Homestead_Thompson tlirE FORM'!a.012 !API TPE SUW FOAM 711A
AIMPROCE.0 By MIL MOOD Of 1T1t:ATc.''an PLFlBtDlT fir OEPARf'EMT(F LOCAL COVER.4Y.ETT FINANCE M♦I.1-Last
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 tat bills for all:therefore.
HEA 1344--3009 requires taxpayers who receive the homestead standard deduction to verily 111.11 they are eligible to receue 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 l)epannicnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead traud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Thompson,Ancel R/Janet S
406 W Kentucky ST
Princeton IN 47670
3646
Ancel R Thompson
406 W Kentucky State Parcel Number Legal Description
PRINCETON IN 47670-2852
IFIFFIIFrFIFIIFFIFFFIll I IIFFIFIIFItttI IllttttllttttII I ,f 26-12-18-101-000.546-028 019-00546-00 PT NW 18-2-10.27 AC
PART 2: TAXPAYER INFORMATION
Owner I First ,�J Middle Last
A/6 CI-1g Address(number and street,city,state,and ZIP code)= - — -- lahe as property address --- -- — —
706 Lv. JSeiV7t<tKY 57- P2/1t/«7o /J. hr26 70
Spouse First Middle — — Last
V79NE i < 6., raj°/7/9Sa.J
Mailing Address(Number and street,city,state,and ZIP code) Ji me as property address
,5&Me /hS 4& )t _
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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
4� R•� t CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
'� ,• • I Statc Fortn 5473 (RS / 10-01)
Prescribed by the Depariment of Local Govemment Finance
INSTRUCTIONS: See reverse side !or (ling instructions.
. ,� ..
.,-�..
FORM YEAR
Hc,o � D 6�,
_i
I(We) � � /� certiry that on the 1st day �Algrch, 2h0
I(We) occupied as our principa� place o esidence the following described real propeA (or which a Ho estead Property T�c Credit is hereby cf�i�2
❑ I(VJe) owned ❑!ve buying under contract
�iave a benefidal interest in lhe enfity that is liable for the property taxes on Ihe property and that owns the property or _ _� tQ,t, ,
If buying on conirad. Fee Simple ownefs name
Remrders ofice whera conVaa is recwded
County Tamship
P rtel ber Legal
I any portian of the rasidenlial sWcture w Ne land n t
of the property util¢etl tn produce income.
Record number � Page
Tacing disUic� (cify, fown. fownshiP)
,�t O�,�U �ot I 1/,}C C1.v�� o�a�m ❑�bile Homo (/.C. 6f.f-�
one (1) aae Ihat immediatcly surtounds Nat swctura is used to produce income, desnibe the use antl poNon
20_Pay20_
Lesser of 1/2 Homestead
V�uation or 56,000
SgnaWre of Auditw
S
Date sia�yi ed / _
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