Homestead_Przymus i
.
STATE FORM 53!..4.41R2/_n} TRFASUIFA FORM t3-IA
.APPROVED BY MATE MSRD OF.HYl LETS.1.r, PIFYAIBID BY no BFPAane4T Of LOCAL IX VELNNIrwr rn:A\CE IC 6-1.1-2.24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couple.are 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 tat hills for all:therefore.
® HEA 1344-2009 requires taxpayers who receise the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This infomuuon will he kepi confidential and can only be accessed by authorised 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
Przymus, Paul E/ Frances L
1517 Outer S Main
Princeton IN 47670
3927
Paul E/Frances L Przymus
1517 Outer S Main State Parcel Number Legal Description
Princeton IN 47670-3465
IIIttIIttlltllt t�t tt���ttttt��t t�t t�t��trt�t�t tit���tlt���ttr� 26-12-18-302-001.517-028 019-01517-00 PT SW 18210.85 AC
PART 2: TAXPAYER INFORMATION
Owner I �J////p/y / First a Middle
/� Last
g Address(number and street,city,state,and ZIP code) �i1 Same as property addtgs -- --- -
/S(7 SI) Ar /1/-14 ,-,_ J7g £ t7' l�u
Spouse First Middle Last
7C/2-4• G£S L . 72Z7
Mailing Address(Number and street,city.state,and ZIP code) p Same as property address
C' -7 SO CA-71LAA A r,n/ �.
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 Signatory Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm Sa73 (R8 /403)
Presaibed by Ne Department ol Local Govemmem Fnance
INSTRUCTIONS: See reverse side Ior Iiling instnictions.
�a
��a �
FORM
HC10
YEAR
I(We) /%i�J�'V-�� certify lhat on the 1st day of March, 20_
I(We p�ed as our principal place e ence the foibwing described real property (or which a Homestead Property 7�c Gedit is hereby daimed:
I(We) owned ❑!ve buying under contrad
; Have a benefidal interest in Ihe entity ihat is liable for the pmperty taxes on Ne pmperty and thal owns the properry or is buying under a wnVaU.
If by�inq om m�Vaq. Fee Simple ownefs name
Remrdefs ofice whare conVaq
CounTy
Tavnship
Legal descnption
aisUin (ciry,
Is Ihe
Racord number � Page
` V� J// V V I I �'aw woaenv ❑ r.��ue Homo u.c. o-�.i-n
m a/ Ne residential struGUra or Ne land not axceeding one (7 J aae Net (mmeCiatety surtounds ihat swGUre ia used W produce income, descri6e Ihe uee an0 pwtbn
ury utilze0 to produce income.
20 _ Pay 20 _
lesser of 1/2 Homestead
VauaCOn a 535.000
S
�ate signed