Homestead_Tucker • -� - • SINE FORM 535M / flLASUIFA FORM IIA
ArPRm'ED by',MTh[VIVID Of An-MINTS.21$ FRISCRIDED BY 111E nrPART¢YTIF LOCAL rovr0.YMEM1T fNASCE M4,14.LY,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 standard Iknluclion.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 1341-3009 requires taxpayers who receive the homestead standard deduction to seri&that they are eligible to recehe the
benefit and to provide additional identifying information neces9ry to allow county government to better monitor homestead
filtngv_'llhis information will be Lepi conlidemial and ran only be accessed by authorized county official,.The De annuen of
Local Government Finance mill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Tucker, Jerry W/Phyllis J
RI f3ox 40 3
Princeton IN 47670
2949 -- -
Jerry W Tucker - - -
710 S Hart State Parcel Number Legal Description
PRINCETON IN 47670-2642
I II I III I I I I ' I I illl III X 26-12-07-304-002.102-028 Contrac0J�Phyth Tucker
Outlot 3 Pt
Les utt i. uL nuts t nt iu ntnL
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
rty VV*/NE vGkFt
'�g'Addrss(numbcr and streetaity;satc,andZIP
eat) - -— -
7 /O .Sorj( h ''tMr7 1)1 /NG/_Ton/ -+Nc/m-rv/3- L/7670
Spouse First Middle Last
P N y A F I S i R N 11— e_ R
Mailing Address(Number and street,city,state,and ZIP code) [] Same as property address
? / 0 5 el A RY P / Area-- o.vf.,00 I-l'zt
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
5I•
•
,�E 5����f
� 4=
� �,
��.i>
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Siate Fortn 5473 (R2 / S92)
FORM
HC10
YEAR
•�Cl3Y
INSTRUCTIONS: See reverse , v filing instructions.
1 CERTIFI TION STATEMENT ,T r1 r
�9 � I,,t p_�
��e) certify that on�t�Ne tst day of Marc�i '19 �
.i...� .1..b1.,,..Li s:11J _ _ _-�
1(We) upied our pri i al place of residence following described real property for which a Homestead Properry Tax Credit is hereby claimed:
I(We) owned ❑ Are buying under contract �aY ��,n�n
❑ Have a beneficial interest in the entity that is liable for the property tazes on the property and that owns the property or is buying unde�a �ntract.
G . i n i� n
CONTRACT RECORDED /�'u'�'��z/%:':I`j`�-�^�-{'i�'—��
Ii �uying on canVact, Fee Simple qv�ers name � � - "'�`���-' •� ' ' • . , - , .
f d.
Recartler's oKce where con[ract is recorded - . Record number Page
- PROPERTY DESCRIPTI
Counry - Township Taxing distri ry. a��n ip�
I m � Legai description
It any portion of e resitlenti swcture or ihe land not exceetling one (1) acre that immediarety surrounds that struaure is used to produce income, describe Ne use antl ponion of
the properry utilized ro produce income. �
,q� � �09
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Tovmship Counry Township
Signat re ot claimant
�.ereby certify the above statements are true, correct and complete. •
� AGtlress (number and streeC dry, state. Z!P cotle) '
� a T
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediate�y (» �
surrounding residential improvements.
Otherland (2)
Total land Qine 1 plus line 2) (3) �
Dwelling (4)
Residential improvements
Garage (5)
Other improvements , (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certity the above is true, conect, and Signawre of Assesor Da�e signed
complete.
Verifying action - Sig�W re of Auditor Dare signed
•� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead c� _
Valuation 2,000
Signature of Audimr � � `� � `
4