Homestead_Bowers I STATE FORM l)W OUP-a° TREASURER FORM 7S-IA
APPROVED BYATATE Bl RDrw MTA:sT. 9w PRr-4NDro BY Tar DEPARTMENT OF LEXAL tSDVELMMrNT rn:A'CE It'VF.1-r-n
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 incentive than ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-20(9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and ran only he accessed by authorized 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
Bowers, Harold R/Jimmie R
4Ln-2- //So-S
-a_Mix 8911
I laubstadt IN 47639
10935
Harold R/Jimmie R Bowers
2.2 9, 4-6922 E 5/2 //CGS
Haubstadt IN 47639-7916 State Parcel Number Legal Description
ItlullnJrlinulltlrlulntilrl Iltllrrulrlrrl.Itlnll 2620-001.957- 4 004-01957-00 PTN 124101.38 AC
PART 2: TAXPAYER INFORMATION-
Owner I Ng/cold First fJ Middle e4.3e s Laze
tg Address(number and street,city,statate;.S Zl'eode)
---" -- -- " � -- ---�/ Mme nspropem address " — --- '—
/-)9 2 Z E //-ro s
h(0.-u to s4 a err X/J 4-1 7l0 3 9 _
•Spouse -Sr • Molt First Middle Last
1"Z. 730-toe_rs
Mailing Address(Number and street,oily,state,and ZIP code) Same as property address
42Z E- /rSd s
/14,4_ end Id 47 6d?
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
•
•
•
N� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S � State Form 5473 (R4 / &00) .
INSTRUCTIONS: See reversa side for filirg insWCtions.
� r
FORM
� Y R
I�"��° � , � 6�
JAN 3 2002
I(We) I �\Ii�J%i�/iY�� 1� lJ�i' lN Vlt��ti5� ..`�i •. A•�/"�i'>CF��1
lhal on the 1st daybf March, 20_
I(We) occupied as our principal place o residence toliowing described real property tor which a Homestead Property Tac Credit is hereby daimed:
0 I(We) owned ❑ Are buying uMer contrad
�lave a benefidal interest in the entity that is liable tor the property taxes on the property and that owns the properly or is buying under a contrad.
If Ouyirig on wnUacl, Fee Simple ownefs nartre
Recordefs office vfiere contracl is recoided
Counry
Tamship
Parcel num r - � Legal destrip6
(nD�J-pl {5'?-f� -� �
II any portion al the residential sW Uure or lhe Wnd not exceetling one (1) ave tha
of Ne property utiized lo protluce irrcome. �- - �
� ��,—/� � /�
Record number � Page
immetliatery surtounds Nat struUure is used to protluce income. describe lhe use and porUon
• _ _ __ '
" � " z1�T ^STANDARD`DEDUCTION ALLOWANCE �. .� - _ � - � ^ - '• � � -„�,�,�,�.t,, ;. .;�
�'�`,.rt. �nf�i..� � •�Y � i:-• ..��. _ _ w� wvv :GY � ��: � s�z'�.u._.. s�:
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or E6,000 $
SignaNre of/Wditor Date signed