Homestead_Bump •
AWE r0CM•!H IR:/•A•O TUMOUR FORM:}IA
.VTRIWE)BY ALOE BrIRD(E✓COOST,ANA PLLARMED BY PIT BEPMINEVrnr LOCAL CasttNMn.T FINANCE Ice-Lbrai
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
, HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
( benefit and to pnwide additional identifying infomanon necessary to allow county government to better monitor homestead
filings.This information will be kept cnnlidemial and can only Iv accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property*Address
Bump, Robert N
CR 5005
_ — _ __._ _ . ___ __ _ _ - Francisco IN 47t
8516
R..-. Bum.
R 1 Box ■ State Parcel Number Legal Description
FRANCISCO IN 47649-9156
Itiulintitlinriniiti..iti untiir�t�u��nu�t���nt�nt�� 26-20-05-200-001.843-001 001-01843-00 Pt NE 539 5.00 ac
x
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
- Sblpark I 1--2/0/
Address(number and street,city.state,and ZIP code) —--- - me asp r,
perty address -
i �
'71.7_1) A &'0 d. `t'irn,i c 0 - ?,t!I '51761.9
/
Spouse First Middle Last
Z/41,
Mailing Address(Number and street,city,state,and ZIP code) Iaaatere as property address
,
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;her she may be liable for back taxes and substantial financial penalties.
Owner I 'gnat• 7 / Date
. PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Stara Form 6173 (R6 11-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse silo forte ka6UGboirm
swil.f YEAR
OCT 0 6 nn5
I (We) certify thrall on the 15 ay of � h, 20
1 (We) occupied as our principal place of residence the fol 'ng described real property for which a Homestead PRi bhTiYh@iWVT4sOned:
L� I (We) owned ❑ Are buying under contract
Have 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.
-
Y: s iCO � t + ,.R %NTRACT::RECORDED%' a3c. F sfe° <' a F T
r
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
`.`' . _.=. a T. -
County
County
6S
Township
"'"" 'NON= RESIDENTIAL -I*
Tatin d' "ct (city, to , township)
Parcel number ��\
—O I -'w
L e 'p'
Is Ne pm rty i question:
— Real property ❑ Mobile Homo (I.C. 6.1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immetliatey wrrounds that sinua ire is used to produce income. describe the use and Portbn
of the property util'¢ed to produce income.
-0�-
1
ERTY; OWNEDtBYCL 'AIMANT'IN'OTHER'COUNTIES �.�'S�'�!ti��}a��.. �-�!`< 3r� '�t 7'
«..,. .�_. � oe
County
Township
Count} Township
"'"" 'NON= RESIDENTIAL -I*
. .yy;,„� _
I hereby cer I a above state ents are e, rued and complete.
Signature o clai nt
rS,U,VALUua
1
1
Address (nu era C e)
1__1 v //
:vsTs C'tw� "_"-1#fFi�" ay- sue
-0 yASSESSORtUSE ONLY -' i?3- ``""``'
�''
TRUE TAX.
v - VA_L_UE =.�
ASSESSEDVALUE1-
100 %OFFTTVrsVALUEr'
HOMESTEAD`F
"'"" 'NON= RESIDENTIAL -I*
. .yy;,„� _
_AT
rS,U,VALUua
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2 )
l
�a.`$1'°'i
is 15^a
Total land (line I plus line 2)
(3)
-
'Residential
Dwelling
(4)'.,
4 r �.
r,.
Improvements or Annually
- .t.9;dt
Arnassed Mobile I Manufactured Hone
Garage
=jiu � s `•'` r{ �r
Other improvements
(6)
r �t ?3.15
•r._
_X
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
+ e'- ;..'-rrs77P;Aiai`ts�ss.43"Ydk_` ",`STANDARD: DEDUCTIONALLOWANCE
20 _ Pay 20
Lesser of 112 Homestead $
Value" or 535.000
Signature of Auditor Date signed