Homestead_Thomas (17) !IVE FORM!Kt.. /•MI TPIALDILIt FOAM i5-IA
APFROVED nY 555Tt.'AMP OF■YYt.Tc.lo, PRIYAIWED BY nn DEPARTMENT Of LOCAL&5%TLMMIFT rAAN'E M kt.1-U-r.l
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 ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® HE\ 1344-2000 requires taxpayers who receive the homestead standard deduction to verily that they arc eligible to receive the
benefit and to pnw'ide additional identifying information necessary to allow county government to better monitor homestead
film t.This information will he kepi conlidemial and can only he accessed by authorized comity official..The Department of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead laud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Thomas, Darla G
Princeton IN 47670
2317
Darla G Thomas
461 W Warnock State Parcel Number Legal Description
PRINCETON IN 47670-1259
IIIr1II111I1IIIIIIIIIII IIItIII1III1Itltrrll II IIIIII y26-12-06-303-001.736-028 019-01736-00 PARKVIEW 23PT/24 BLK 2•
•
-=PART 2: TAXPAYER INFORMATION • % .-
Owner I First Middle Last
Aa2L g Tff o n'i A S
`f(Of, veldt, iUa �hO�L.tr K-( nC n , Lin 4,767 Qe
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) ri Same as property address
Social Security Number(last 5 digits) Drivel's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sex
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.
Ow / SSigm
a �� ,li vcr i Date
I
Restueut By S�ate Boam ol ia. funm¢smne�s
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 �
SEE BACK FOR FILING INSTRUCTIONS */
(�-� 9�— l�l �LY,aL.�G rY /L�Y)1�II � 0�9- 0173b- o0
'" 1We) �� t certify that on the tst day of
�rch, 19�., I, (We) occupied as our principal place of residence the fotlowing described reai property for
which a Homestead Property Tax Credit is hereby being claimed: .
I, (We) Ad"awned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer ' •� �
Property Description in County
Taxing Disirict (City, Town, Township):
Township
Parcel Number or legal description shown on tax. statement:
. � n��� � �,-�a.� /a� �.�
If buying on contract: Owners name �1eQ "nip1e °""ef�
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre tha[ immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
,
Any other couniies in which individual owns or is buying real property:
y certify the above statement is true, correct and complete:
�--�X/- `__'�� ° `"" �,. ""' "
Counry
�
Township
avee� noaress cny, �tate and LO �e
' - i . :1 . .. ... �
. . . . , . .. �" �' � . . .
Individual either owns or is buying under a contract that provides he is to pay the property taxes ;
on the residence, or has a beneficial interest in the taxpayer.
-'FOR ASSESSOR'S USE ONLY -
Land nol exceeding 1(one) acre immedia�ely
surrounding residential improvemenls
Other Land '
Total Land
Residential Improvements
Dwelling
Garage
Total
Other Improvements
To mprovements - Line (6) plus (7) equals (8) ,
I 1�uy certi(y the above is true, correct. and complete.
Sigruiure ol nssessor
True Cash Assessed Homestead
Value Valuation Valuation
1�)
(2)
(3)
�4�
(5)
I6)
(�)
I8)
Daie
- ACTION BY AUDITOR -
Approved:' ��/Vl/bi� � �'�! // � ��—
Date: �`/ �! v ' �:�