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Homestead_Brown (19) sTAtF1OR%I taut,0.9'-101 IR:ASURLRI-MMISIS AITUREO BY<t'.E 50Vt1:O[,1L(IYTra.T.N ?RLSCREIED tll'nLLRPARIMLT OLOCMC ntt'.stLSt FL\ISCL We-it-rat Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS}` - 101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes Princeton, IN 47670 more beneficial.there is more ineanise than ever Ito homestead fraud.Homestead fraud causes higher lay hills for all:therefor:, •rs !EA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional idcntifvim_ information necessary to allow county government to better monitor horr.cacad FILE Local.This information Finance will be kept hocinforma and inn only be s that will l el authorized counts:official officials.The Department of o Local Government infor Finance will use this fidential and to create trop that will help county officials eliminate homestead Deprts Ir.t o PART I: PROPERTY INFORMATION Taxpayer Name Location Address JUL 27 2012 Brown, Jeff D/Tss.igs0.— C 1r\a n 225 W MULBERRY ST m�I mI PRINCETON IN 4711670 Jeff Do COUNTY Brown AUDITOR III IIIOIiIIIiIIiI II IIIOII�IIII�II II IIDII_II_IIIDI�I IIIIIIIDIIiII�IiII IQII Jeff Douglas Brown P 0 Box 1117 PRINCETON IN 47670-0817 II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIIIII'IIIIIIIII'I1"14 State Parcel Number Legal Description 26-12-07-304-000.261-028 HALLS 2ND 25 PT 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 • - • .. . • 111,I First Middle Last Mailing Address(number and street.city.state.and ZIP code) ❑ Same as property address -2025- LJt Au.//e✓' 1 y Sze P f Spouse First Middle Last Mailing Address(Number and sucet.city,stale,and ZIP code) ❑ Same as property address _. _ __ _ _ _ __ _ _ _ O— .. Social Security Number(last 5 digits) Driver's License/State 1D Number (las:5 digits) Other(please specify in Part 4 below) I I I I I I Sme 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 I Sigrmture�/ ^ Date / / PART 4:ADDITIONAL INFORMATION . wAn+ xc �o w�s RrscriDeE By S�ate BoarE of TaM Cammissioners Ta & FileO in WDlicate CLAIM FOR HOMESTEAD PROPEATY TAX CREDIT FOH YEAR 19�_ � SEE BACK FOR FILING INSTRUCTIONS D�(,� Q�a(p�_ p p � � 1, (We) [c��-��77�7� ��' ��— �- certify that on the 1st day of , arch, 19 �o , I, (We) o upo� �eb as our the following described real property for �nich a Homestead Property Tax Credit is hereby being claimed: . I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficial ir�terest in the taxpayer Property Description Township Taxing District (City, own Township): �� Parcel Number or legal description shown on tax statement: %�-a_2,L � o�� ir�-eti . �5�� If buying on contract: Owners name (�� simo�e owner) 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: I hereby certify the above statement is true, correct and complete. CountY Township ' 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 Total Land �� Residential Improvem Dwelling � � � Garage Total Other Improvements� �� Total Improvements - �) �quals (8) I�heareby certiTy the a� e is true. cGor,rect. and \omptete. L' Signamre oi assesmr 1 4pproved:— c (�) (2) True Cash Value ao �s� /3a o (a) /��o (5) °�'� �"O (s�� (�) �-cy- ($) � - ACTION BY AUDITOR - Assessed Valuation � 5�� o �U Homestead Valuation .. . �, � . /��jj� _. �.�i jj��j��/ p% � ✓ � V � oare Date: � — `�`" — �v