Homestead_Stone (5) •
SI,rE FORM S)N,IR/r'rvl lRFAWPrx W0.V 1-IA
APPROVED BY cIMn BOARD OF ACCOUNTS.:nrr PRFYIURED BY air DEPART?EYT<i tf%Ar GOVZVYStFAT FINANCE 10 i.l-2:4,1
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 escr for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
FILEI HEA 1341-2o provide requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
j benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
i filings-This information will be kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Govcrtunent Finance will use this information to create mots that will help county officials eliminate homestead fraud.
LOBO PART 1: PROPERTY INFORMATION
APR 8
Taxpayer Name Property Address
Stone, Leon Conrad/Jacklyn Rae
LI
414 N'Broadway
OI58ON COUNTY AUDITOR
Princeton IN 47670
827
Leon Conrad/Jacklyn Rae Stone
PO Box 1266 State Parcel Number Legal Description
Princeton IN 47670-0966
Irllrllrrlll�lllllllll'IIIIIIIIIIIIIIIIIIIIIIIIIIIIII'rrrlllrl X 26-12-07-103-002.781-028 019-02781-00 EVANS ENLG 15 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
LEON CONRAD STONE
ng Address(number and street,city,state,and ZIP code) Same as property address
P.O. Box 1266, Princeton, IN 47670
Spouse First Middle Last
Jacklyn Rae Stone
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address
P.O. Box 1266, Princeton, IN 47670
- — _�--- ------�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
unlawf»lly,he or she may be liable for back taxes and substantial financial penalties. -
Owner I Signature Date
•
•
FOPM HL 10 19i9
PrexrioeG By S�ate Boa�a ot'Taz Commissaners
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19Z2 .
io Be FileE in Duplicate
✓
SEE BACK FOR FILING INSTRUCTIONS Q�(r_ Qa� gl��o
'(We) certify that on the tst day of
�vlarc , 19�_, I, (We occupied as our pri pal place residence the following described real property for
which a Homestead Property Tax Credit is ereby being claimed:• "
I, (We) � owned
❑ are buying under contract
❑ have a beneficial terest in the taxpayer � �%
Property Description in� -�� County �4��[:B'�Q� Township
Taxing District (City, Town,-�ewnship):�,,�—��
Parcel Number or legal description shown on tax statement:
�rt�rr�a. �q . %J C�J �
If buying on contract: Owners name �'� ��mo1e owneq
Contract recorded in Recorders Office - Record No. Page
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 Township
hereby certify the above statement is true, correct and complete.
_ �l ., /> �
' Individual either owns or is buying under a contract that provides he is to pay the properiy 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 improvemenis
Other Land � � � � �
Total Land
Residential Improvements JU� `1 �'979 D ��
Other Improvements
T Improvements
I �bvi certifv the
. , : I we ing
� Garage
���'u�2�Total
�� AUDITOR
Line (6) plus (7) equals (8)
�ove is true. correct. and complete.
True Cash
Value
�>> y� �o
Assessed
Valuation
i� �o
70
Homestead
Valuation
� � a _ z� .
oaie