Homestead_Alldredge Raft FORM i394,Y$h-Iui IR:ASURtX MEa 51.4
APPROVED ON R.v_3OSRO Of.ut a;MN.N. ?MSC R11413131"na.OVARIM 1 Or LOCAL Cahlle•ki cTH MS OIr.-u-rat
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples ale limited to one hones:ead standard deduction.As the receipt of his deduction becomes
Princeton, IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher wv bills for all:therefore.
11111-- laHFn.A cl ir 1 3aJndd-tw o p p romvi'ide c a a ddiittiioon na l i decnntti firaing a hhxe m homestead c suvanad am n i dlialuction n m to v verify m that;hey bare u cer l igmib.mle t wto r rhccorerecst a homestead
hlines.This information will be kept confidential and can only be 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.
MAY 3 2012 PART l:PROPERTY INFORMATION
Taxpayer Name Location Address
C.3.� Alldredge, Edward E/Susan M
527 W Oak ST
GIBSON COUNTY AUDITOR
o Princeton IN 47670
2427
Edward E/Susan M Alldredge II I�III Bill�II�I ill II_ II III�I�III�I till II_II III�I. II-I�I�II �II�II-I II Ill II
527 W Oak ST
Princeton IN 47670-1238
State Parcel Number Legal Description
26-12-07-101-000.027-028 CUSHMAN ADD 29130
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.
. ,�. y• . • .I • S .
a I First pp Middle /) Last. -
w/l-itr7 GU6 �✓a5 /f�-4 ta2e066 o
Mailing Address(number and street.city,state.and ZIP code) Eramc as property address
Spouse First Middle Last
—/-15 M /14t—f Ae—Lz>/LED E.
Mailing Address(Number and s•.reet,city,state,and ZIP code) Iii lame 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 claimine additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Sienaure Date
FONM HC 10 1979
PrescnoeE By Sta�e BwrE ot ia. Commissfoners
io Be Filea ln Dupliwre
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19�� ✓
SEE BACK FOR FILING INSTRUCTIONS O,O'- OODa%� �%�
�(We) ���./�— � - � �kQ-`�""-' �% � ����certify that on the 1st day of
� arch, 19 �7 I, (We) occupied as our principal place of residence the Ilowing described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial inter st in the taxpayer
Property Description in
Ta� g District (City, Town, Township):
Parcel Number
If buying Ofl contract: Owners name ��� simo�e owner�
inty' ��-�-0�—�-� Township
or le al description shown on tax statement:
�k �. �/� o
Contract recorded in Recorders Office - Record No. Page
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, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
:hereby certify the above statement is true, correct and complete.
� ,��'��� ��� w � �K .
'SianaWre rrei naaress
Coun[y Township
G�y. S�are ano Zio �e
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding resitlential improvements
Other Land �_� � � �A � �
Total Land —
Residential Improvements 2 6 ���
.�iIJN Dwelling
^ Garage
� � /�%�tk�otal
Other Improvements �
6� qwr�pR
To'-' Improvements - Line (6) plus (7) equa (8)
I�by certify the above is true. correct.�ntl complete.
Signamre ol Asseswr
- ACTION BY
True Cash
Value
�>> %�a o
�2� -o_ -
(3) ��a-�
(4) �-�"o
(5) _l ���Q
cs> _ �
Assessed
Valuation
�5�0
—o-
�� zv
Homestead
Valuation
��o
17) —o— —6—
(8)
i�
� —�
Oare
Approved: � -�,�� Date: _Jo — �- 6 — Zj