Homestead_Reinhart MATE FORM!11 11C/s-rv1 TRFASUMI FORM 73-IA
ATPROVEt BY SISTE BOARD Or MTrtlTs.21.N PRESCRIBED BY air BEPARl'c'r OF LOCAL Cow"stNMrwT FINANCE tc•-ii-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple arc limited to one homestead standard deduction.As the receipt of this deduction becomes
Amore beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
IIIP HEA 1344-2009 requires taxpasers who receive the homestead standard deduction to verity tlut they are eligible to reeene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will be kept confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help conty officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Reinhart, Pamela D
230 Adams
Princeton IN 47670
1264
Pamela D Reinhart
230 Adams State Parcel Number Legal Description
Princeton IN 47670-2208
IIIIIIIIIIIIIIIIIIIIIII uniV t ll r I I I fit I nI or I I r I I 26-12-08-301-001.822-028 019-01822-00 LYNCH 2ND 123 PT/122 PT
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 1 First fA ', Middle Last
/ TED-�.l t'( DAR4._ /JrC Retniff/X-r--
fig Address(number and street.city,state,and ZIP code) Same as property address
0?3 O S, gall/MC S74 /in.;t -.,v =N. 5z7G,7a
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's Licensc/Stare ID Number past 5 digits) Other(please specify in Pan 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.
Owner l Signature Date
e�� "�� a CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
;��'= CREDIT/STANDARD DEDUCTION H o
�;,;�� State Form 5473 (R2 / 5-92) " -
,." ���N 2 5 1994
INSTRUCTIONS: See reverse side lor filing instructions.
� CERTIFICATION STATEMENT � �
AUDITO {? �
�) . /i-ii%�� certify that on the 7 st day o�f ?.iarch, 79_
�) occupied as our principal place of residence the following desc.ibed real property for which a.HOmestead Property Tax Credit is hereby claimed:
,�I� I(We) owned ❑ Are buying under contract
L� Have a beneficial interesl in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a contract.
- � CONTRACT RECORDED - �
If buying om m�tract, Pee Simple owner's name � � -
Recortler's office where contract is recortled Recortl num6er Page
County
Parcel number
Ita���
of the pmperty i
legal
simcNre or the
ice income.
PROPERTY DESCRIPTION
� Taxin i tric� (ciry, town.
'4 �//YG'��
'.0 �.t,ro �o7a,rJ
one (1 � acre ihat immediately surrounds tha�
used ro prodJce income, desaibe the use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry Township Counry Township
�aby certify ihe above statements are irue, correct and complete. Signawre o( claimam
Address (numberandstreet, city, state, ZlPcode)
a .J . ��,u — �7
ASSESSOR USE ONLY ,.� TRUE TAX � ASSESSED HOMESTEAD NON•RESIDENTIAL
� - VALUE VALUE. VALUE VAWE
Land not exceeding 7(one) acre immediately
surrounding residential improvements. ��) '
Otherland (2)
Totalland Qine 1 plus line 2� (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
1 hereby certify the above is irue, correci, and signamre of assessor Dare signetl
complete.
��-ing aaion - Signamre of Audiror Date signetl
19_Pay79_
lesser of 1/2 Homestead
Valuation or 52,000
STANDARD DEDUCTION
�
Dare signed