Homestead_Thornton SI al 1.0101,3!..IRU volt TRLSSUIIEA FORM TIP
■rrRrtEo BYRSTL MSRO OF NtTR 4Ti914 PREERIBW BY THE DEPARTMENT OF LOCAL C[RERNMEM ra: scrtCH.t-L4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual 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.
HEA 1344-3009 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
filintg.This information will be kept confidential and can only he accessed by authorized county officials.The Depanniem of
Local Government Finance will use this information to create Loris that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Thornton, Joseph H
934 S Gibson
Princeton IN 47670
1553
Joseph H Thornton
1116 S Race State Parcel Number Legal Description
PRINCETON IN 47670-3032
ILIttllttrltllrrlrrrlll Ilull Ilrrtlllrrtlllll III X26-12-18-203-002.719-028 019-02719-00 SS ADD 263
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 2: TAXPAYER INFORMATION
Owner I First Middle Last
�ot N 1 Q\kTOM'
•tg Address(number and street,city,state,and ZIP code) ❑ Same as property address
1\ \l o S007+4 'Ig-'f c :7t —Pep.sc -ribs U:) 4-?(c)-7
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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
•
�; CLAIM FOR HOMESTEAD PROPERTY 7AX
' CREDIT/STANDARD DEDUCTION
t � Staie Form 5�73 (R6 / 4-03)
Prescn6ed by t�e Departmen� of Local Govemmenl Fu�anc�
INSTRUCTIONSr See �evcrsc side loi liling msfrur,tinns.
4���-:i �.:,.. -•- „x; ;..... :t�ir�:-, �
. i: � - � . . . '.. -�.",: �.". - _" CERTIFICATION
^ FORM YEAR
�� HC10
��e) certi(y t the 7s/t �da f March, 20
I(VJe) occupied as our principal place of resi en the followi described real property for which a Homestead Pr e 6YSk L1'� hereby Gaimed:
" CJ v
� I(VJe) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
' Have a benefidal interesl in the entily thal is liable for Ne property taxes on lhe property and that owns �he property or is buying under a contraG.
I( buying on contrad. Fee Simple ov.ners name
Recorders ofice where contraU is recordeE
ftemrd number Page
.... .k.. ., � _ - _ ' ;. .. -. 'tY �. - .
County Tavnship T�cipg.Qistrict (cit+, town, to nshiP)
�,
Parcel numher Legal descnDtion Is the prope y in queslion:
�� � � �� Real DroDeRy ❑ Mo6ila Homo (/.C. b7J-7)
If any portion ol the residential swCUre w the WnE not ezcaeding one (1) acre that immediatey sunounds that sWUUre is used to produce inwme. describe the use antl portion
o11he properry utilized to produce inwme.
County
Tawnship
I hereby certify the above statemenis are W e, correct and wmplete.
Address (num6er and street,y"t* s(aie, ZIP code) /) .
County
ol
Tavnship
r,"s3_ � y 4„d . . . . _ . . .
"�''' � 4 sr`("-ASSESSOR USE ONLY �_ � . TRUE TAX ASSESSED VALUE -HOMESTEAD ' _NON-RES�DENTIAC:,
e . .�� � - �::.-�- VALUE � AT100%�OF�.TTV _.•. VALUE.=�,'� �-.'.'; :FVALUE��
0
'r5';? ' fi' .'�'� f. _ .,. '4 �— � '
Land not exceeding 1(one) acre immediately - H� �'+:}=.`+�"' �"= "
surrounding residential improvementa ��) . -� � - �
Oiherland (p) � - - . -
Tdal land (line 7 plus line 2) (g�
Dwelling (4) - .�'l;:�;:•,':�s%L:.`.t.-..`..-,.;..;_
� - � -ri..,:..,:. ..
Residenliel improveman4s or Annually _.;� ;,+,��� �' _: _, , - _
Pssessed Mobile! ManufaAUred Home Garage (5� E
Olher improvements (6) I
Total improvements (line 4 through line 6) I(7?
Tdal value (line 3 plus line n (8)
I hereby certify the above is We, cortect, and Signamre otASSessor Oate signed
complete.
Verilying action - Signature of fwtlitor Dale signed
20_Pay20_
Lesser of V2 Homestead
va�uauon or E35.000
5
I -
SignaWre ffwdimr ' Datesigned
�� . . �-_ I V _ I �_ P