Homestead_Reeves (5) a1VEtO0.4')NIR`lfwl TUASULER FORM:}IA
nrrWKEn DT AQE MSRD OF M"tamiAy.+ PEES(TlamaY flit DFPMTWYr OF LOCAL rncRMMrfl FINANCE K I.!-_4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standaut deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires ta'pa.ers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information ncces�ry to allow county go ernment to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Depanmem of
Local Go''emment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Reeves, Martha C
113 Olive Dr
Princeton IN 47670
3971
Martha C Reeves
113 Olive Dr State Parcel Number Le2a1 Description
Princeton IN 47670-3455
��u�r�t� 26-12-18-304-002.640-028 019-02640-00 ROSS PLACE 15
ltiullut1r11u1ur111 linln1r1t 1t r1t1n nlln
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Y • sr • • F
lg Address(number and street,city,state,and ZIP code) --- — :me as property address — — - — —
Spouse First Middle Last
/WA
Mailing Address(Number and street city,state,and ZIP code) ❑Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sag
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 1 Signature Date
..•-^�•rs
a�/ " q CLAIM FOR HOMESTEAD PROPERTY TAX
;��: CREDIT/STANDARD DEDUCTION
�`�� State form 5473 (R2 / 5�92) �
'si.
INSTRUCTIONS: See reverse side �or liling instructions.
FORM
�� HC10
��V
YEAR
I(We) J L/(�p (L.{�`� CIIJL o% certify thal on ihe ist day of March, 19_
`�e) occupied as our principal place of residence ihe following described real property for which a Homestead Property Tax Credit is hereby daimed:
I (We) owned �, Are buying under coniract �
❑ Have a beneficial interest in the entity ihat is liable tor ihe property taxes on the property and that owns the property or is buying under a contract.
CONTRACTRECORDEQ � � � � � -
IIt buying an contraa. Fee Simple ownefs name . .
Recortler's oHice where coniraci is recordetl Record number Page
Counry
7ownship
fown.
O/�n_b0 �'� r J ILe9aldescriP �o/� /_�� ��
It any portion ot the residential strucmre or the land not ezceeding one (7 � aue that immediatety surrounds ihat strucWre is used to produce income, describe the use arW portion
ot the pwpeny utilized to protluce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Couniy Township � County Township
•reby certify the above statements are true, correct and complete. Sig wre a imam
�Address (numberandstreet ciry, sfare, ZlPwde)
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
- VALUE VALUE VALUE � VALUE .
Land not exceeding 1(one) acre immediately (
surrounding residential improvements. (�)
Oiherland (Z)
Total land (line 7 plus line 2� (3) '
Dwelling (4) -
Residential improvements . .
- Garage (g)
Other improvements (6)
Total improvements (line 4 through line � (7) I
Total value (line 3 p�s line � �g)
I hereby certi}y the abOVe is hue, COrreCt, and Signature of Assessor Date signed
complete.
IVeritying aaion - SgnaWre of Autlitor Date signed
�
19_Pay79_
Lesser of 1/2 Homestead
Valuation or 52.000
Signalure of Autlitor
DEDUCTION ALLOWANCE
5
Dale signed
/�