HomeMy WebLinkAboutHomestead_Sampson •
UNIT rtntN n e.ilc/w.t flE4AUt l Po0.V YIA
.AFMrw'ED BY ST\TE BMRD WKRIIRS.1a ppE4Amm BY air DEPMTMEaef lrEAt roswYMCwr FINANCE r 6-rI--ra.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
4110-1-- more beneficial.there is more incentive than eta for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HLA 1344-2000 requires taspayeis who receive the homestead standard deduction to.erify that they are eligible to reeene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flings.This information will be kept confidential and can only be accessed by authorized county officials.The Depannaent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Sampson, James L/
321 l:Pine ST
Princeton IN 47670
846
James L/ Sampson
321 E Pine ST State Parcel Number Leal Description
Princeton IN 47670-1623
IElttlltrtlEllrElttr•,, IitlittttiElEElltttlElttrlltEElll 26-12-07-201-001.175-028 019-01175-00 OLD PLAN 138PT
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.
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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
Sla�e Fwm 5473 (RB / 1-03)
Prescribed by �he Department ol Local Govemment Finance
INSTRUCTIONS: See revcrse side loi /iling insbucfions.
FORM" `
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JUN 7 2UU4
YEAR
I (We)
Fiomestead Property Tac Credit is hereby daimed:
�(We) owned ❑ Are buying under contract -
' Have a benefidal interest in the entity that is liable for the property taxes on lhe property and Nat owns lhe properly or is buying under a wnVact.
If buying on conVaq, Fee Simpie owners name
Retordefs ofice where conVaa is recorded
Counh TamShip Tai istricl (ciry town,
Parcel number 1 Legal deuription Is ihe m
� � �� l � P �6
i( any portion af Ne resitlenUal aW cture or the Wnd not exceeding one (7 ) aae Nat immetliatery wnounds that sW�
ot fhe proPerry uGlrzed tn produra income.
Record number � Page
in queslion:
al property ❑ Mobile Homo (/.C. 61.1-7)
is used b protluce income, desuiba the use antl portion
�r�.i��'����.k��.'a.�y�*�w` ,�`��s;>,-?�a�STANDARD'.OEDUCTION'ALCOWAIJCE_ £"_'"" '^�' ` °'� °' ' -.""
'y���k �:�3nr�-�:!� 7'�-�:a�'i�.c�`�u�; a
20 _ Pay 20 _
Lesser of 1/2 Homestead S
VauaUOn a 535.000
Sgnature ol/wddw " Date signed
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