Homestead_Rains curt HAP.Y!)'MIR_/Y.rvl rtEA9RFR MANI itA
APPROVED BY STATE B ■RDOF ACCOUNT'S,Site PILESLAIam BY MY DEPMnMEYT OF LIXAL COVIANSIENT FINANCE M<ia-r-s1
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 ewe for homestead fraud.Homestead fraud causes higher tax bills for all:therefore,
• HEA 1334-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
g benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
1 filings.This information will be kept conLr?emial and can only be accessed by authorized county officials.The Department of
Local Government Finance aill use this information to create sots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
— APR 7 zUlu Taxpayer Name Property Address
Rains, Marcus/
pa. 'e 113 N2nd AVE
4 GIBSON COUNTY AUDITOR Princeton IN 47670
Marcus/ Rains
113 N 2nd AVE State Parcel Number Legal Description
Princeton IN 47670-1005
Irinllnflf llnlurlll Ililntllnnitlu uilu llf rllf tl 26-11-12-104-001.759-028 019-01759-00 TOWER HGTS 68
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
Na rcAs 1<e, n n e--/le t C
1 n s
•ig Address(number and street,city,state,and ZIP code) / Same as property address El
//3 ill 41 SI A-ae, . , PrI12oe� v1 ,i,lelfa12Cl iL767O
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
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INSTRUCTIONS: See reverse side /or filing instructions. - �!
..ii�j�
GIBSQtJ::i;:�yr a
which a Homestead Property Tan Credit is hereby claimed:
W�t (We) owned ❑ Are buying under coniract � �
aHave a beneficial interest in the entity that is liable for the property taYes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED -
It buying on contracl, Fee Simple ownefs name _
Recorders ofFice where contract is recorded Record number Page
PROPERTV DESCRIPTION
Counly TovmShip T' dis[ric�(dry, (own, township)
Parcel number Legal descnption
o °� - b l'l �t - �
If any portion of the residential structure a the IarW not exceedi� one (1) acre that immediatey sunounds that siructure is used to produce income, descnbe che use and portion ot
the properry utilized to produce income.
PROPERTV OWNED BV CLAIMANT IN OTHER COUNTRIES
Counry Township . Counry Township
Signa[ure ot claimam
ereby certify the above statements are true, correct and complete. �
Address (number anC slreet, ciry, stafe, ZIP mOeJ . u
/✓ Y� l �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (� �
surrounding resideniial improvemenis.
Otherland (2)
Total land Qine 7 plus line 2f (s> �.
Dwelling (4)
Residential improvemenis
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby tertify the above is true, correct, and Signamre of Assewr Date signed
complete.
Verifying acGOn - Signature ot Auditor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead $
Valuation or 32,000
Signature oi Autliror Date signed �