Homestead_Smith (60) tutL rows`!w l0.r 4w MASt ttR FORM au
!WRIT FD BY CISTL WWI)OF,CrOONii.9%M pAFg[J n'BY T2 of?MTtNYfUC LOCAL tD ttMMFf FNlsCE IC 62i.112-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead saandad deduction.As the receipt of this deduction becomes
ntmrc beneficial,there is more incentive than eser 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 reecho the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filings.This information will he rep cnnfidenlial and can only be accessed by authorized count'officials_The Depannaent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Smith, Kent G/Brenda J
527 W Emerson
Princeton M 47670
2502
•
Kent G Smith
527 W Emerson State Parcel Number LeEal Description
Princeton IN 47670-1327
X26-12-07-103-000.568-028 019-00568-00 DEVINS ENLG 9 PT
— ___-IiIIIIIIIiIIIII,IItuIII II,IIIttiIlIIniIul,IIit.I.IttII—.--- --- — -- -
PART 2: TAXPAYER INFORMATION
Owner I First Middle /� Last
•g Address(number and street.city,state,and ZIP case) IN Same as property address
Spouse - First Middle ) I Last
r e h- c t c(5 Y1-1
Mailing Address(Number and street,city,state,and ZIP cafe) IZI,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 eliuible 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 $ignai �� yyZ Date
•
�'`"�"° CLAIM FOR HOMESTEAD PROPERTY TAX
; �� CREDIT/STANDARD DEDUCTION
� �� State Fortn 5473 (R2 / S92)
e'
INSTRUCTIONS: See �everse side lor filing instructions.
FORM
HC10
YEAR
�. CERTIFICATION STATEMENT -;� _ � •— �—�� - ----,
�/ {
I(We) �� "v 7, ce , atbn.the 1„�1�y of March, 79_
I(We) occupied as our principal place of re�dence the following described real property for which a Homeste�`'��/�� ropelfy F redit is hereby claimed:
❑ I(We) owned �❑ Are buyinq under contract '""' J I L���
❑ Have a beneficial interest in the entiry that is liable for the property taxes on the property and that,awns the property pr�is buyin undQr a contract.
��. .�✓�, 1/�
CONTRACT RECORDED 1•i �I3C N•, �Ui:TY :�.UCITOR �
It buying on contract, Fee Simple owners name
Recortlefs oHice where conVact is recordetl . Record number Page
PROPERTY DESCRIPTI
County Township Tadng dis ' iq?� town, fownship)
6 ��- ��/���
Pa umber � Legal description
O - p�68= oc�
If any ponion of the residential strucW re or the land not e:ceeding one (1) acre that irtunediatety surtounds Ihai swcNre is used to protluce income, describe ihe use antl ponion oi
the properry utilizetl to protluce income.
� PROPERTY OWNED BV CIAIMANT IN OTHER COUNTRIES
Counry Township County ip
i natur �o nt
_reby certify the above statements are true, correct and complete.
ress (number and streeG ciry, state, ZIP cotle) � �
�� �j ��
�r�-vta� � -�'
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediatety (��
surtounding residential improvements. �
Oiher land (2) -
Total land (line 1 p/us line 2) (3)
Dwellin9 (4)
Residential improvements .
Garage (5) .
Oiher improvemenis (6) -
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, correct, and Signamre ot Assewr Date signed
complete.
Veritying action - Signature ot Autlitor Date signed
STANDARD DEDUCTION ALLOWANCE
� 19_ Pay 19 _
e f 1/2 Homestead �
aW tion or 52,0 �
Siqnature at Audiror Date signetl
� �� �O