Homestead_Straw (4) MATE FORM 53. '(X IYwt TREASURER,0.V CIA
,APPWm'EP HY At&TE&WOOF.nrouNicshno rtrANamaY lln OEpARTIEW(w LOCAL nor:yorsr rwvirt lc _JI
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 NMain -
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this dedtrttbn becomes
more beneficial,there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessan'to allow county government to better monitor homestead
filings.This information will be kept confidential and can only to accessed by authorized county officials.The Ikpanment of
Local Government Finance pill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Straw, Robert Preston
914 S Dart ST
Princeton IN 47670
3701
Robert Preston Straw
914 S Hart State Parcel Number Legal Description
PRINCETON IN 47670-2336
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Roh-err Pi' s t-o/7 -5-t a.
- —g i n g Address(number and stret-city,state,and ZIP code) - ❑ Same aspropertyaddress -- " -_ — - - — __
/ y Sour X,H /^t' 5T✓c-{ 7T /1//__i2et an X�/ '/77
Spou a First Middle Last
CLayd/t2 ra-77/oS 5D/a ee,
Mailing es
ing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address
7,9 -sate /1 kit f7- 5rj-ce- T /Y)/2i Toil , .Z�. I/7G 70
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
•
Art�' CLAIM FOR HOMESTEAD PROPERTY TAX
d y
''4-' " � CREDIT/STANDARD DEDUCTION
� .: > State Form 5473 (RS / 70-07)
Prescribed by the Department o( Local Govemment Finance
INSTRUCTIONS: See reverse side (or liling insfruc(ions.
�xq��. } :__ _ ... � ";'z:-.-71 � . - .. - GERTIFICAT
FORM
HC10
YEAR ,
�
I(VJe) � ) U�L� V '.�J�/t% certify that on the ist day of March, 20_
I(We)9tc p d as our principal p�ace of residence the following described real propeAy for which a Homestead Property Tac Credit is hereby daimed:
_/
J I(We) owned ❑ Are buying under wniract
�Have a benefidal interest in the entiry that is liable for the property taxes on lhe property and that owns the property or is buying under a cantract.
.�"c.,i,�'_-,v'�._"�:7'�`-_F. , �`� " 4�;' S�3.T �_? x z ., �G-'?. { ;';CONTRACT'RECORDED �:, - -� :?: �. .,r : ��a.� _ . .
If buying on contrad. Fee Simple ownefs name
Remrdets otfice where conVad is recorded Record number Page
Counry
7avnship
�ryrr/I n�'bjc /��] �^_ r� I Legal descnptio,ry�� � �� Is the propeny in queslion: -�� �� 1
JI�l UCTJ•.io� O V �7 ❑ R�ip,o�m y�7obi1 Ho I. iJ- ) J
I( any portion ot the resitlential sWdure w the land not exceeding one (1) aae that immedialely surrounds that sWCture is used ro protluce income, describe the use antl potlion
of the property utilized b produce inwme. J U I n O �oo^
L 11 O [
Tonnship
I hereby certify lhe above statements are true, correcl and complete. � Signanre
Land not exceeding 1(one) acre immediately
surrounding residential improvements.
Other land
Tdal land (line 7 plus line 2)
Residentlal improvemenLs
Other improvements
r1
l2)
(3)
Dwelling (4)
Garage (5)
(6)
Ta1al improvemenis (line 4 fhrough line 6)
Tdal value (line 3 plus line n
1 hereby certify ihe above is We, corred, and
complele.
(�)
I8)
Signature ofAssessor
signed
signed
�'-.��'�+r_�'��'k��._'� �.R�-f��..`�`i��:fs=.a"STANDARD:DEDUCTION'ALLOWANCE ; �.:r,�v.� .�:.nz-� .-.,:??s-r"�..�"�;=a� -.
20_Pay20_
Lesser of 1/2 Homestead
S
Valuatlon or 56,000
Sgnaturo of Aud�ar Dale signed