Homestead_Richardson (13) [lire 1(IRM!!!MOCI W1 MAURERro&M is1A
.ArrRP'Eo BY MATE IXNRMIE AMA:CR.ID+ PALSOLaEDDTnntr DEPARneT(f LOALrovEtMMn(r FINANCE ICH.1-r4i
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'cr for homestead fraud.Ilonteacad fraud causes higher tar bills for all:the ctare. T'
•- HEA 1344-2009 requires axpavens who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by aulhnrim('couny officials.The Depanntent of
Local Government Finance will use this information to create ttols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
_ Richardson, Monte R
3202 W Mockingbird LN
Princeton IN 47670
1464
Monte R Richardson
3202 W Mockingbird Lane State Parcel Number Legal Description
Princeton IN 47670-8119
�r�u��rn�r��tt�Irt���nt�rt�uu��tn���t�tt��nnt�t�t�t�tl 26-11-11-300-004.091-028 019-04091-00 PT SW 11 211 1.2053 AC
•
•
PART 2:TAXPAYER INFORMATION
Owner I First /se Co V/ Last
g Nddicss(mumbo!mesa strm,city,state,and ZIP code) — ---_ _-- . — -E f Sam: s pope:tr
32 02 417/M4/4.)
-�2 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 License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sirs
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 PROPERTY7A5�
a �. °
;, ---w : CREDIT/STANDARD DEDUCTION �
' :� State Form 5473 (R2/1-90) �• •
�' '°�• � INSTRUCTIONS: See reverse side (or Iiling instructions.
CERTIFICATION STATEMENT �
FORM
HC10
,
I(We) � I�� M�. �/1t,�t.O.l,a4e+� � certify that on the 1 st day of Marcfi , 19 �
�le) occupied as our principal place of residence the foilowing described real property for which a Homestead
droperty Tax Credit is hereby claimed: �TWe) owned '❑ Are buying under contract
� Have a beneficial interest inthe entity that is liable for the property taxes on the property and that owns the
p�operty or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number , Page ,
L:
town. to�
Parcel Neum �� Legay'[��criptic�+r� �� _ � _/, . 3 `1y3 `�' ' �`� � �' �
�j' d
If�Vp n o �r s}� al tructure or the land not exceeding one (t ) acre that immediately surrounds that struc-
tuie,lsl�se, fo �i duc��irlc�e�describe the.use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COU
Township County
�_ �— .
certity the above statemenis are
Address (Street. number, city, state
ASSESSOR USE ONLY �
co'rrect and
TRUE TAX VALUE ASSESSED VALUE NOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1�(one) acre immediately ' '�' '
surrounding residential improvements (�)
Other land (2)
Total land - line (7 ) plus line (2) (3)
Residential improvements _ Dwelling . (4)
Garage (5) -
Oiher improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
sser of 1/2 Homestead
Vatuation or $2,500
STANDARD DEDUCTION ALLOWANCE
7 990 Pay 1991
Lesser o( 1/2 Homestead
Valuation or 32,000
1991 Pay 1992 19 — Pay 19 _
Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or S1,500 Valuation or 51,500
Signature of Audiror � � "yl/� I Da�e-
/lvve- / � �,c,jC,t.o (o