Homestead_Speedy (5)•
- STATE FORM!Y eS5R2t5wl iaiASllm tOKM 3IA
AT rROV'ED BY SIATEBMRO Of ACCOVNTS.9w PRESUMED BY THE DEPMneEVr OFLOCLL GOVERNMENT?NA\'cE IC 44.1-27.4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani 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.
so FILE f) HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receve the
benefit and to provide additional identifying information tnecessary to allow county government they to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 1 2 ZOIU Taxpayer Name Property Address
Speedy, Tim A
je
4'
309 Roosevelt DR
GIBSON COUNTY AUDITOn Princeton IN 47670
1221
Tim A Speedy
309 Roosevelt DR State Parcel Number Legal Description
Princeton IN 47670-3231
It�tt��r tt�r��t t�trr�ll ��tttI �tt��trtr 1111 r�r�rtlrtltl $26-12-08-203-002.038-028 019-02038-00 DIKE ENLG SEC B 32
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
/ ins ALLEN spEE-Dy
sing Address(number and street,city,state,and ZIP code) Same as property address
309 Roo gcUEL-r Dal vi; PR/A/C E 7d A/ /N `/7 (0 7o
.
Spouse First Middle Last
4NGE1-4— CHPicTINE SPe 'DY
Mailing Address(Number and street,city,state,and ZIP code) E1 Same as property address
301 Qoocc r D21 vt fpIA cE-7lN1 /.v y7 6 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
•
� ��R � CLAIM FOR HOMESTEAD PROPERTYTAX �
_��= CREDIT/STANDARD DEDUCTION
�=��� State Porm 5473 (F2 / 5-92)
lsiG .
INSTRUCTlONS: See reverse side lor tiling instructions.
. �
�1 � I �,L, f��,'�
���
e) �1�JInJ_�_, certity that on the lst d���1�1R9'-U
e) occupied as our principal place f reside e the following described real property for which aHomestead Property Tax Credit is hereby claimed:
I(We) owned ❑ Are buying under contraci .
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
� COMRACT RECORDED _
If buying on contracL Fee Simple owner's name � � � . � � , '
Recorder's oHice where contraa is recorded Record number Page
County
PROPERTY
��7 ' �:
tawnshrp)
ParcO�"1 r Q�W d L�0.JYeax.o� Vw'.T C�.T' � ��
If any portion ot ihe residential stmcture or the land not exceeding one ( acre that immediarely surmunds that s[rucmre is used m protluce income, describe the use a� portion
of the property utilized to produce income.
County
PFiOPEHTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township Counry Township �—
certify the above statements are true, correct and complete.
Address (number and slreeL ciry. state,
�(i6 7p
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VAIUE VALUE
Land not exceeding 1(one) acre immediately .
surrounding resideniial improvements. (�)
Otherland (p)
Total land (line 1 plus line Z� (3) I
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenis (6) I
Total improvements (line 4 through line � (7)
Total value Qine 3 p�s line 7� (g) I
I hereby cenify the above is irue, correct, and Siqnacure of Assessor I Date signed
complete.
�tyirg action - Sgnawre of Audiror Date signed
STANDARD
79_Payt9_
Lesser of 1/2 Homestead
Valuation or S2,000
�
Signature of Autlitqf `� (� (�/� I Date