HomeMy WebLinkAboutHomestead_Stewart (5) 315TE FORM!5N I2'/WO ntr SUER W0.43-IA
.APPROVED BY STATE BMRD OF Nfl XINT(_DM PER[RIBED BY 11111 DEPABT@Vr OF LOCALODx2E.NMrn FQ:A\TEIC-1.1t4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead 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 taspayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary'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 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
_ Stewart, Jennifer L
501 W Emerson ST
Princeton IN 47670
803
Jennifer L Stewart
501 W Emerson St State Parcel Number Legal Description
PRINCETON IN 47670-1327
ItittllttElrlIttI ill IItEIItEt'tllttrlll llrt�E�I '1. 26-12-07-103-000.357-028 019-00357-00 DEVINE ENLG 10 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 1NFOR\MATION
Owner I First Middle Last
P7�nr�er Z- l n vti__ of _ell-
:Address(number and street,city,sate,and ZIP code) me as property address
Spouse First Middle' Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
_ Social Security Number(last 5 digits) I Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sag 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 15"..-• / Date
Illi
`,E .,+m
da q CLAIM FOR HOMESTEAD PROPERTY TAX _ FoRM YEAR
���'� CREDIT/STANDARDDEDUCTION HC�O � ,4�
�; �� State Form 5473 (R2 / 5-92)
ibi� � � �.lJ � �
• INSTRUCTIONS: See �everse side tor /iling instructions.
. _ - ' ' ' � � �• �' ` ��CERTIFICATION STATEMENT � - �
. .�
'�We) � 11 � certify that on the 1 st day of March, 79
�) occupied as our principal place f residence ihe following described r roperty for w ch a Hom e d P o e�Ta�'�Q,�Q�% ��ereby claimedi
I(We) owned ❑ Are buying under contract , . , -� AUDITOI� '
❑ Have a beneficial interest in the entity that is liable tor lhe property taxes on the property and ihat owns the property or is buying under a contract.
� - - . CONTRACT RECORDED . � � . '
If buying on contract, Fee Simple owner's name , - . ,
Recorder's ottice where contract is recorded qecord number Page
' " PROPERTY DESCRIPTION ' � - � - -
Counry � � Township - . � Taxing dj�tryCt �ciry�ownship) - . .
V
Pa�l number!^�` �� � Legal de�ion 'r 1
, `\ VV
V
It any ponion ot ihe residential siructure or the land not exceeding one (11 acre that immedi y surwun s that strucmre is used m protluce income, describe the use and portion
of the properry utilized to pwduce inwme.
- � - PHOPERTY OWNED BV CLAIMANT IN OTHEfl COUNTIES � �
Counry Township County Township
�i�- 9�
eby certify ihe above statements are true, correct and complete. Sig ure of claimant
Address (numberandstreeL ciry, s7ate, ZlPCOtle)
ASSESSOR USE ONLY . � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE - VALUE �VALUE VALUE
Land not exceeding 1(one) acre immediately .
surrounding residential improvements. (�) �
Otherland (p) . �
Total land (line 7 plus line7) (3) "
Dwelling (4) � -
Residential improvemenis .
Garage (5) � �
Other impmvements - (6) �
To�al improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby certify Ihe above is true, correct, and signamre of nssessor �are s�gned
complete.
- _�tying action - Signamre of Autlitor Date signetl
19_Pay19_
Lesser of 7/2 Homestead
Valuation or S2,000 S
SignaWre of udit \\ \ I �ai�neu 1�'
Q � / �-1� h /� �