Homestead_Stephens (3) ITArE FORM 11.5M IT:t).MI TRUSU/Mt FOLS',$.IA
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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more 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 elicible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized county officials.The Depatnient 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
Stephens, James/Kay
511 N Main
Princeton IN 47670
504
James/Kay Stephens
511 N Main State Parcel Number Legal Description
Princeton IN 47670-1405
�r�rr��r rrI ��r r�r lr�ll 11r 1rr 11lrrr rirlrrtr llrrr lit�t t�� X26-12-07-102-002.736-028 019-02736-000LD PLAN 105 PT
PART 2:TAXPAYER INFORMATION
Owner I !f1y�x First Middle Last
.� Ft IIte 1 C RANKL tn) STEPHENS
e Address(number and strew--city,state,and ZIP code)
S \ ( N - nlf ' N PRINCE. tav Sru 4-767 •,
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 liable for back taxes and substantial financial penalties.
er 1 Signature 1111 Date
•
•
wun xc �o �sm
Prescri�eE By State BaaN ai Tax Commiuioners
CLAIM FOR HOMESTEAD PflOPERTY TAX CREOIT FOR YEAR 19�
To & Filed in Duplicate
�
SEE BACK
I, (We) t� owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
h � _. �� _ � i
Property Description
Taxing District (City,
Parcel Number � /,n,�
ownship):
nty
Township
or legal description shown on tax statement:
�iz-L»-.�, �.[:�i� / O S G�p�.
If buying Ofl contract: Owners name (�� simo�e awner)
Contract recorded in Recorders Office - Record No. Paoe
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is. used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County
certify„the ab�e statement is true, correct and complete.
�,r�.-.�/1�,,� ,
naaress
Township
an0 Zip CoOe
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � �
Residential Impro��veme�ts Dwelling
�� , „ � ,g �9 Garage
J'�� L
Total
Other Improvements
T�Improveme��L�n�(6) plusA(���e��u�ls (8)
I.s aby certity the a�ve is true. correct. and complete.
$iJOdNR 01 ASSC550t
True Cash
Value
(1) �/o 0
(2) —
(3)
(4)
(5)
(6�
(�)
($)
1
- ACTION BY AUDITOR -
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