Homestead_Russell (4) s Mt FORM.1IKIR_r td1t TRFASUEER NLM Tlx
ANTI-WED1Y SLATE BROOM MYTE.TS.9x PREy(MBW BY Mr OEPMMLYHO LOCAL(OStLMFNT FINANCE IC 11-1.1.1:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 cser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
al
HEA.1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifvirr_ information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Dqunntent 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
_ Russell, Michael D/Nancy L
710SGibson
Princeton IN 476
3130
Michael D/Nancy L Russell
710 S Gibson State Parcel Number Leaal Description
Princeton IN 47670-2608
I II III I III I I II II I I I III I I I 26-12-07-403-002.468-028 019-02468-00 CLARKSVILLE 11/12/13 PT
t o nt t urn nor t r n nt li tut sett it
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
ii•r Addrss(number and smarm city.-rte:and ZIP cod:) — --- - Same as property address_ - _ _ _ __
Spouse First Middle Last
NCN 0r Lea \ ■ SS 01L,
Mailing Address(Num r and street,city,state.and ZIP code) (d7 Same as property address
\ _.
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 Dat��/
O.
aE ^3 a CLAIM FOR HOMESTEAD PROPERTY TAX
�,��'= CREDITISTANDARD DEDUCTION
,�„�'� State Form 5173 (R2 / 5-92)
�si�
INSTRUCTIONS: See reverse side /orliling ins(ructions.
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. - ceniirwAn�naiAicmcni� � --• - p
`�e) �'�P�n� �. U�l�2XX- cenify that on ihe 7 st day of March. 19 �
e) occupied as our principal place of residence the�fol ing described real property for whicha Homesiead Pmperty Tau Credit is hereby claimed:
I(We) owned ❑ Are buying under contract � .
❑ Have a beneticial interesi in the entity that is liable for the property taxes on the property and ihat owns ihe property or is buying under a coniract.
� . CONTRACT RECORDED � � � �
It buying on contracC Fee Simple owner's name . , . .
Recorder's oHice where Contract is recorded Rewrd number Page
I PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES - I
Caunty
certify the above statemenis are true, correci and complete.
ss (nomber and street dry. state, 2
7�V S. -�i•%JSO�
claimani
Township
ASSESSOR USE ONLY TRUE TAX ASSESSED MOMESTEAD NON-RESIDENTIAL
� .VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately
surroundin9 residentia� improvements. (�) �
Otherland (p)
Total land (line 1 plus line 2� (3�
Dwelling (4) -
Resideniial improvements
Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7) (g)
I hereby certi}y the above is tme, cOrreCt, and Signature oi Assessor Date signed ,
complete.
���;�g aaion - Sgnamre of Auditor Date signed
STANDARD DEDUCTION
79_Pay79_ I
Lesser of 1/2 Homestead
yeluation or 52,000 S
of Autlitor