Homestead_Norris (3) aliTE FORM ilk ilk-U.-IN) TILlNfFA FOAM t5-M
srPwWEn BY RJE MVOS)M Mrtt'N1}.Zuni PPryINpro BY TIE OEPARTYff.YHF LPRAL COVER,YMrNr FIANCE MH.1-tia.l
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 of this deduction becomes
more beneficial,there is mare incentive than eser for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
lir HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept coati-trivial and can only he accessed by authorized count'officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
A PART 1: PROPERTY INFORMATION -
Taxpayer Name Property Address
Norris, Robert J 11/Amy L
403 N Ilillcrest DR
Fort 1lmnch IN 47648
2835
Robert J II/Amy L Norris II
403 N Hillcre Dr State Parcel Number Legal Description
Fort Branch IN 47648-9702
Itllll111llllltltlllllttltll'tlllrllll III Ilalltrtl 26-19-18-302-000.344-026 011-00344-00 HILLCREST 58PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle 410 - Last
/,17
. here Josei0� Y/.,S —Er
limg Address(number and street.city,state,and ZIP code) Same as property address
a? ,t1. 14.-1 lcre)i s-7- �,1 ai�Y mil. Ic- yfl r
Spouse Last
First
M�y Lo. Dc ,tic,,, f
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
x/03 N j/ /c.-ci I .r/ F,/ 27 t-t L Z' Y76 '61
—
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 1 $igpature, /- Date
•
a'°'"�' i CLAIM FOR HOMESTEAD PROPERTY TAX
;��'E CREDIT/STANDARD DEDUCTION
� State Form Sa73 (R2 / 5-92)
�:.
�ei� � •
INSTRUCTIONS: See reverse side lor liling instruc(ions.
FORM YEAR
H�,o , q5
;' ' �.Fl����
'e) __ �'�" � certity that o thp, e tst day of March. 19�J
'e) occupied as our princip I place of residence the Ilowing described real property for which a�Homestead Prop�p�io��y'�¢di� h��,��
' • - • AUDITOR �'—
.� (We) owned ❑ Are buying under contract , , , . . . .
Have a beneficial interesi in the entity thai is liable for the property taxes on the property and ihat owns the property or is buying under a contract.
. . � .CONTRACTRECORDED �
If buying on contracL Fee Simple owner's name � : - - . , � . ' - . . . • •
Recorder'S ottice where contract is recorded ' ReCOrtl number Page
County Towns�
Parcel number Legal de:
�ll-003
If any ponion of Ne residential strucmre or the land not
of ihe properry utilized ro produce incame.
PROPERTY DESCRIPTION
.. � Taxing �lis,ric� I
1
0
�� v���
one (7) acre ihat immediatety surrounds that struaure is used to produce income, describe �he use and portion
� J. ,4.
' • d
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �
County Township Caunty - ' Township
�
eby certify the above statements are true, correct and complete. Signai �e ot iai m
� � ,,1--- �
...,dress (number and street dry, state, ZlPoode) F� �� a��NCL Z.✓
x y� 3,�, y, cc < R�, r �/�G s��
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surroundin9 residential improvemenis.
Oiherland
Total land (line 7 plus line Z�
Dwelling
Residential improvements
Garage
Oiher improvements
Total improvements (line 4 through line �
Total value (line 3 p�s line �
I hereby cenify the above is true, correct, and
complete.
Verityirg action - Signature ot Auditor
19_Pay19_
Lesser of V2 Homestead
Valuation or 52,000
TRUE TAX
VALUE
(�)
(21
(3)
(4)
(5)
(6)
(�)
le)
Signature of Assessor
S
ASSESSED
VALUE
ALLOWANCE
MOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Date signed
Date signed
Signature Ot i:or � vare siyneu
� ti1f.U�- � a -`i -