Homestead_Sullivan (7) .
STATE FORM TfMAIR-/PANT TRFASnafS fORM IS-1A
.APPROREDNY SIARIXtRDOr ACYttNtS.2MN PRr mBED BY taw DEPARTMENT. OIF!SEAL:AFtRNMlWrf NASCE ICH.12>RI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to ottc 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.
iii
HEA 1344-2069 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to recent 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 ran only be accessed by authorized county officials_The Depannaent of
local Government Finance will use this infafmation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Sullivan, Robert UShelli ID
419 E State
Princeton IN 47670
2747
Robert L/Shelli D Sullivan
419 E State State Parcel Number Legal Description
Princeton IN 47670-1835
Itlnit ltllulntill Ill �nt��n�t�n n���t�u�t�tt� X 26-12-07-203-001.783-028 019-01783-OO NS PT LOT 1 R1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Ro her - Lee stk Il i u��
tg Addtes'(number and sirst.-city:stated and ZIP code)— — — __ -Ip , me na pmperty.address_ ___ __"_ _— ___" . _
Spouse First Middle Last
•
Shey�. I /aten —&I reua.n
Mailing Address(Number and street city,state,and ZIP code) la 1'Same as property address
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 10Telephone
l� (
II
d� '^�4.
, CLAIM FOR HOMESTEAD PROPERTY TAX
i; �: CREDIT/STANDARD DEDUCTION
.����� Stare Form Sa73 (R2 / 592)
�..�
�ei.
WSTRUCTIONS: See ieverse side lor (ilinq instruc(ions.
- FORM
HC70
YEAR
���W�����xN�*+'� � '. i- certify that on the 7si day of March, 79
,�=lxcupied as our pnec�na�` of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
�/
�j I(We) owned ❑ Are buying under coniract .
❑ Have a beneticial interest in the entiry ihat is liable for the property taxes on the property and thai owns ihe property or is buying under a coniract.
- - � CONTRACTRECORDED � .
II buying on contract, Fee Simple owner's name • � � • - _
ReCOrder's oflice where tontract is recorded Recortl number Page
Counry
Township •
PROPERTY
arl�mb� / � � � ^ OOLegaldescription � �� � �\ � ^II �
1 - \ � v�
If any portion oi ihe residential simcture or ihe land not exceeding one (7) acre tha� immediatey surmunds that strucNre is used to produce income. desaibe the use and portion
ot the pwperty uulized ro produce income.
PROPERTY OWNED BY CI.AIMANT IN OTHER COUNTIES �
Counry Townsh'p r,.,��n, Township
certify the above statements are true, correct and complete.
Address
ASSESSOR USE ONLY
Land noi exceedinq 7(one) acre immediately
surrounding residential improvemenis.
Oiherland
Total land (line 7 plus line Z)
Dwelling
Residential improvements
Garage
Oiher improvemenis
Total improvemenis (line 4 through line �
Total value (line 3 p�s line 7)
I hereby certify the above is irue, correct, and
complete.
Verityirq attion - SiqnaWre of Auditor
SignaNre
19_Pay 79_
Lesser of tl2 Homesiead
Valuation or 52.000
TRUE TAX
VALUE
�� /�/'�_I �
' � /W � �. �!J " �
ASSESSED HOMESTEAD
VA�UE VALUE
(�)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
SignaNre of Assessor
DEDUCTION ALLOWANCE
3
NON•RESIDENTIAL
VALUE
Date signetl
Da;e signed
^JV'