Homestead_Robling (3) l.
51.51E FORM MMY/IIC!WO TREANtQ r00.M 711A
APFMNED BY STATE'CHAD OF AMA INES.9x ptEARBEO BY nn DEPAATTENT OF MCA' COVERNFAT FNANCE MLI.1:-11
Gibson County Auditor ( IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main 1
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
• more beneficial,there is more incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho 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 Deptnntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
I PART 1: PROPERTY INFORMATION
Taxpayer Name Prnperts•Address
Robling, Matthew J/April L
811 EBroadway
Princeton IN 47670
. ___---- _--
Matthew J Robling
811E Broadway State Parcel Number Legal Description
PRINCETON IN 47670-1921
11111111 rt1t11tt1ttt 1ii 11111111111�ttt��111111 11 111
26-12-08-301-003.255-028 019-03255-00 HIGHLAND HOME 20
\ ' ' - . .
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 Last
PP) 0--6t1-yeto Y RoIo//rjq
g Address(number and street,city,stele,and ZlPrnde)r__ — _— . — —S-4-me e as property address"'- ----
Bit e . @road wa.A 9r i (,l ce. fon , 1 s n . 4 -761 0
Spouse ' ( First Middle Last
-P-pr I Lem f201-3 l 1 nil
Mailing Address(Number and street,city,state,and ZIP code) came as property address
e( I a 8 r o cacu o;1 Pr i es Ce,-&-on r_n 1 1--1 f b7 d
I 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 x - Date
9
CLAIM FOR HOMESTEAD PROPERTY TAX
- " CREDIT/STANDARD DEDUCTION
t � Slate Form 5473 (RS I 10-07 �
�µ Presaihed by fhe DepartmeM of Local Govemment Finance
INSTRUCTIONS: See 2verse side 1or filing instructrons.
� �^'e� � 1 �l�(d /�L l''� �- � ��L<b�
I(We) occupied as our principal place of r si nce the fo wing described real propeAy for which a
❑ I(We) owned ❑ Ne bvying under contracl
i Have a benefidal interesl in the entiry that is liable for the property taues on the property and th.
I( buying on contracl. Fee Simde owners name
Recordels office where conVad is recorded
Counry
Tw�,�n�v
Legal
� � d.7J�W
N any poAion of Ihe resiAenilal sWqure w the land not e i� one (7 ) aae
of Na properiy utlitred tn praduce inmme.
(dry, rown. rownship)
FORM
HC10
YEAR
Ihal on the 15t day of March, 20_
gropeAv imeCredit is hereby daimed:
1 J]U
Record number
a contract.
Page
T� the Cro7eM1Y in W esGon:
❑ Real property ❑ MoWe Home (I.C. 67.1-7) .
wrtounds thel sWqure L5 used to piotluce Nmme, desaiEe the uae antl portlat