Homestead_Smith (36) MMAlt FORM ThW RN 4101 TREASURER FORM 73-IA
Gibson�ountyAuditor amnia) t �R '�
101 N Main
IMPORTANTNOTICETOHOMESTEADP ROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to ore homestead Mandan)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.\ 134-1-2000 requires taxpayers who remise the homestead standard deduction to verify that they an eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling-s This inihrmuinn will be kept confidential and can only be accessed by authorized county officials.The Depannlent 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
_ Smith, George T/
11215 Seminary
Princeton IN 47670
3878
George T/ Smith .
1121 S Seminary State Parcel Number Legal Description
Princeton IN 47670-3035
Irlrrllrtrlrllrritttlll Hall Ilrtltltttltlrtrlirrlrll k 26-12-18-203-002.599-028 019-02599-OO SS ADD 147
•
, PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
G -eo r.9 �h o on q 5 3/71; 4/,
•ng Address(number and street,city,state,and ZIP code)-— - — - - Same as property na v an - --'' -- —
/%7, / Si Sem / nqr y sT PrinC-P-io , 1 1/U• 4 '0 (a 90
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 Signauuc Date
r.•
-vv ` ' .� \ � \
.a�r���: CLAIM FOR HOMESTEAD PROPERTY TAX
:�.s` 4� CREDIT/STANDARD DEDUCTION
��;�i�� Siate Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side (or filing instruclions.
CERTIFICATION STATEMENT
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I(We) G1�� �. °!-� �/"�'" that on the tst day of March , 19 /�
I(We) occupied as o rincipal place of resi nce the following described real property for wfiich a Homestead
��perty Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contract
� Have a bene(icial interesf in the entity thai is liable for the property taxes on the property and that owns ihe
property or is buying it under a contract.
CONTRACT RECORDED
on contracl, Fee Simple Owner's Name
's o(fice where contract is recorded
PROPERTY DESCRIPTION
J� �� v a..� � i �-v � �v �v�v � � i
if any portion of the residential siructure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the properly utilized to produce income.
County
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County Township
certily the above sla�emenls are Uue, correcl and ' I �ur8 ✓{,�
Qlul l�I �
�(Slr et, numb city, late and ZIP code) .
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ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre irnmedialely
surroundingresidentialimprovements (�)
Otherland (2)
Total land - line (t ) plus line (2) (3)
Residenlial improvements Dwelling (4)
Garage (5)
Other improvemenls (6)
Total improvemenls - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signalure oi Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Uate Signed
1989 Pay 1990
sser of 1!2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 _
Lesser o( 1/2 Homestead Lesser oi 1/2 Ftomestead Lesser of 1/2 Homeslead
Valuation or $2,000 Valuation or $1,500 Valualion or $1,500
�I Signature of Auditor /���� f �\ \� — — — — I Da�le
� � r � �t A�