Homestead_Stevens (4) t LATE;MAM,)V.M:/wn MEASURER PORN TS-IA
.Arrxc ED HY War NNRDOw VYVRArs.lnd IVYIIrnmm BY nit Dr PARTMENT(w LOCAL CINtRNMrNT FINANCE IC 1-1.11:-..I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limbed to one homestead standard deduction.As the receipt of this deduction h umes
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 eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings Ibis information will he Lept cetnlidential and can only be accessed by authorised county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homesead fraud.
PART 1: PROPERTY INFORMATION
— Taxpayer Name Property Address
-- Stevens, Ruth M
902 Virgil BLVD
Princeton IN 47670
3643
Ruth Stevens
902 Virgil Blvd State Parcel Number Legal Description
Princeton IN 47670-2314
1.11.11,..1.11,11 IIIttltrI I IIttt II I IlltttrtlrlrI Ii 1,26-12-18-101-000.325-028 019-00325-00 PT NW 18210 .58 AC
PART 2:TAXPAYER 1NFORNIATION ivi Owner I First Middle Last
�g Address(number and street,city,state,and ZIP code)--- - -- — - —0 Some us property address ——- — —_ -
UIo 01I1G jL 8CVD 9 rHCotois ;;14.17 y-7 70
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) I 1 Same as properly address
Social Security Number(last 5 digits) Drivel's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
snit
PART 3:CERTIFICATION
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
•
•
:� ry� + CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
` � State Farm 5473 (RS / 10-01)
Presuibed by lhe Depanment of Local Govemment Finance
INSTRUCTIONS: See reverse side /or liling instluctions.
_ � �. � CERTIFICA710N
I(We) — �
I(We) o pied as our principa place of residence lhe following described real property for which a
❑ I(VJe) owned ❑!ve buying under cootracl
�ave a benefidal interest in lhe entity that is liable for the property taxes on the property a�th��
�e!
FORM n\1 YEA� �
HC10 \l� ^a
V V
ne tst day of March, 20_
T�c Credt is hereby daimed:
urder a convact.
.�-�-;x,z¢3,a"fa.i'3�-' "a . .£:` J 3 t :F�? . . _ . .
t,.:��.a ._`-. -'. v_.� ...e•.�...'?�'.s':";CONTRACT'RECORDED�.;r� �._%•.,�� . , .° .:�s- �,... -. ,
if buy'u�g on conUacl. Fee Simple owners name
RecoNels office whera wnUact is recorEed Record number Page
Counry Tamship Tacing district (uty, town, iownship)
�um L es ' Can I Is Ue D�aPertY in quesli �
� '� g�a ( �� C, pmperty ❑ MoDilo Homo Q.C. 61.7-7)
If any rtion ot ihe residential sWClure or Ihe land not exceeding one (1) aue lhat immedialely sunounds lhat swUUre is used b produce income, tlesai6e Ne use antl portion
of the proDerty utiized W produce income.
��.x�-�.x°'- �,!s::,;�.3%'�:e��;``MP��: a a!aPROP.ERI'Y.OWNEU'�BYCLAIMliNYIN.OTHER'COUNTIES `� �' =_:�M_, 1?r.:t;z,j �`r=�'Le � =
County Township Caun�y Tavnship
I hereby ceNfy the above statements are W e, wrrect and wmplete. �9nature o claimant
.
'ress umberandsheef, dy,slata,ZlPCOde
D
3'��t ��'AS SSOR US ONLY� � ri,'�g 'µg`� ��3�TRUE TAX��1 `. ASSESSED VALUE s�HOMESTEAU�4 �'�r.*.fiNON_RESIDENTIAL� �•�'•
a�.'�i�d�±g'�a.�°• sTMV�^"�."�._.:.3�'`r:.>j"te,'..�z.i� VALUE�:�.r..5 .AT:100%OFTSV r-:VALUE�}� �a.ti`-`�.`• ��-VALUEt--:..�,f�Yk�
Land not exceeding 1(one) acre immediately (�) `% �r� � 3ar�� �;�} `�_
suvounding residential improvemenLS. -. � .,.:�,�r,�`�; �,:.�,:.�;�.i,-.
o �"�s � kt`�`;' �_
Other land (2) �_ � i'p,'+�
:.;.,.:�....� r _ � _
Tdal land (line 1 plus line 2) (3�
Dwelling (4) ;�° i 'k+ �� �� �5��'��r ',.
Residential improvements "`�"` �� �'� �� ;^�"� � ��-�
Gara e `�.N }�L"`�'�".�}rit�✓ } "Lw,ir
9 (5) ``.�-,`F". 1. ...�'�.'��.'-t� _rz..��s; i � `�:
��;::.-�„�,-?_"•,_'<L',i i
Other improvements (6) - '. � 4.. :��r�,-'.y.
�.ti-:;-5; - -
Total improvements (line 4 thiough line 6) (7)
Tdal value (line 3 phs line n �g)
I hereby certify the above is true, corred, and Signawre otassessor oate sgnea
complete.
Veritying atli0n - Si9�ture oflwdilor Date signed
20_Pay20_
Lesser of 7/2 Homestead
Valualion or 56,000 5
Auddor