Homestead_Thompson (16) 'DATE 100.M!)KIR/!MI MEASURER FOAM SIA
VPRm'ED BY AVE BMRoof Ar ”Crs.:vn WARMED nYmr DFPAanYCYrcw LOALwvEtNMENT FINANCE MH.I:24.1
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 134-1-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept conlideuial and can only Le accessed by authorized county officials_The Department of
Local Government Finance will use this information to create this that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Thompson, Louis C/Brenda S
822 N Ilan
Princeton IN 47670
2484
Louis C Thompson
822 N Hart State Parcel Number Legal Description
PRINCETON IN 47670-1454
lIl IIll IIIlIllItl III 111 ltili it ulilriltil itliliil illiil it X 26-12-07-102-003.044-028 019-03044-00 C BROWNLEE ENLG 17 PT
Spouse First Middle Last
As'elcktfi- Ste EL 4Depj'co4
Mailing Address(Number and street,city.state,and ZIP code) ®Same as property address
Each undersigned certifies,under penalty of perjuy,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
y . iri��� ui- 4 a-%� r.vLA
V1(k9 LL5 A v5 1. i' ' fl7 OZ1 eir . •
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Fortn 5�73 (R6 / {-03)
PresWbed by tlro Depa1bnmt d lxal GovemmeM Fmarke
INSTRUCTIONS: Sea r5�ree oda !or l�np irxburbyy,
FORM YEAR
HC10
�(We) .� � ' certify ihat the 1sl da of March, 20
I(We) occupied as our principal place of residence the foliowing des �bed real property for which a Homestead Prope�r��reby daimed:
❑ I(VJe) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
' Have a benefidal interest in fhe entity tha� is liable for the property taxes on Ihe property and ihal owns lhe property or is buying under a conVaU.
I( buying on conUaq, Fee Simpie ownefs name
Remrdefs otfice whera canVacl is recorEed
-'-�'F��"s r�' ?�'�' �'" '�.' �
Y�� >_��' ;r:�l�. � :�e., _
County _ Tarmship
U/�- O�O��-O� �� y a� ��
It any ponion at Ne residentlal sWCNre w the land not exceeding one (1 � ace Ihat
of the property util¢ed to produce incame.
Ne
wrtounds that
Record number � Page
iquesGon:
RealDroperty ❑ MobileHOmoII.C.bf.f-�
ire is used b produce income, desttiba Na usa and portion
��,. i �, '+�-e-���la'?s%�°'r" -s`1fT. S "" t"'Et� . _ '� ."s"'v �. vy.��£„ . . .. . - >.�
��-� ' S'AS5ESSOR USE ONLY��-�`����� + TRUETAX� . ASSESSED VALUE .�;�HOMESTEAD NON=RESIUENTIAL ��
�s_�-�`Fi� -�..:Y�•��.-�`..��•�� ��.VALUE��S`.._ATz700%OFTN» x-�rVAUIE.�,� ��a����ALUE �a'r".�•`�`��-�".32
Landnotexceedin 1 one aaeimmediate °�"x+-� �'��"� � "-'�' �
9 9 ( P) �Y � ; i ,�- "��� �''�•
sunoundin residentialim rovements. ��� �� "�"'� � '�� � '��
�...,c l .�: �i .�0.` �=�.a
. .�� � c.^
Other land '!` �' �-x-�
(2) 5' _ -�
;:,�°� -?a,�:s�,
Tdal land (line 7 plus line 2) (g�
� r .a�=�"a,� r-F•- .�-F �+
Dwelling (4) -:����q, „_: ����j.��,��� r„:
�ResidentiallmprovemenlsorMnually �'^-^ '��''��"��
Asswed MobOa / Manu(actured Hartro Garage (5) �����.�,.; �� �
.hs�' �" F��i. �
�+3k
Otherimprovements (6) �h'� �f"-���
e z �:
Total improvements (line 4 through line 6) (7)
Ttial value (line 3 plrs line n (g)
I hereby certi(y the above is We, coned, and Signadre W/.ssessor �ate signed
complete.
Vsi(yirg aclion - Signature ollw0itor Date signed
::�tx��'m��`.�_��fw`��,�'.�..��;i,'��;rSTANDARU.DEDUCTION'AL'I:OWAlICE_:c�fKy�", �,�'�m,•x-x'3..'f•;� �E�¢a�"'"�'�`�":,�.
.�-F Y '
R P�' i. �:
20 _ Pay 20 _
Lesserof 1/2 Homestead
vauanm a 535.000
S
Signature of Auditw " Date signeA