (a)
Residential improvemenis
Garage (5)
Other improvemenis
Total impmvemen�s (line 4 fhrough line �
Total value (line 3 p�s line �
I hereby certify ihe above is Irue, correci, and
complete. „
19_Pay79_
Lesser of 1/2 Homestead
Valuation or $2,000
ot Auaitor
(6)
1�)
(8)
Signature o( Assessor
STANDARD
�
ASSESSED
VALUE
COUNTIES
r
to produce income, descrihe ihe use and portion
MOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Dare signed
Date signed
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