Homestead_Lamar (39) •lASE 1n0.N:Woe'Fe/NMI rtrASURE3 WEN Is-IA
ArrAch En BY wen.onAnnw AcraNIc Y.r PLr3AISED BY n1E DEPARnerrUF REAL CONTRNMFICT MANCE c
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple,are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verily that they me clicibte to recehe the
benefit and to provide additional identify-Me information nemsary 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 Ikpanmat of
Local Government Finance%sill tang this information to create tools that will help county official,eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Smith, Kimberly
425 W Walnut
Princeton IN 47670
2541
Kimberly Smith
425 W Walnut State Parcel Number Legal Description
PRINCETON IN 47670-1251
�t�tt��trt�t��tt�rrr��� ��rr�r�r�r�Ittt��rt�t�t�t�t��ttt� X26-12-07-103-003.260-028 019-03260-00 FOREST PARK 12 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle C -•\‘) Last
- . -•,g Addreas(numbe. d st xtcity ssttare:and ZAP code — — — - • - me ns property address
—
�{ a� tk)
Spouse First Middle Last
t fret. c .
Mailing Address(Number and street,city,state,and ZIP code)
Bajlene 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 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 1 Signature Date
r . . o It) Pr) ks /y lam/ /.
hate VCR- (erInz.rr) e-CI /.�vtci ✓ t t v"- r CYtez,i&eel
•
or- C&ez n9td etd •
SL�F
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / S92)
FORM
HC10
YEAR
� i / A n
INSTRUCTIONS: See reve/se side lor �ling insfructions. �� �`r
CER ATION T TEMENT
I(W ���( !;L certiry that on the 1 st day of March, 19_
I(We) upie ur principal ptace of residence the f o ing described real property for a m tead rtv'.q��c Credit is hereby claimed:
❑ e) owned ❑ Are buy,ing under conirac ��j ��yj
❑ Have a beneficial interest in the entiry that is liable for the property taxes on the propeAy and tl�yqyvrs the property�e�4uying under a coniract.
IV!/ Y 0 3 20
CONTRACTRECORD �
If buying on con[ract. Fee Simple ownels name
GIBSON �
Recordefs office where conVacl is recorded rd umber Page
• PROPERTY DESCRI I N -
Counry Township Ta ing ist ct (ciry, town, f ship)
Pa I er \ Legaldescnption
/ — ' �-/
If any portion of the residential structure or ihe land noi exceedirg one (1) acre ihat immediatey surtounds thai sWCture is used m protluce income, describe ihe use and ponion of
the pmperty utilizetl m protluce income.
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES �
Counry Tovmship Counry Township
Signature� f im�nt
iereby certify the above statements are true, correct and complete.
Address (numbe� tl s(� dry, state, ZlP code,{ ��� _ L /� /
O //V l l/ � T�V 7�
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE VALUE VALUE .
Land not exceeding 1(one) acre immediately (�) .
surrounding resideniial improvements.
Olherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4) ,
Resideniial improvemenis
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 true, conect, and Signamre of nssesor oace signed
complete.
Veritying action - Signature of Autlitor Date signetl
I� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead � _
Valuation or 52,000
Signature of Auditor Date signed