Homestead_Peach (3) stArE FORM)I'MIR_ 'F1 WREASUIEB PAM:PIA
Ar1'PT'En DESIPE 90•Rn Of ACCOUNT c.V,n PAl.RAIBr BY PIE DEPARTMNTOELocAL Cw?As'Mnn FINANCE IC VI.I-L'-AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
to 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 an for homestead fraud.Homestead fraud causes higher tat bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to prw'ide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kept confidential and can only he arce:sed by authorized county officials.The Department of
Local Goverment Finance%sill roc this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Peach, Michael D/Roxanne
1230 S PRINCE ST
Princeton IN 47670
3875
Michael D Peach
1230 S Prince State Parcel Number Legal Description
PRINCETON IN 47670-3014
111111111111111111111I1 11111 r r Ir Ir I III V I I I n 26-12-18-203-002.172-028 -0217 -0 e e (1230 S Prince
St)contract 0 a n Pace
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
• MoInne.1 Dave t g Address(number and street.city,state,and ZIP code) jem-h
me as property
12?,0 3 . ic nC e St . Pr-( rc e- 1 ,Sn x-1-1 toy0
Spouse First Middle Last
RDxf.nlne , M.\ yhe 112 tee h
Mailing Address(Number and street,city,state,and ZIP code) I:7"Same as property address
12_2)N 3 . Pr‘ace a.. )inceAoy- on 11-1 lD-A o
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 1 Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Fortn 5473 (R614-03)
RescAbed by the Department W Loral Gwemment Fnante
INSTRUCTIONS: See raverse side /or filing ins6uctions.
�� ���H�o� AR
ir-1�
.11.
� JUL 0 5 Z006
I(Nle)��/��i{�_i �/ � �i�A//a �Di%� certirythaTtmZ110HIsTdayotMarch�i20C�P
I(We) occupied as our principal place of residence the following described real property for which a Homestead Property T�c Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract
` Have a benefidal interest in fhe entiry that is liable for the property taxes on the property and that owns the property or is buying under a contract.
If buying on contaq, Fee Simplo owners name
Retorders ofica where conVacl is recoMed
County
Tamship
�/4- oai�� -� I.
H any poAion of the residenUal sW dura w Ne
of Ihe properry uWized loprpduce income.
k/�Y►
Counly
Remrd number � Page
(ciry, town,
�P jep .r� /^ I Is the property in quesGOn:
/ /.f/ / _ � 1/
!�[fY (O O �y� R� G�oDenY ❑ blebila Hwno (/.C. 67.7-n
exceeding one (1) aae that immetliatety surtounds Ihat s aure is used lo protluca income. Cesaibe the use antl poNon
County
I hereby ceNfy �he above statements are We, covect and wmplete.
(numbei and sheet, c",Ky, s(ate, ZlPcode)
of claimant
Toxnship
-�+'r'������>,�.s���rrr -�5�.�`e�����STAN�ARU:DEUUCTIONALCOWANCEN�',,:a�$;.k,�'�'.�.s,i1'�'�.�°"4w`s� ;a^��`_'����i�3�*��..��,_-
20 _ Pay 20 _
Leseer of 1i2 Homes;ead
vaivaLOn a S35.W0
S
SgnaWreofAUditw " DatesigneA