Homestead_Stevens (6) • STsIE FORM r swl nnrssvm TORN:}IA
• .APPROVED BTSGTE BOARD OF ACCq.ST5.9v PRE9[TJBID BY HIE DEPARI]R`IT OF LOCAL COVERNMF T RMANCE IC 6-11-2L4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited m one homestead standard deduction.As the receipt of this dedution becomes
more beneficial.there is more incentive than e5er for homestead fraud.Homestead fraud causes higher in bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized enmity officials.The Department 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
Stevens, Tony D Jr
315 W Walnut
Princeton IN 47670
821
Tony D Stevens Jr
315 W Walnut State Parcel Number Leval Description
PRINCETON IN 47670-1249
11111111111111111111111 111111111111111 '/-�(2�/6-X12-07-103-002.067-028 019-02067-OO FOREST PARK 4 PT/5 PT
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
7.(5A7 . 1✓/O' ..feveNs ) Jr-
Tg Address(number i-eer,city,state,and ZIP code) [] Same as property address
313 6) &%/4l r�'i-L S-f-
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
PART 3i 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
CLAIM FOR HOMESTEAD PROPERTY TAX
CREOIT/STANDARD DEDUCTION
Smte F«m u79 (R6 � a-03)
Rmmbed 6y the Departnerrt d Lacel Govanrtbnt Finance
� INSTRUCTIONS: See re�as tid� b�rg iq6t�cb'or�
�I-F-O�RM �� yEAR
�LnC10 � �j , ir�
�r'� ��� 9
11 1L JLJ Ii � yLJ
NOV 1 4 2005
, •� . � ti,,�--.
I(We) ' certify thal on the 1st day oi March?20
I(We) occupied as our principa p ce of residence the fWlowin9 described real property for which a Homestead Property Jac'Gr�Gis�heretiy��dairned
�(We) owned ❑ Are buying under contract
` Have a benefidal interest in ihe entity ihat is liable (or the property taxes oa ihe property and that owns the property or is buying under a contraU.
If buying on coniraq, Fee Simple ownefs nama
Remrders ofice where mnVad is recorde0
r�'����� �.E;��'u�.�,�i:3�kEP��9°-ia'�Y?t��-aiw�T
Counry Tavnship
V/ T —V/XV b /=Se/ I \�lUj,fJ�1 / [l�1
N any portion ol Na residential sW cWre or ihe IanA nd axceeding one (1 j aca Ihat
ol lhe properry utii¢e0 b produce i�ome.
County
Twvnship
I hereby certify the above statemenls are W e, wveG and complete.
(number and s6eef, city, stafe, ZIP code)
Record number � Page
fownship)
' I Is ihe P�Ue��on:
R property ❑ Mobile Homa (I.C. 67.7-n
wrtounds that sWCture is used b produce inwme. desaibe the use antl porUon
County
Signature otdaimant
TownShip
��d •' Y'-'�-':�i:: si'^'#�-.�'1s1'v�y'�.Y'�;.-,��.nf.}s�j56 '.s't+ . ' .,,� . `+:i .. - r<5.-.
�ASSESSOR�USE ONLY� a` 6� i��.�VETA�X" y��� ASSESSED VALUE �HOlAESTEAD >: NON�IES�DENTIAL '=�' �4
>rp�1�i°�ei:.�.r � Xe..° _%.h"S}.`P3�T� �.N.-�3L xs'�,ir-`��..i @s-�`..'t�VALUE�Ta�..�. s�--AT�t00�o O�TiV�y ��,�<y"y V/iLUE.r�.�',��` �`,�». aVALUEivSS �.�.<t'�,�
Land not exceeding 1(one) acre immediately �' '"' '� �: �a'r`z�
surrounding residential ImprovemenLS. (� � �� �� �"?'��,��` ^ ,"�_.�'-'�' 'V
.x .�'`'�:_.i;�..-�,��F
Otherland (2) y%``yx�`'`}C�?'� .
,,...-��j�.=�,n__ .ii?
Tdal land (line 1 plus line 2) (g)
+=� �'" — ��Xf41Y�ri�'ct' � ?
Dwelling (4) ���� -s.� ��t,�,� .�
�Residentiel improvemenis w MnuaOy
Asae�ed MoWle/ Manufaaured Home Garage (5� ; �t� ,-l'�,.�"�`� `� �r`
�.v ;
���'-���-�.����"i�`�
Other improvements (6) �x �'t�SC� �`*
C`�Y���:�:...,N(�'is �
Tdal improvements (line 4 fhrough line 6) (��
�I value (line 3 phs line n (g)
I hereby certi(y ihe above is We, torred, and Signature otASSessor Date signed
complele.
Verifyimj action - Signature oflwtlimr Date signed
20 Pay 20 _ I
Lesser of 1/Z Homestead 5
vaivahm a 535.000