Homestead_Beadles SIAM Meatillnn IR_r,-vat WARMER FOR 3tA
nererwED BY snit in\PDOF Aran Vita.aim PRIYAiBrD BY TM DEtA0.1Y6.Yr OF LOCAL ravr&NMEAT ra:&'CE M VI.I'l`.t.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead arsndaul deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.I lomeuead 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
filings.This information will be Leo confidential and can only be accessed by authorised county officials.The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homesead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beadles, Samuel E/Rita
110 Pennsylvania •
Princeton IN 47670
3917
Samuel E/Rita Beadles
110 Pennsylvania State Parcel Number Legal Description
Princeton IN 47670-3414 X 26-12-18-302-000.167-028 019-00167-00 BROADLEIGH PARK
Itlttllii.I•Ilttltr•III II..I.,I...II.Ii.I...IIII Intl .61/62/63/64/65/66
PART 2:TAXPAYER INFORMATION
Owner _^^ First Middle ./^\
t e Address(number trees,city. — -- _
( ty,slate,and ZIP code) � Same as property Bddrrs
/
Sportive�`-� r First Middle Last
csj ^
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
I/
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.
I 1 Signature Date
•
FOflM HC 10 1979
HescriDeO By State BoarG ol Taa Cammiuioners
To & FileE in WD����e
CLAIM FOR HOMESTEAU PAOPEHTY TAX CREDIT FOR YEAR 19�� �
SEE BACK FOR FILING INSTRUCTIONS O�q— O�t L�- OO
■(yye) �{1,��,�X. c: d'K�.�r.�.� �C�_��� certify that on the 1st day of
�arch, 19� 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) C3�owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer �n
Property Description in ��� n Counry `�'��/1. Township
Taxing District (City, Town, Township): `'�'/u.�rc.�L-�(M-+ �...�^-^.,� d'
Parcei Number or legal description shown on tax sta[ement:
`�t,ea..cL�i�u o-� (a � (�da/� G7
If buying on contract: Owners name ��� ��mo1e owner�
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 com
�1 • I �'1 A A /) �
ShMt Adar¢Ss
County
Township
�.d . 'S� 7 6 r �
Giry, Staie aM Zip Cooe
' 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. ���•S�
- FOR ASSESSOR'S USE ONLY - � � ��
True Cash Assessed Homestead
\/alnc VaLiatinn Valiiatinn
Land not exceeding �ne�acre imm�tel�
surrounding residenti imp ve s
Other Land
Total Land N'PY ? ° �9�9
Residential Improvemegi� /����J � Dwelling
�/� •-���--
' ' ''�4�Z�Garage
AUDITOR Total
Other Improvements
7�' Improvements - Line (6) plus (7) equals (8)
F�by certify the above is true. correct, and complete.
A5525sor
(�) ,�2l00
cz� sio
(s) 3 9� O
(4) /.3-t-a?-
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(6) l�-f-o-oJ
(�) —
(8) f3-1-b-o�
- ACTION BY AUDITOR -
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