Homestead_Beach (3) ttAlE FORM,35 IR_I YJ t TYFASUROI FORM TRIA
APPROVED RYl\IE KKR()OFATTtIST5.2,m PRESCRIBED BY nlr DFPARTWYi(F LOCAL CA1520.VMFAT FINANCE IC Yi.I-E=a1.1
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 tin OCT for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county gosenintalt to better monitor homestead
tilinga.This information will be kept cnnlidential and can only he accessed by authorized county officials.The Department of
Local Govemmcnt Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Beach, Rex A/Vicki L Bruce
704 Ii OAK ST
- A- Princeton IN 47670
2721
Rex A Beach
704E Oak St State Parcel Number Legal Description
PRINCETON IN 47670-1620
7` 26-12-07-202-004.312-028 019-03647-00 NS LOT 4PT R3
1t 1tr��tr�II�tt�ttt��� ��t 11 t �r��� �� � � ��t�t
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
REg A. gala/
---'0 1g Addre s(uun&r trod strce city--state:and ZIP codc)_ __ - — - _— __. - _Ercorne as property address__ ______ —
210 C, N4k ST i 2/,c/Crrog,Tc! `hG?o
Spouse First Middle Last
Vth_la' I-. B EA C-171
Mailing Address(Number and street,city,state,and ZIP code) Ii1Same as properly address
glo E. 6411 Sr. _f,e,ucr-Tog Tie 4/1 TO LuJ
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
0
CLAIM FOR HOMESTEAD PROPERTY TAX '1!)V\ PoRM �R
CREDIT/STANDARD DEDUCTION \ HC70
sm� rwm s�re cR� � sas�
Presrnted by ihe Depar6nent d Laoi Gwemrt�erA fmance �
INSTRUCTIONS: See reverse side for filing inshuctions.
wc �-c�' way "'�+1 ' -t.�'y,�cs 'ei"' tA ss�r�-Y.': ,�t F"� e;.�.CERTIFICA710N'STATEMENT `�" 4u''` ' 3�- '}r�z � wj��. f�r�j�j`>+ id �TV� €.'' '�'!
e •..3#� <f.3i+,.�h aS.Yck.3t' ,�z_ 1.L.u. na. 4.. '.....� . ..... ... _ ..... _. . _.. . Y.'.::(� � .i"' :� M; f.'�"r�. C . _ . .r.+ tX�f� .w...��v
� M�e) certify'E�`3! bn ���Y of March. 20_
(We) ocwpi as our printipal piace ot residence Me folbwing described real property for which a Hanestead Tmc t is hereby daimed:
(We) owrred ❑ Ne buying urMer mntrad I�1 n
.iave a benefidal interest in ihe entity that is IiaWe for ihe property ta�ces on the property and that owns@IB��� �iiy��GhTdeia cantracL
K�+W�9 on mrtrx4 Fee Sirt�le ownefs reme
Rewde/s ot6ce wtwe mWad ia
r.amb I T�sbP I T°�'ia d:� I�: mw�. to»n.deP)
Recud number � Page
Pamal m�mher le9al d�uiption la ihe paperty'vi quasfion:
���� _�i-1_a�_nn _ as� NSc��,cV P�Q. ❑r�n�m ❑Mom�r��
H arry po,tion d the �qial s9uchrte w the Imd nal omeeding one (1) aae Nat'vnme6ateJy airtwnds Uvl sW Wae is used N produce'v�mme. describe iha iae arW portion
a me poparry wr�a m Proa,ce mmme.
�i.3 � a g�°�
��m�"�.`��.�`���`��'r��,� 1,1sTewoeu�n,oenucnorra¢�ow�wce�,����c'�k'��?':���',�.�r��a�<�.��s �'a�:�:`�;
20_Pay20_
Lesser ot 72 Homestead . . .. .
Veluatim w f35.000 E
Sipnature d Audibr DaU sipned