Homestead_Seib (3) STATE rn s1!!JM llt:/4N1 IREASUtEX FORM i}IA
.VYRCA'fn BY STATE MVDIK MTTReOX Vn PLEARI3m BY THE DEPARTMENT/IF LULL CAS'LMMtw'r FLc1\CEMLI.I.L^Jr
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. -
• HEA 1344-2009 requires taxpaycn who reecho the homestead standard deduction to verify that they am eligible to teethe the
benefit and to provide additional identifying, information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tcwls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Seib, Shawn/Marissa K
704 N Main
Princeton IN 47670
799
Shawn Seth
704 N Main St State Parcel Number Legal Description
PRINCETON IN 47670-1410
Itltmll llllllllmlm ill ll 'Imllllmlt llllllllI111II II IIIIII 26-12-07-102-003.344-028 019-03344-00 OLD PLAN 144 PT
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
5hcsak)f Uat-e ,-AA-- Se, ( b
IDAddress(number and street,city,stoma and ZIP code) E./Same as property address
e q N. r(loun 5-i-. Pry-nQei6n f -- N 491(0 76 .
Spouse First Middle Last
�o-c;'��o� tKc\•y 5e'1 b
Mailing Address(Number and street,city,state.and ZIP code) Same as properly address
`toy `(1'. f(\0.1,R Si. Pctree ±or .zrJ 4rWo4-26
- ________ -
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 m e for back taxes and substantial financial penalties.
Owner I Si e Date
7
�
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
sm� r� ssn �t� i sas�
Presv�Lae by a�e oeparNenf of Lora� Govertur�a F'c�anoe
INSTRUCTIONS: See ieverse side (or filing instructions.
��
�' 1
F YEAR
� 3 0 001
�� �� �
GIBSON COnurv � .,.__
�(We) � i Y F�^=�� �F I'� l��R �� .Q.�r- cerlify ihal on the 1st day of March. 20_
i(We) occupied as our prindpal place oi residence tlie folbwing described real property for whicA a Hanestead Property Tac Gedil is hereby daimed:
�� i�) �� ❑ Me buyu�g unda contrac[
��ave a berefiaal mlerest in the entity Nal is liable for the property taxes m the property and that owns the property or is buying under a contract
I( Wyug om m�4eu. Fee Si�le ownels rmrte
G—�.:T.1
�
Parceirpnnba
Torrmldp
Lega� tl�cription
��'lii.(JI—Il7y-�GJ� ]Y4'(Dd`eS
H e`ry portion d the raside,nial struWrte ar the Imd rwl mmeeding
d �he W WaKY uti6md b produ�.a inmme.
Tarnship
I hereby certiTy the a6ove sfaEements are We, correcl and co�rplete.
dly, sfate. LPmOe)
Recrnd number
Page
Is Uie paperly in question:
❑ Real prapary ❑ Mobile Fbme (LC. 61.7-�
artourWs ihat stnichna is usatl in pmduca'rwome. dexribe ihe use end Go�n
Counry
�/v
�•xr:w.s�-iv3,x��;'.y,,.�...�.`�_'4._3`�'�.'K1�t��t;.F«d�,,. iih..�a-.7{STANDARD�.DEDUCTiON'/iL' ,�s' '11�rc�;4-'�S ' �i�' 4�r;<zvv�:
��« a,s. r.n. „w. ._-3 f LOWANCE a'�4. :�,?., ,�.s ?%`::, w. ... ..ss.,�^��"m r:2n s�.+..,..�.f
2p Pay 20 _
Lesser of 12 Homestead
Valuatim or f35.000 E � .
Si�ahueot/Wditor � Da�esigned