Homestead_Shawhan •• NOSE FORM•)M ill'/swl n tsstrrA FORM ASIA
Minin BY at4TE BnSND(K AR\aiN'T..`uv PUS-1MM BY nit OEPAATHEVTOFIUAE rA)rtiVMEBT FE.SSCE Me-Li-run
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.. arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
® HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to recene the
benefit and to provide additional identifying infrmaton 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 Depanment of
Local Government Finance will use this information to create [Dols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Shawhan, Carolyn S •
640 E.State sr
Princeton IN 47670
2816
Carolyn S Shawhan
640 E State ST State Parcel Number Legal Description
Princeton IN 47670-1910
�t�n��nr�t��n�nr��� 11111 ����nn�n��� ��� 26-12-07-204-003.345-028 019-03345-OO NS LOT 1 PT R2
Spouse First Middle Last
Cct No L n - (Situ Shici k ) ) •
Mailing Address(Numb&and street,city,state,and ZIP code) • ❑ Same as property address •
i4o 6 . r
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.
;..� �., CLAIM FOR HOMESTEAD t ,
•.,�. . -; : CREDIT/STANDARD DEDUCTION
' State Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side for filing instructions.
I (We) � G� �
CERTIFICATION STATEMENT
FORM
HC10
r �
YEAR
70
certify that on the 1 st day of March , 19 ! U
occupied as our principai place of residence t,�he, �foll wing described real property for which a Homestead
rty Tax Credit is hereby claimed: (,L�f I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under•a contract.
Couniy
CONTFiACT RECORDED
on contracL Fee Simple Owner's Name
office where contract is
Legal
e
PERTY DESCRIPTION
� Ta�i�g qis�t (City, town, township)
�r �.�
0�q-o33y� I NJ � 1Kd �# ' "
If any portion of the residential siructure or the land not exceeding one (7 ) acre that immediately surrounds that:struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
nty
PERTY OWNED BY CCAIMANT IN OTHER COUNTIES
ieieby certify the above statemenis are Vue, correct and
complete. � � � � �
Address (Street. number. city, state and ZIP code)
G
�y��.�,c"�.. 's
ASSESSOR USE ONLY � TRUE TAX VALUE ' ASSESSED VALUE HOMESTEAD AL Up��R�IDENTIAL
- � • VALUE
Landnotexceeding 7(one)acreimmediately � - -
surrounding resideniial improvements ��)
Otherland (2)
Total land - line (7) plus line (2) (3)
Residential improvements Dwelling. (4).
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is irue. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
7989 Pay 1990
sser of 1/2 Homestead
Valuation or $2,500
�
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997
Lesser of t/2 Homestead
Valuation or $2,000
1991 Pay 1992 19—Pay 19_
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $1,500 Valuation or $1,500
Signature of Auditor /1 � �/� Dcte'� �
u.� i ��� �