Homestead_Robinson (8) STATE[Oral5M 12'/YW I IREASUPFA FORM YIA
APPROVED BY SISIE BOARD OF PREY EATS.Inn PtrXRmm BY THE DFPARIVE`fTOFLOCAL GOVERvsrwT FM:.ANCE ri-1.I-2EJ.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1341-2000 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and on only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Robinson, Robert E
— H 01110
PRINCETON IN 47670
1365
Robert E Robinson
901 E Kentucky St State Parcel Number Legal Description
PRINCETON IN 47670-3066
Ifllfllllflflllfltlflll iidilfffllfff'Iftll 11111111 26-12-17-101-004.166-028 019-04166-00 SOUTH PARK SUBDIVISION
1
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 ' 1 Last
Nom IS— EJcpei1 k Ole t (Th. 5D ✓)
11rg Address(number and sweet,city,state,and ZIP code) D.4ame as property address
(:.
Spouse _ First Middle Last
i
Mailing Address(Number and street,city,stale,and ZIP code) e as property address
- -------- —_-- — -'_--.- -. ------"
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
unlawfiflly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature _
•
, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sta�e Form 5473 (R614-03�
Prescnbed by the Department o/ Local Govemment Finance
WSTRUCTIONS: See revcrse side lor liling insfnic(ions.
�,�a� �H�� :_�, AR
�
NOV ? 9 2004
I(We) ` certify that on the 1 st day of Msrcli,`�0 '
I(VJe) occupied as our principal place of residence lhe following descnbed real pro (or which a Homestead Property Tac Credit is hereby daimed:
❑ I(VJe) owned ❑ Are buying under contract
�Have a benefidal interest in the entlty that is liable for the property Uxes on Ihe property and that owns lhe property or is buying under a conVaU.
If Euying on co�Vact, Fee Simple owners nama
Recordels olfice where conirad is
Counry
number
Tawnship
Legal
v � -\ —v -� 1 �0 1n � t vv �.�.ln � K
If any portim ot the residential sWCwre w the land not e:ceeding one (t) aue
of fhe property uutizeE tn produca irrcome.
� I Record number I Page
tIP710N'e�'`z--isi's��?``�r..Y.`:tv�. 3'�...�,�'.R".� --^cG�`�•.`t.�.+.'`�`_�`-..�'S�,r`.fi��;i�'S;,y7
0' rict (dty, fmm, townndip)
Is the Oroperty in estion:
eal propeM ❑ �bile Homo (/.C. 6f.7-n .
surtounds Iha[ sVUCture is usad tn produce income, tlesfri6e Na use and portbn
§�� "�""ASSES.�SORUSEONLY�'`�°ti�v��i��TRUETAX'�y �ASSESSEDVALUE�HOMESTEA� � �` NitESt0ENT1AL n
'��,.;�j�k a�t�;:�'�„�} y„sA?��',,�,%`?.tt�i ��.a„ V/1L.UE�� �AT.t100%TOF.�TIY�r �VALUE�� � ' %;VALU��,r``��
Land not exceeding 1 (one) acre immediately (' � � '� � ;�y„� ��� �
surrounding residenlial improvements. �.r� . �: y��'���,z.:° .�
Other land (Z) ���j�����
^YM-YJFN.Y ��
Tolal land (line 1 plus line 2) (3�
+ nr 5-
Dwelling (4) �� ����� 'F� �_
Residential improvemenfs or Mnualy
Assassed Mobib I Manufactured Hrnre Garage �5) v�#��� '-�rK �"^����
�'?Cr�a. —��'` t=�
3�n .. , �S
Other improvements (6) iE',si.�� � . ,. ��
'_=�=:.�.. . �:e�zti�
Tdai improvements (line 4 fhrough line 6) �7)
Tdal value (line 3 plus line � (g)
I hereby certi(y Uie above is W e, mrred, and Signamre of Asseswr Date sgned
complele.
Vaityv�g aaion - SignaNre oflwditor . Date sgned
e�,�.��,s��v-_s`��:�.�.'���3��j;i'�5 ;;STANDARU'.DEDUCTION'AL'LDVIIAtJCE���,:�„� y�s�:'a`s�'Sxs-�,.�`"i���_±�,��,`�aks=_<
20 _ Pay 20 _
Lesser of 1/2 Homestead
ValuaUOn or 535.W0
S
Signatura oflwditw ' Date signed