Homestead_Stewart (3) a. '
LILLE{ORM'm-rJ,- i TIntstant01Mt3-IA
AO/ROVED BY SPITE BMADOF YYYAsTf.5.a PRf3Rnn°BY mr DFPA TKFAT OF LOCAL Dm CL`1MFh'i FINANCE MLI.I-t'J.I
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 01'this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tar bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to eceve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept contdaninl and ran only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create nvls that will help county officials eliminate homestead fraud.
PART I: PROPERTY ESFORMATION
Taxpayer Name Property Address
Stewart, Roy E/Beatrice M
210 W 2ND
I IAZL6f ON IN 47640
265
Roy E Stewart
210 W 2nd St State Parcel Number Leal Description
HAZLETON IN 47640-8709
III I III I I I III ' I III' I I I 26-02-59-032-700.353-019 014-00353-00 BLDG ON LSD GRD ON
I n sett tit n iii i t ul nl r sent lure 014-00157
PART 2:TAXPAYER INFORMATION .
Owner I Ai7 First Middle
I ^--- Last
4 4,
•tg Addmss(number d street,eirv,state;and ZIP eodey i —— — 4 -O'Salae:as property a.',dres;—— — --
g.i o ,,✓ SC, Ii
Other(please specify in Part 4 below)
Spouse First Middle Last
e Sa VV J.14 ea_
Mailing Address(Number and street,city,state,and ZIP code) (� zt u Same as pmpeny address
210 6 ca, � (1,t- dl`/II'/_' .
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.
PART 4:ADDITIONAL INFORMATION
•
•
CLAIM FOR HOMESTEAD PROPERTY TAX FOR1i' YEaR
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
tNSTRUC77ONS., See reverse side for riling instructions.
1 (we) certify that on the 1st day of.March, 20
1 (We) occupied as oW principal place of residence the following described real property for which a H o aVVrty reby claimed:
F] I (We) owned C3 Are buying under contract r I LTD
1kHave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or Is buying under a contract.
';--CONTRACT RECORDED'
If buying on contract, Fee Simple owners name
Recorder's office where contract Is recorded QIRSFIN
JX4M huffiWI I UK 1Page
County I Tarmshp I Taxing district (ady, to", township)
rqw,ei nvmoe 00- the property in question:
Real properry C3 Mobile Home (/.C. 61.1-7)
If any portion of the residential structure or the land not exceeding me (1) acre tit immediately1surrounds that structure Is used to produce Income, describe the use and portion
of the property utilized to produce income.
d �- Da -S9- 03Q - '700 - 3s3 11
�.l& -Z---'�,V;4��'�.'-r!''iiROPERTYOWNED' BY-CLAIMANT,IN-OTHER-COUNTIESc---l. ,—�.-��o-,;�-I
County
I Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
reass (number and street, airy, state, ZIP code)
Ap --4 k UkW44
NL
TRUE TAX
HOMESTEAD
N L
g I
S
RP
E
N
.
Land not exceeding I (one) acre immediately
surrounding residential Improvements.
Other land
(2).
Total land (line I plus line 2)
(3)
Dwelling
(4)
9P
Residential improvements or Annually
Assessed Mobile Manufactured Home
Garage
(5)
improvements
(6)
,9;4ef
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby car* the above is true, correct and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
W - ` ` I - - 6 c , -
;�,-,,�A,—z-STANDARDDEDUCTION'ACCOWANCE- 4
20_ Pay 20_
Lesser of 1/2 Homestead
Valuation or 535,000
S
Signature of Auditor ,/1
ff\pll� 79
ad
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