Homestead_Porter MATE Fonnre IR_(YNI TPEASUILER FORM TS-1A
VPWW'EO BY[MSOE Bn.RD neAin-ex:NM`nn PEIS(PIBED BY TIM DEP/AWE-et OF LQ`AL GOVEMINIeNT FD:•YCE lc 6-I.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 • Individuals and married couples are limited to ore homestead sundard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than n cr 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 teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Min v. This information will be kept confidential and can only Iv accessed by authorized county officials.The lkpannem 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
Porter, James H/Titania
222 E Water
Princeton IN 47670
1072
James H Porter
222 E Water State Parcel Number Legal Description
PRINCETON IN 47670-2139
I tinlln tlt ilulntlliuntltlutllu ill ilinu1l1u 1l11ltl11 26-12-07-401-003.041-028 019-03041-00 OLD PLAN 9 PT
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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
antes Fiszary or ter
ong Address(number and street,city.state,and ZIP code) _ (l�y�//� de as property address
_ _ - i •ice - J/
Spouse First Middle Last
�
Ti fi4n l La Parrfer
Mailing Address(Number and street,city,state,and ZIP code) lea,ane as property address
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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 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.
en
Owner 'mature Date
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / S92)
FORM
HC70
YEAR
uvo�nu�.��v�vo.oeeroveiaeo�uci�iimuyuuuwuonn. Ci tl rl
CERTIFICATION STATEMENT �t ' �{� ',(�-
I(We) � ' certify that on �1�1 �y�f E�q� 19_
I(We) occupied as our princi place of residence [he following described real pmperty for whicti a Homestead Property Tax Credi is e/re�Jy aimed:
� I(We) owned ❑ Are buying under contract f i./� J �
t.,= . i % ie
❑ Have a beneficial inierest in the entity that is liable for the property taxes on the property and that owns the pro o'bdying�under a'oorrtraef
' SOK �•,;; �`j v qUDITOfl
CONTRACTRECORDED
It buying on contract, Fee Simple owners name �
Recorders office where contrect is recorded Record number Page
PROPERTY DESCRIPTION
Counry Township � Ta7yng tlistria (ciry, town, lownship)
i� .
Parcel number Legal tlescription
O(� -v30K(-O�
It arry portion ot Ne resitlential sWCture or the Wnd not ezceetlinq one (1) acre thai immediately surtounds ihat structure is used to produce income, describe ihe use and portion of
Ne property utiiizetl ro produce income.
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES
Counry Tawnship Couniy � Township
Signatur f d mant ' /
�reby certify the above statements are true, correct and complete. /,� �
N`
AOdreu (numberantlslreel, dry, sl7ate, ZlPCOde) '
Z Z Z E� lJ 1 G/` .S7', � PR/�vGE � 1.'N �%'d7 Q
ASSESSOR USE ONLV TRUE TAX ASSESSED NOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatery (��
surrounding resideniial improvementa �
Otherland (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvemenis (line 4 th�ough line 6) (7) ,
Total value (line 3 plus line 7) (8)
I hereby CeAify the above iSlrue, Correct, and Signature of Assesor Date signed
complete.
Veritying action - Signature of Auditor Date signed
�� STANDARD DEDUCTION ALLOWANCE
19_ Pay 79 _
Lesser of 1/2 Homestead 5
Valuation or 52,000
Signawre of Autlitor � • Date signetl 4
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