HomeMy WebLinkAboutHomestead_Shaw •
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515TE rORNI NKta,R'(WO nnFANIEA MANI:}IA
APrRrw'ED BY SIAM a01RD OFNYYAINTS.!IY PRF9[AIBm BY TIC OFPAKIKENI(F LOCAL CAHTLV LENT FINANCE Ic-I.t-U-II
Gibson County Auditor
101 N Main - IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limbed to one homesead sundanl dNuclion.As the receipt of this deduction&toles
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore,
III HEA 1344-2009 requires taspasem who receive the homestead standard deduction to verify that they am eligible to remise the
benefit and to pnavidc additional identifying information necessary to allow county government to better monitor homestead
filing,.ibis information will be Lep confidential and can only be accessed by authorized county officials.The Depanntent 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
_ Shaw, April
507 S Stout
Princeton IN 47670
1176
April Shaw
507 S Stout State Parcel Number Legal Description
PRINCETON IN 47670-2531
Illttlltttllllttitttllltttttllllllltttllttttlllltttltttlllllll 26-12-07-404--0�02.470-028 019-02470-00MONROE HOMES 17
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
Owne I First Middle \ Last
1 it cilaZ 0 S i WTF+�7 - ('( `O,nJf, _
4.g Address(number and street,city,state,and ZIP code) 7 Same as property address
501 5 • -O -2CCnceVOn 1N. . 1lC1D - _ . .
Spouse First Middle Last
C,CL.C'1 01-\\Dee Mann
Mailing Address(Number and street,city,state,and ZIP code) I.i1 Same 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
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
Sute Form 5473 �R6I403)
Presaibed by the Departmeni of Lacal Govemment Finance
INSTRUCTIONS: See reverse side 7or �ling instrucfions.
FORM
NC10
YEAR
I(We) L�Al.I.t�C �/ �1"� certify that on the 1st day of March, 20_
I(We) occupied a our principal place oi residence Ihe following described real property (or which a Homestead Property Tac Credit is hereby daimed:
❑ I(We) owned ❑ fve buying under contract
' Have a beneficial interest in ihe entity that is liable for Me property taxes on the property and that owns the property or is buying under a conVaG.
If buying on conVact, Fee Simple ownets name
Remrders aifice where conVacl is recorCed
County
N any portion of
number
Tamship
O�l@gal description I Is Ihe P�OeM in questio�:
��,.
U ❑ Real property ❑ Moblle Homo (I.C. 61.7-�
or the tand not excceAing one (1) aae Nat immedialey wnounds ihat sWGUra is used b produce income, desaibe the use and portbn
Toxnship
I hereby certify fhe above statements are W e, wrred and complete.
�dress (numbei aM Shee(, city, s(ale, ZlPcade) n
Land not exceeding 1(one) acre immediatety
surrounding residenlial improvements. �� �
Otherland �Z�
Tdal land (line 7 plus line 2) . (3�
Dwelling (4)
Residentiel improvements or Mnuatly
Assessed Modle / Manufac4�red Hmre Garage (5�
Other impravemenls
Tdal improvemenfs (line 4 fhrough line 6)
Tdal value (line 3 plis line n
I hereby certi(y ihe above is We, corred, and
complete.
Verilyirg aelion - Signature oflwdibr
20 _ Pay 20 _
Lesser of 1/2 F{ameste
(6)
(�)
IB)
SignaNre of Asseswr
$
signetl
5igned
Signah�reoflwditw � � � � � �n , �!�'C IDa�� � �
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