Homestead_Smith (64) SIVE Ion''3MAIB-t We) TAEANUA PORN TSIA
.APPPP'ED BY STSTE BMBO OF MYYRn%t190 PALStltIBED BY OIL oErMne.T OF LOCAL WSZR.VMR.T FINANCE M41.1-_4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
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 identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Goverment Finance w ill use this information to create tools that will help court-officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Smith, Mary Beth
219 N'Walnut
Princeton IN 47670
836
Mary Beth Smith
219 W Walnut State Parcel Number Legal Description
Princeton IN 47670-1429
11111111111111111111111 111111111111111 111.11111 1111 X26-12-07-104-002.684-028 019-02684-00 OLD PLAN 89 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.
Spouse First Middle 6--/72 � Lett
Mailing Address(Number and sneer,city,state,and ZIP code / 1=1-Same as property address
el f 4j . CIa.Piw# WC-e tc 15,--se
70
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
0
PieSC��OM B�� Slale NwiO ol la• l;ammissianeis
CLAIM FOR HOmESTEAU PROPERTY TAX CREOIT FUR YEAR 19 �� �
SEE BACK FOR FILING INSTRUCTIONS Oj4-02654-00
in i i Cl ' � i
� � �
as our ncipal place of residence the followiny described real p�operty for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) M' owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in County � Township
Taxing Dislrict (City, Town, Township): �M
Parcel Number' or legal description shown on tax statement
� ��C�J�1 ci I 1�.� _
If buying on contract: Owners name �'eP �'"'°'� °"""eq
Contract recorded in Recorders Office - Record No. Page
Ii any portion of the residential structure or the land, not exceeding one (1) acre that immedialely surrounds thal
structure is used to produce income, describe the use and portion o( the pro��erty utilized to produce income
Any other counties in which individual owns or is buying real property:
certify lhe above statement is true, correcl and complete.
SVeet AOCress
Counry
I ownship
��„� �� c��
' Indivi�ual either owns or is buying under a conlract that provides he is to pay the properry taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR �ASSESSOR'S USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements
Dwelling
Garage
Total
True Cash l�ssessed
Value Valuation
� � � — ------
12) —
131 ----
(4) --
(5)
(�)
Other�rovements ��� --
Total . rrovemenls - Line (6) plus (7) equais (8) la) __—__
i hereby cerli(y the above is true. correct. and complete.
Sg�alure ol Assessor
- ACTION BY AUDITOR -
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