Homestead_Rice -“All roast!i!443”-lul IRI-ASLRA FOAM ES IA
APPROVED BY l.\i'_at/WOOF v I CRntc,.r, IRtsent D11Y71thDPAR,MLTp LOALC,vsR%uS1 FL\I&CE IC t-1.1-224.1
• Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS:
101 N. Main Street Individuals and married couples ate limited to one homestead stanLnl deduction.As the receipt of this deduction becomes
dio Princeton, IN 47670 more beneficial.there is more'remain:than ever F r homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
F g� T IilEA 1341-2109 requires taspa.ers who receive the homestead standard deduction m verify that they are eligible to receive the
1 Ni D benefit and to provide additional idcntifvim_ inlimnation necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be acttessed by authorized count'officials.The Depanmect of
Local Goverment Finance will use this information to create tool:that will help county officials climllnte homestead fraud.
MAY 10 2012 PART l:PROPERTY INFORMATION _
Taxpayer Name Location Address
C.J.n Rice, Erik D
7165 HALL ST
GIBSON COUNTY AUDITOR PRINCETON IN 47670
2921
Erik D Rice Iinn111I1iIII mil l III IIfiII111111 1111 _lnII0IIII_I[IllElIni-ii linn 111
716 South Hall
Princeton IN 47670-2330
11111111111111"1111111111111111111111111111"1114 State Parcel Number Legal Description
26-12-07-303-003.263-028 L E WOODS ADD 27
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.T 1PA\ER INFORMATION
t...•ter I First _ -. - Middle -- - -- ---
' Last
�
K 1K D. n �c�
Mailing Address(number and street.city.state,and ZIP code) /V l Same as property address
716 6. /Ma- gem'C.0—Tea✓ _rN #7676 Y
Mailing Address(Number and street.city,state,and ZIP code) ___.0 Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (las:5 digits) Other(please specify in Part 4 below)
I I I I I I Stile
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 Date
,\
`��""�; CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
. o
i State Fortn 5473 (R2 / &92)
.�t ,
ri
INSTRUCTIONS: See �eve/se side (or (ling instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT . :� ; c ;; '4�
+�• � � E. ;� ! 4 �
�, . J
I(We) . ce�ify`that on the 1 s5�day of March, 19_
I(We) cecupied as our principal place of residence the following descnbed real property for which a Homest1ea�dTProperty�Ttic�Credit is hereby claimed:
❑ I(We)owned n 1!' Lu:��
❑ Are buying under contract
❑ Have a beneficiai interest in the entiry that is liable for the property taxes on the property and that ns the prop� rty 6n s buyi�un�er a coniract.
�` :: . }.�?�-�-- � �
CONTRACTRECORDED �� - ��-'•"""� �
It buying on conVact, Fee Simple ownefs name " �
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION -
Counry Township - Ta�dng disMct (dry, mwn, rownshipJ
P umberO � � ��� Legal description /�
C
I any ponion of ihe residential structure or the land irot eicceedirg one (1) acre that immediately surtounds that sVUCiure is used to protluce income, describe ihe use and ponion of
the properry utiiized to protluce incame.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Sign ture c `man' �
=reby certify the above statements are true, correct and complete.
Ad ss bera st 1. ciry, a ZIP
ASSESSOR USE ONLY TRUE TA ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatey (� �
surrounding residential improvements.
Otherland � (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Resideniial improvemenis
Garage (5) .
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) -(8)
I hereby ceRify the above is true, cortect, and Signature of Assesor Date signed
wmplete.
Venfying action - Signature of Audiror . Date signed
'!� STANDARD DEDUCTION ALIOWANCE -
19_ Pay 19 _
Lesser of 1/2 Homestead $
Valuation or 52,000 �
Signature of Auditw Da signetl
o �