Homestead_Riley (4) Il
MIT FORM 53.1MIR_I)tan TRrASUALR FO&M 73IA
APPROVED BY Ar5TE BMRD OF Mfa,stw.5 PRIYFIbm BY ml DFPAanV:VT(F LOCAL GOVTANSIFS7 FINANCE IC 1.1.•"4.1
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 nee for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
• HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are clicible to leceise the
benefit and to provide additional idenufyinc information nccec n'to allow county goverment to better monitor homestead
filings.This information will he kepi mnlidemial and can only he acrosed by authorized county officials.The IkpaMtml of
Local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
— ------ _=_ _ - _ . . Sheri.L. _ --- - --- - -- /7!-.. __ .
- - - Kt lox 13lab fy V 1
Princeton IN 47670 /'I I 6
f�l2
8527 A(1
Shed 1J
R2 Box 131AB State Parcel Number Legal Description
Princeton IN 47670-8765 -
III uI III I I I III I I III I III 26-20-06-100-001.116-001 001-01116-00 PT SW NW 6-3-9 13.07 AC
o e
trr rn tat a tort In tnu rant 010
PART 2:TAXPAYER INFORMATION I
Owner I First Middle Last
S \\ V\ L r �
-- -- —-- _
t
e5 51 1 E ct75 S r . v,c e_thr. \--1- - 4rto70
Spouse First Middle Last
Mailing Address(Number and sareet.city.state.and ZIP code) ❑Sane as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sore
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
( )
PART 4:ADDITIONAL INFORMATION-
.�< CLAIM FOR HOMESTEAD PROPERTY TAX
d�
CREDIT /STANDARD DEDUCTION
., State Form 5473 (R2/5-92)
INSTRUCTIONS: See reverse side for filing instructions.
�M-
A' (Z(jylinlll
certify that on INAMO y & ch, 19
3) occupied as our principal following described real property for which a Homestead Property Tax Credit is hereby claimed:
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.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY D ON
County -
To ship
Nxing distr t (city town, township)
Parcel number
Legal scrip n
3.01
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Townshi
eby certify the above statements are true, correct and complete.
Sign ure of claimant
Address (number and street, city, state. ZIP code)
I Rea,F�l&A 1314Z 44'76-10
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
_
Otherland
(2)
Total land (line i plus line 2))
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs line 7)
(6)
I hereby certify the above is true. correct, and
complete.
Signature of Assessor
Date signed
Alpng action - Signature of Auditor
Date signed
STANDARD
19 _ Pay 19
Lesser of 112 Homestead
Valuation or S2,000
it