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'. — STATE FORP4131.4 Ia_IYNI t1AS4tLa IOM1V 1IA
APPROVED BY 5151E&WU,OF ACM(NIX Zan PRESCRIBED BY THE DEPARTMENT Of LOCAL nov4RN51rn MANGE K'6-I.1-z-,.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homear_d standard deduction.As the receipt of this deduction becmtee
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher Dv bills for all:therefore.
• r HEA'1 344-2009 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
i )1
filings..This information will he kept confidential and can only be accessed by authorized county officials.The Depanment of
Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
APR 8 LU11 Taxpayer Name Property Address
Smith, Eunice
��a0.rth 1009 1:Water ST
BiDN COU
NTY AUDITOR Princeton IN 47670
Eunice Smith
1009 E Water St State Parcel Number Legal Description
Princeton IN 47670-2249
1t1n11rn1t11u1ur111nnrItIuItItIuIItInIItulrlulinrl 4 26-12-08-301-000.184-028 019-00184-00 LYNCH 1ST 79
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
g Address(number and street,city,stale,and ZIP code) u came as property address
i o o 4 E. MAerre lv 51
Spouse First Middle Last
Nv Ait
Mailing Address(Number and street,city,state,and ZIP code) ❑ Sane as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Mu
PART 3:CERTIFICATION
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 properly.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
IIII
d�•�•, _CLAIM FOR HOMESTEAD PRORERTY iAX " FoRM veaR
�r" y � CREDIT/STANDARD DEDUCTION. , ��R�,.��J
� :� State Form 5473 (R2/1-90) � I .
�'°�� � INSTRUCTIONS: See reverse side for liling ins�ructions. /
CERTIFICATION STATEMENT �� r E� � 81991
I(We) (.tAn�A X�"�" certify that on the 1st ��� ,�
� I(We) occupied as our principal place of residence the following described real property for w�R���mestead
Property Tax Credit is hereby claimed !-� I(We) owned 0 Are buying under contract
� Have a beneficial interest in the entity that is lieble for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORUED
on contract. Fee Simple Owner's Name
Recorder's office where contracf
County
ber Legal
-col8`�
PROPERTY
s�
town, township)
If any portion of tHe resideniial structure'or the I�nd not exceeding one (H) acre that immediately surroundsthat struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
County
.. .
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County
certify the above statemenis are Vue. wrrect and
s(Streei, number. city, siate and ZIP code)
G . �-i/a�e
ASSESSOR USE ONLY � . TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately ' -
surrounding resideniial improvements (� )
Other land (2)
Total land - line (1) plus line (2) (3)
Residential improvemenis - Dwelling (4) � - - . - �
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991
Lesser oi 1/2 Homestead
Valuation or $2.000
�-
1997 Pay 1992 19—Pay 19—
Lesser of 1/2 Homestead Lesser o( t/2 Homestead
Valuation or �1,500 Valuation or $1,500
Signature of Auditorn � �� I Date Signed
� � ,