Homestead_Powers alATE enRM!x'w+,Rrrl.+ro TREASURER FORM II4
Aflww'fn BY<i.TE B wRD OFM ..src.9a PI/SOUND BY Tiff DEPARTMENT OFtOLAL r VtL5MFM FTAY'cE le<I.I-_ll
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •PRINCETON IN 47670 - Individuals and married couples are limited to ore homestead standard deduction.As the receipt of this deduction becomes
1 I inert beneficial.there is more incentive than tier for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
,4 i HEA 1344-2019 requires taxpayers who recei'e the homestead standard deduction to sally they am eliciblc to receive the
J I benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling..This information will he kept corn:dentin!and can only he accessed by authorized county nfticials.'rhe Department of
local Government Finance will use this information to create zeds that will help county officials eliminate homestead fraud.
APR 8 LULU PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
77/70/et Powers, Jesse E/Johnetta T
GIBSON COUNTY AUDITOR 319SRaceST
Princeton IN 47670
2997
Jesse E/Johnetta T Powers
319 S Race ST State Parcel Number Legal Description
Princeton IN 47670-2203
Itlrtllt tt1r11rt1rr t111tttrt1t1rt1tl1l II tttt 1111111111111
26-12-07-401-001.024-028 019-01024-00 PT SE 7-2-10.17 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Johnetta T. Powers
'�g Addl s(number and 3ttoct:city;state:and ZIP code) — - — --_ - - _ _ ®-Sane cis propertyaddrts;
319 S. Race St. , Princeton, IN 47670
Last
Jesse (deceased)
Manila!Address(Number and streeL city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers Licensse/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
PART 3:CERTIFICATION
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.
Os. I Si Date
•
��^„�
a/=" i CLAIM FOR HOMESTEAD PROPERTY TAX
;��� CREDIT/STANDARD DEDUCTION
�=��� State Form Sa73 (F2 / 5-92)
�� • -
INSTRUCTIONS: See �everse side fa liling ins(ructions.
STATEMENT
FORM
HC10
YEAR
� ddd ����nnnwww
I IWe) ___ � _ . _ certify th n t�e�t da��79_
��) occ ' d as our principal place f residence ihe foliowing described real property for which a Homestead Pr erty� a_ reii i�e b aimed:
❑ I(We) owned ❑ Are buying under coniraci . � CC� �� ���
F7L
I] Have a beneficial interest in the eniiry ihat is liable for the propeny taxes on ihe property and thai owns the property or is buymg, t a contract.
li buying on contracC Fee Simple owner's name
ReCOrder's ofliCe where comraCt is reCOrded
Coun�y � TownShip '
PROPERTY
Record number Pa9e
town. townshipl - ' .
P rc umber Legal tleSCription
� �' 0 /D��f�O� � . �.- �-a -/O •/7cu--
It any ponion of Ne residential sVUCwre or the IarW not exceeding one (11 acre that immetliatety surrountls that structure is used to produce income, describe Ne use and portion
ot the properry ulilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUMIES
Couniy
certify ihe above siatements are true, correct and complete.
�number and s[rQGt, ciry. s�are. ZIP co,de) �1 ,
�
0
ASSESSOR USE ONLY � TRUE TAX ASSESSED. HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VAIUE VALUE
land not exceeding t(one) acre immediately -
surrounding residential improvements. (��
Otheriand (2)
Totalland Qine 1 plus line 2� (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Totai improvemeNS (line 4 fhrough line � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is tme, correa, and Si9nanre of Assessor Date signed
complete.
VPrityirg aciion - Signamre of Auditor Date signed
_�
19_Pay�9_
Lesser of V2 Homestead
Valuation or 52.000
S
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