Homestead_Thomas (11) STATE FORM 53 50(R3 I it% TREASURER FORM 13-IA
APPRINED BY SLATE BOARD OF ACCOUNTS.2C04 - PRESCRIBED BY TILE DEP.ARTMSSL OF LOCAL GOYIXNMENTFLYANCE IC 6-1.3-21-8.1
I.
• Gibson County Auditor IMPORTANT NOTICE.TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead Gaud:Homestead fraud causes higher tax bills for all;therefore,
..HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
• FILED filings.This information will be kept confidential and can only be accessed by authorized county officials.The Deparmlent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART. 1: PROPERTY INFORMATION
APR 3 Q 2012 e Taxpayer Name Location Address
Thomas, Harold/Linda
C. .n
1178 S Gibson
GIBSON COUNTY AUDITOR Princeton IN 47670
3912 IIII IIII I IIII II IIII II.II
Harold/Linda Thomas 1111�I11 III 011HI ulll�II Ii.111LLIIII��IIOII�1111.1 Ill.l�ll II HillII.I�II IO II
1118 S Gibson .
Princeton IN 47670-3002
'IlIIilllrll'I'lllllll'Illl'll'I"Ill"Ill'I'lllll'll'lllllll'lll State Parcel Number Legal Description
26-12-18-203-003.247-028 SS ADD 125
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_. TA.\PA1 R INF SR 1ATIO��. _ ____ _ _ _ _ -
O„. First .. ---- Middle - -•--� Last
Mailing Address(number and street,city-state,and ZIP code) ❑ Same as property address
S9 M E2 -
Spouse / First Middle Last
•
Mailing Address(Number and street,city,state,and ZIP code) [j $ame as property address
tilt s - Gi losor ' V
Each undersigned certifies,under penalty of penury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she maybe liable for back taxes and substantial financial penalties.
Owner' Date
�
`� rt��° CLAIM FOR HOMESTEAD PROPERTY TAX
i:� � CREDIT/STANDARD DEDUCTION
,��` • State Form Sa73 (R2 / 5-92)
INSTRUCTIONS: See reverse side lor liling instrucfions.
FORM
HC10
YEAR
I(We) ���� /��,`/Y�,� ��� �? �.Pinv�o�� certif��$iat on` tKe ist day of �March, 19_
�e) occupied as our principal p�ace of residence ihe tollowing described real property for which a Homestead P`operty 7af�Credit i er� daimed:
� ' f �- I/
�We)owned ❑ Arebuyingundercon�ract (� �_ �� I �1 �'�
..��,170R 1
❑ Have a beneficial interest in the entity that is liable for ihe property tazes on the property and that owns the property or�is buying under a contraa.
� . � . .. . .. CONTRACTRECORDED,,.� �£�':. = -
If buying on coniract. Fee Simple owner's name
Recortler's oHice where contract is recortleC Recortl number Pa9e
Counry
Township
Legaldescnption
DESCRIPTION
If any poNOn of Ne residential stmcture or the land noi exceeding one (1 � aae Ihat immediatety
of the pmperry utilized to protluce inmme.
town,
struaure is used to protluce income, descnbe the use and portion
' PROPERTY OWNED BY CLAIMAHT IN OTHER COUNTIES .
Counry Township Counry TownSNp
�-eby certity ihe above statements are tme, correct aod complete. amre Caimant
AGtlress (number and sfreel. ury, state, ZIP code)
�- � ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD , NON-RESIDENTIAL
- � VALUE VALUE VALUE VAWE .
Land not ezceeding 7(one) acre immediately �
surrounding residential improvements. (� � . � °'
Otherland (p) ' '
Total land (line 1 plus line 2� (3) .
Dwelling (4) � � - . -
Residential improvements . �
Garage (g) . .
Other improvements (6) � ,
Total improvements (line 4 Ihrough line � (7)
Total value (line 3 p6s line 7� (g)
I hereby ceRify Ihe above i5 ime. CorreCt, and Signature ot Assessor Date signeC
complete.
�enying aqion - Signature of Auditor Date sgned