Homestead_Potts (4) S.PIE mRM!!W Ia_/Hnl TRLSSLRLR mrtv stn
A?PROVED nrsrae aMxn Of Art,a'.nl a.en., err YTlnmavnt DITARMIENT(w LOCAL el,vr NsIrxT,P&VrE lr<I.1 r--s.Ir
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 ever 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 receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and ran only he arcessed by authorized county officials.The Ikpannient 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
Potts, Robert F/Donna J
215 Hawthorne DR
Princeton IN 47670
2368
Robert F Potts
215 Hawthorne Dr State Parcel Number Legal Description
PRINCETON IN 47670-3313
llllllllllllllltltttlll llllllllllllllllltltllltlIllllllll 26-12-06-401-003.587-0e NORTHBROOKHILLS74
1_,
•31-4 1 7 j T
PART 2:TAXPAYER INFORMATION
Owner I First Middle �- Last
nobr4I t Rif-A/ k). /N Poi/ 5 .
®tg Address(number and-strati city.-state and ZIP cods) - --- - --- __ - as prnpeny.nddrw. _. " _
2 / S N4w/HOnNC %Oaiva
Spouse First Middle Last
,0ao/4- 1,=,4N /moo // S
Marline Address(Number and street,city,stale,and ZIP code) [.Sernras property address
2 /I he,0 zzarfr 0/frvc ag/ I/5
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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.
Ownx7 Signature !`�"l/ Date
•
�� , CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
SLile Form 5473 (R6I403j
Presaibed by the Department ot Local Govemment Finance
INSTRUCTIONS: See reverse side loi liling instmclions.
� FORM YEAR
i7" "t�� �
��`�" �.�
� `�
I(We) � V� (/ /( �(y lhat o�� 1 stday of Maich,��!A
I(We) occupied as our principal place of residence ihe following des ' d real property for which a HomestesdPrbpe`rty'Tai Credit-is�Ae"rehy�daimed:
- �i!�SGN GQUn'1'Y F.UC�'TC:: :
❑ I(We) owned ❑ Are buying under contract
, Have a benefiaal interest in the en6ty that is liable for the property taxes on the property and Uiat owns the property or is buying under a contraIX.
If buying on conUad, Fee Simple ownefs name
olfice where conirad is recorded
Tamship
IRecord number Page
ESCRIPTIONs��{ft'`.'._4�',�. ..n.'z2 ';'y`�g�-a�,'r_�"�„*L'd.'`-��
Tacing dislritl (city, fown, town
i / _ . �
�.il% �� �.i�� �% � p� Real Droperty ❑ Mobile Homo Q.C. 61.7-�
I( any portion of Me resitlrntlal sWCNre or tlie IanE not ceeding one (1 � arle Nat imme iatey wrtounds ihat s re is used b produce income, tlescnbe Na use and portion
of the properry util'¢ed b produce i�ome.
� l�- ��-U (� -yo l- o0 3.,587- oa 8'
� S� . ���`'E"� ��'��� �TRUET/U(���*�i- �ASBESSED�VAUIE �HOMESTEAD�� �"' aNON ESf�ENTIAL �
,�" �. - ASSESSOR�USE ONLY . ��. +* _,,.� � , ti . ��
a�.�� � - . d5"'��SS"-.£'t"�.J:F^}�� 3�,.rti.� �VAL:UE�.,� >ATa700%yOPtSTiV-» ier-�VALUE� ��'.u�+,��`i=V/iLUEiy,� ��..
.viz, r_=-.
Land not exceeding 1(one) acre immediatety ���+- '.°->.rs.� �%�,'
suvounding residentlal improvements. (�� � ��.„ ��a��+��,,� >'�, �;
Otherland (2) � ". y� �
3. <
Tdal land (line 7 plus line 2) �3�
f F�!' 1 sT^' jL�
Dwelling (4) �,�x"? ��... �y����
Residential improvements or Mnualy �� �y. �� `.� � `
0.ssessed Mob'le / ManufaQUred Hane Garage �5� ;c� �=' � �±,� �,s��
?n^x'}N1���� y��P.t�'r"�
.�.f;��p����
Other improvements (g) ���' r3�rr -s`"
a isi�:` i���
Tctal improvements (line 4 through line 6) ���
Tctal value (line 3 phs line � (g�
I hereby certi(y Ihe above is We. corred, and Signamre otASSessor Data sgnetl
complele.
Vaifying action - Signature of Puditor Date signe0