Homestead_Jones SLATE I ORM'r jIR ("YI nnrAsu mR PoRY i}IA
ArPRrwEn BY STATE Man)Orsn.NrS.s,n PRESRIBEDBY n1r DEPART1ENTOr LOCAL r vaRNMLM PP scE IC 6-1.1.22.11.1
Gibson County Auditor
10.1 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 become
more beneficial,there is more incentive than ester for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers 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
filing,..This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will are this information to create tools that will help counts'officals eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Jones, Larry T/ / 36 3 E asks
_&4 Hor9Y1
Francisco IN 47649
1841
Larry T Jones
6303E 250 S State Parcel Number Legal Description
FRANCISCO IN 47649-9062
26-13-30-200-001.408-004 002-01408-00 PT NE NE 30 2 9.82 AC
Itlttlluie1111111 1111111111111111111111.rrr111II !Mimi X D-10
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 i
Owner 1 First Middle Last
J—o-cry —rh omas cones
Social Security Number(last 5 digits) Drivels Lic ense/State II)Number (last 5 digits) Other(please specify in Part 4 below) .
$1 51,331 5 3OSILi
.r: PART 3:CERTIFICATION T— —
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
i
tin . CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
S State Form 5473 (R4 / &00)
A1111116 INSTRUCTIONS: See reverse side for filing instructions.
FORM. YEAR
HC10 T
FILE
I (We) �L� t.-/ rr7,7 �_� �J certify that on th�lst day of March, 20_
(We) occupied as our principa / place of residence describedreal operty for which a Homestead Pro W a'
VV party Taz Cre /y.
(VJe) owned ❑ Are buying under contract G19SON COU" "-' AI Ipl
lave 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.
CONTRACTaRECORDED
I buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page -
WE - -'.- PROPE'R_1_YrOWNF� BY CL•A
_. _
PTOPER F,VD Cfilkt ON
C/2mnty
Tomship Taxing district (city, town, town ip)
Parcel nu [pbe� n �.
Legal tlescri on ^ � - ^�
,ddescribe 'Kthe f`use
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, and portion
of the property utilized to produce income.
a of claimant
jqres (nu er and street cily, state, ZIP code) _
d�
WE - -'.- PROPE'R_1_YrOWNF� BY CL•A
_. _
MAI NT IN OTHER COUNTIESr'"-','�
County Tomnship -
County
Twrnship
I hereby certify the above statements are true, correct and complete
a of claimant
jqres (nu er and street cily, state, ZIP code) _
d�
- r r
�"1 �-4fl-F�. "'�:
SSESSORUSE;ONLYa ' -'"`
�•
TRUE; TAX- gr.ASSESSEU'VALUE
6
xaHOMESTEAD':.
�!RN
-
tta +NON-RESIOENTIA
;rU"
ax�,n
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
-
Other land
(2)�L.'�-Kf:
�a
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
'yg0� A �
NE
Residential improvements
-
Garage
b
.
Other improvements
(6)
a
Total improvements (line 4 through line 6)
(7)
I value (line 3 plus line 7)
(S)
I hereby certify the above is We, correct, and
Signature or Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20
Lesser of 12 Homestead
Valug(ion or $6,000
$
ed
/ Z- D/