Homestead_Jones (9) • STATE FORM!Me. /W+1 tRLAStLER FORM Y IA
.ArrmwEn BY STATE aMRDnr MTTENTS.9x PRESCRIBED BY nir OFPARTMEYHf LQLLL GOVERNMENT FINANCE IC 4-I.I-224.I
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 user for homestead fraud.(Homestead fraud causes higher tat bills for all:therefore.
HET 1244-2069 requires taspa)els who receive the homestead standard deduction to verity that they are eligible to teethe the
benefit and to provide additional identifying infomunon nemsary to allow county government to better monitor homestead
filings.This information will be Leal contideruial and can only be accessed by authorized Gouty 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
Jones. Gerald W/Beverly J ," 17 I t�QuG(I I (/t"os S/0/7
llaubstadt IN 47639 d s
7256
Gerald W Jones
10174 S Quail Crossing State Parcel Number Legal Description
HAUBSTADT IN 47639-8623
II III II I I I I II I I III I I I III 26-18-36-300-002.029-024 004-02029-00 HUNTERS CROSSING 2 93
rn ntt test t to nn rulrn t ntt a nt D-27
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
� craI cQ ��s ley ;n-eS
low Address(number and sweet,city,state,and ZIP code) (] Same iu pmperty address - - - --
Spouse First Middle Last
Mailing Address(Numlier and street.city,state,and ZIP code) Same as property address
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 SignaWre ��� Uatc
CLAIM FOR HOMESTEAD PROPERTY TAX FORM_�. �, VEAR
' CREDIT/STANDARD DEDUCTION �'-`C a " �
\' � � Slate Form 5073 (RS / 10-07) �C� _
•�w Presaibed the -
by Departmelrt of Local Govemment Finance
INSTRUCTIONS: See reverse side !or filing inshuctions. F� B � 3 2003 �
� o- ,*�=Ymcrs*•g� rc . . .. , � ,.v -
��.�, �z'�..a- . � . -' ' z�CERTIFICA710N,STA_ NT�'-�".�'�4"���v'�'`` .,�'" .F',�..'�'��-���s;'x�?`����;�'.�n
�(We) . . `� .. � rtiry tna�t on t&�7 st o Mar 0�-�
'v�d�ON C,�,.?r. . : r —
�I(W�e) occupied as our prindpal place oi residence the folimving descnbe real rty to ich a Homestead Property T�c Credit is hereby daimed:
LIVI (We) owned ❑ Ne buying under contrad �
Have a benefidal interest in the entity that is liable for the property taxes on the property and Nal owns tha property or is buying under a contract.
I( buyLig on contract. Fce Sunple owners name
contraa is recorded
County � Tavnship � Tayfigl(isiriG (a1K fown, townxhiP)
Parcel number _ ' Legal descriplion � Is Ne
Racord numDer � Paqe
.J���'l —U d�U d.�j "-e-� i UIRe� vrooertr u b�ooue N«no t�.c. a�.�-n .
�H( �y� ponion of Ne residenUal strucWre or the land not axceedi`p one (7 ) aua ihat immeCiatery w`rounds that sWCNre Is usetl to potluce incpne. descri0e Me uae anE pwtbn
�'�� ��� � i�-3G -�- ooa, va 9- 6a5�
`1 � ,�.�.r..s. � �
County � Twvnship � County
I hereby certify the above statements are We, correct and complete.
(numberaM street, ciry; afafe, Z/Pcade)
�-'�'R,.���`'�'�����'��C'�� T�"�'STANDARU:DEOUCTION'qLLOVIIANCE��.'�'-J.?t,$h;`„-�:*�;��.s-'�5.?�:1�s�•��' '"^'
20_Pay20_ �
Lesser of 1/2 Homestead
Valuation or $6,000 $
SignaNre of Audita � Data signed