Homestead_Ballard 573/41E/0101!).9.1R:/?-4.1 - tRFASUtIR PORN TSIA
APPROVED BT mat DMMO."ACTT!N 5.-21.M PILISCRIBED BY TIM DEPARTMENT OF LOCAL GOVERNMENT FO:NCE 1014.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead frawi.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receve the
benefit and to provide additional identifying information necessary to allow count'government to better monitor homestead
filings.This information will he kepi triadential and can only be accessed by authorized county officials.The 1lepannem 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
Ballard, George A/ Linda A
K 4 Box 354
i Princeton IN 476701./
1835
George A/Linda A Ballard
106 Kensington Dr State Parcel Number Legal Description
Princeton IN 47670-9416
$ 26-11-12-302-000.082-028 019-00082-00 BROADVIEW 21
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
(>Eo ;eGC !3LL ( N SgLL /9e,P
Address(number and stem,ecii9 irate,and ZIP tide) —"--- ' - - - - - Saute as property address — — -- - --
O6 eew S/ N6-Ti) J7(P. ��i v�C-1 A},�,c/ 9/ ,6 7 a
Spouse First Middle Last
Z/yM ANA/ iyLtfig
Mailing Address(Number and street.city.stale.and ZIP code) Elf Same as property address
/06eitiSiv6%o' PI. /iqnriGE-7N /f/1/ 47 67O
PART 3:CERTIFICATION
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 1 aWrc / m a.#.6rest,t_it� Date
•
FOflM HC 10 1479
hewri�eE By State BoarE of Tax Commiuioners
CLAIM FOR HOMESTEAU PROPERTY TAX CflEDIT FOR YEAR 19�
To & FiIM in Wplicate
✓
� SEE BACK FOR FILING INSTRUCTIONS Q�9– O00 if o1. • � �
� �
�(yye) .�ytCRka �EoRcE A, /i /�e.✓.✓E�r{ £/✓��2�nA L certify that on the ist day of
arch, 19J_.�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We�wned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in ��i3So.J
Taxing District (City, Town, Township):
Parcel Number
rA ro,C FF
Township
or legal description shown on tax statement:
��+Poi9Dt/iFW ,�oT a–/
If buying on contract: Owners name �+� $inp1e °"nef� —
Contract recorded in Recorders Office - Record
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 statemeni is true, correct and complete.
/J nn n
aoreei naareu
County Township
ury. aiare am [i0 �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 residential improvements
Other Land � � p � �
Total Land '�'°�
Residential Improvem�� 21 i979
�/ ��
Olher ImprovementtJ AU/�
Dwelling
Garage
Total
7�' Improvements - Line (6) plus (7) equals (8)
I�aby certify the abov,�s true. correct. and complete.
��
nsseswr
True Cash
Value
(1) a000
(2)
(3) e2 000
(4) o00
(5) �
(6) / 3 0
c�� ---
cs� ��
- ACTION BY AUDITOR -
Assessed
Valuation
(o%o
Homestead
Valuation
�7D
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a� ��.�. i9�y
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Date: ��1/7,�