Homestead_Pridgen •
STATE fn0.11535'11c1w,1 TREASURER/ORM 7S-IA
Arinto BY SLATE BnsRD(Kn(Yil1S'1S.:Om ?IUYAIBMBY 111E DEPARTMENT(F LOCAL GOVERNMENT FINANCE M 6-1.1-L'J.I
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 fmud.homestead fraud causes higher tax bills for all:therefote.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recenc the
benefit and to provide additional identifying information ten:saY to allow county genemment to better monitor homestead
fling.this information will he kept confidential and can only It accessed by authorized counts officials.The Department of
Local Government Finance will use this infomutiun to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name Property Address
Pridgen, Sharon K
v' 716SFirst
Princeton IN 47670
2904
Sharon K Pridgen
716 S First State Parcel Number Leal Description
Princeton IN 47670-2306
l a'I r l'I I a I1I I11I l u l l l n l l'I I I I I I I I U t I I 26-12-07-303-002.163-028 019-02163-00 L E WOODS 38/39
n l
PART 2: TAXPAYER INFORMATION
Owner I First Middle Lasl
ra,T Pr <d 9--QC,
in Addles,(number and street.city,state,and ZIP code) - - - - -- —- I�7 SLUM P_5 property address-
1 T.-k.3 __ _
ti/0 a �' 3Y I �(�'c�ca p� -� 4%2(pj2C�
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) n Same as property address
Social Security Number(as:5 digits)- Drive's License/Stoic ID Number (last 5 digits) Other(please specify in Pan 4 below)
•
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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.
Owner I Signature • Dale
�R��R
e�/=° � CLAIM FOR HOMESTEAD PROPERTY TAX
i��'� CREDIT/STANDARD DEDUCTION
�:,��� Sta:e Form SG73 (R2! 592)
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INSTRUCTIONS: See �everse side for7iling instructions.
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FoRM APR 2 g AR
HC10
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AUDITOR °' "
�_ ��� 6, _ � •� � certify,that on the 1si day of March, 79_
occupied as our pr �pal place of residence the following described real property for which a Homestead Property�Tax Credit is hereby claimed:
�I (We) owned ❑ Are buying under contract , - - �
❑ Have a beneficial interesi in the eniity thai is liable for the property taues on the property and that owns the property or is buyin9 under a contraci.
CONTRACT RECORDED � � �
If buying on con(ract, Fee Simple owner's name � - � � � � � � ' �
Recorder's office where comract is recorded Record number Page
County
Parcel number
If any po�lion ot
of the omoeM i
' PROPERTY DESCRIPTION
Township � Tazirig district (ciry. fown, township)
Legal tlescrip6on
(� 3- �Z� ,
�ntial structure or the IanA not exceetling one (7) acre t�at immediatety wrrounds t�ai structure is used to produce income. descnbe Ihe use and portion
produce income. .
. . . . . . ._ . . .�' . � . .
PROPERTV OWNED BY CLAIMANT IN OTHEfl COUNTIES
County 7ownship Counry . Township
�eby certify the above statements are true, correct and complete. sign e aimam
�
Address (number and street city, s(ate. ZlPmde) �
\ �
ASSESSOR USE ONLY _ TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE � VALUE VALUE
Land not exceeding 1(one) acre immediately � .
surrounding resideniial improvemeNS. (�) .
Otherland (p) � _
Total land (line 7 plus line Z� I(3)
Dwelling (4)
Residential improvemenis
Garage (5) -
Other improvemenis (6) ,
Total improvemenis (line 4 through line � (7)
Total value (line 3 p6s line 7� (g)
I hereby cenify Ihe above is irue, correci. and Signature of Assessor Date signed
complete.
Verifying aaion - Signature of Autliror Date signed
�