Homestead_Williams (17) •
AWE FORM Y",RU f+Ml MEASURER FORM 1tA
•
AI/ROVED BY SIAM WWII OE YYYR IN'rt 9w PRFAWBm BY nn.DEPAREMEV-cw LORAL GOVEINMrAT FRaxcr,e
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 more incenthr than ester for homestead fraud.Homestead fraud causes higher tav bills for all:therefore.
HFA I344-2009 requires raspayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.1Lis information will he kepi confidential and ran only he accessed by night-oiled 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
Williams, Ruth E
X\
RI Box 213
Fort Branch IN 47648
7984
Ruth E Williams / 6�
7859 S 42 E State Parcel Number Legal Description
FORT BRANCH IN 47648-8071
unr��� 26-19-19-204-001.298-026 007-00478-00 INDIAN HILLS 59
D-27
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
SIzin Wu ( l qoi S
e Address(number and street.city,state,and ZIP code) S Same as property iddress - — - - '
q 59
Spouse First Middle Last
Mailing Address(Number and street,city.state,and ZIP code) LI Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) , Other(please specify in Part 4 below)
Seue
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is five 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
CREDIT/STANDARD DEDUCTION
S�aie F«m 5473 �RB / 1-03)
PresrribeA �y the DeDartment ol Local Govemmenl Finance
INSTRUCTIONS: See reverse side lor filiny insWClions.
�� FORM YEAR
. v '� � ��
� I;.�Ctiu � �� �{ fl
Ji 1i 11J 1LJ'
ocT z y 2ooa
� M�e) LC /� //—� ceAify,ttiat�nyt�e� �si:dvJN�'Marc�ih, 2=
I(We) occ i as our principal place of residence the following described real property for which a Homestead Property Tac Credit is hereby da med
] I(We ed ❑- Ne buying under contract
� Have a beneficial interesl in the entity that is liable (or �he property taxes on the property and that owns the property or is buying under a conVaU.
If 6uying on contract. Fee SimO�e ownefs name
Remrdets ofice where toniraq i5 recorded
Counry
Parcel
7amship
7�cing d�tri� (rity, town,
Is NB
/— � .�%X1s�Ll�.�C� �//S ��7� �
i( any portion of Ne residentlal sW IXure w Ne land not exceeding one (1) aae ihat immediatey sunounds
ol ihe properry utilizeA W produca inwme.
�G �9-�9-�� �����' o�
F' ai 31 . � _ _ _.. _ . . _ _. . .
.-��,`�� t.�kh,.'�-� .�i7,s �'.'��=_���PROPERTY;OWNED;BXCLAIMANT�.IN'OTF
County Tonnship County
I hereby certi(y Ihe above statemenls are W e, corted and complete. Si�natufdo( cla
//_ �J'
code)
RecoM number �Page
�que5lion: •
Real property ❑ Mobila Homo (I.C. 67.7-7)
ve is used to praduca inwrne, descnbe the use and poNOn
'�-��--'�� �-:�,5��-�.c4i�i`�'�:?.`�^-v�`��n:�i-,"��-i:STANDAR�:DEDUCTION'ALCOWANCE�:;,�*',,,�suk'�v$.-'"`�'.��-'�M`�>`��n��`'S�` ��e�i-�,r..�
_ K .,K
20 _ Pay 20 _
Lesser of 1/2 Homestead
vauanon or 535.000
5
Signature of PyOitw ' Date signed