Homestead_Butts t
arrtt FORM 53MAIId/VYI TR CIitEB FORM:}la
APPROVED BY SIATE BOARD rN MRRMTS.21.1H PIES-AIDED BY rill DEPAPreiT(f LOCAL COVELYM[TT MANCE IC 6-I.1-22J.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
E PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than escr for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
® HEA 1544-3009 requires taxpayers who receive he homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings This information will be Lept confidential and can only be accessed by authorized county officials The Department of
Local Government Finance will use this information to e¢ate tuts that will help county officials eliminate homestead fraud.
_,/ PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Butts, Chad R/Gerna J HP M 5 5 0 C
ssnr
Princeton IN 47670
3450
Chad R/Gerna J Butts
Qx--145. I b 1 N 5 50 C State Parcel Number Legal Description
Francisco IN 47649-9212
26-12-12-200-001.436-004 002-01436-00 PT SE NE 12 2 10 3.251 AC
Illoilimilliiilliollellillitileillitelleoldollielm1111111
C-1
X
I
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
shad '&ss e// x+1-5
ig Address(number and street,city,state.and ZIP code) - -------- -- 'Same fi property address— —
ILP7 )J 556E - 1OMCi5io --N g7CP99
Spouse First Middle �1.5 Last
Mailing Address(Number and street,city,state,and ZIP code) R-Same as property address
/LP7 N 550 f Froc no,i5Co z-n 47te y9
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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 Si nature Date
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 (R5110 -01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
I Me) /,;l q7-;�I—s ry..e,-eL, y- z4ei—, . certify that on the 1st day of March, 20
1 (We) occupied as our principal place of 'residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑- 1 (We) owned ❑ Are buying under contract
iWave 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.
NT RA C V. R E C 0 R D E
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
g� '05- Ty
Amm q0ihM AW, P. ROO, ER , .DESCRIPTION 4 7 Wyi�4'
County
Za6--)4
Township
Taxing diii tncVy, to", f7=hf-P)
Lelf-4� 1-1-1b, -
Parcel number
-194( � 00
Legal description
Is the property in question: I
[A-Ireal property ❑ l4plaileMorne (/.(;.6-1.1-7)
If any portion of thti residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is d t -
use o�oftpe moiirney&scilibe o use and portion
of the property utilized to produce income. 'lp
ex
1 '71
law
20 Pay 20
r-, 'r of 12 estead
j�cn ;m6OOO
Signature of Auditor Date signed
/— LL9 — 69 "Ll
County
Township
I
County
�
I hereby certify the above statements are true, correct and complete.
Sign tu ea of cl mant L�L)CJ16W G 1 X
OQ(7ber
�,51�
and street, city, state, ZIP code) 1 . 6 35 -6 c>
Fia,-61
�
�
x TRLEAAX4
ME
ASSESSED VALUE
00 % OF,T
H OMESTE AD,�
W WALUE
7 -�4
NO4RESIDENTIAQINLY-N
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Other land
(2)
t
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
W .
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pica line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
law
20 Pay 20
r-, 'r of 12 estead
j�cn ;m6OOO
Signature of Auditor Date signed
/— LL9 — 69 "Ll