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Homestead_Byrne • ' STATE FORM"Y IB_l tivl MAMMA TORN 7S-IA APPROVED BY SIMI£IkWIDOE M ttNTS!■i+ IlaYR1a1D BY flip DEPARTMENT Of LOCAL rovEtNMTNT FINANCE r I.1-U4I Gibson County Auditor 101 N Main ; IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple.are limited to one homestead sundanl deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than ter for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. HEA 1344-2009 requires taspasers who receive the homestead standard deduction to verify that they am eligible to teethe the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can only be accessed by aulhnrieed county officials.The Department of Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address _ Byrne, Joseph Michael 223\V Pine Princeton IN 47670 2467 Joseph Michael Byrne 223 W Pine State Parcel Number Legal Description Princeton IN 47670-1421 �tlnllurltllnlnrill lltlnln�llul11n1l1n11nl11l1 /1t 26-12-07-102-002.323-028 019-02323-00 OLD PLAN 129 PT PART 2:TAXPAYER INFORMATION Owner I First Middle Last tJoSeF I /vl ; chae I 13�irr1 e g Addreas(number and-Ansa,city:state,rind ZIP code)— - _— ___ - _0-Same as property oddness s3 GtJ, P, ne S7, Pri4cclQPI )))f . ¶ 7C70 Spouse First Middle Last U!7 e Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sere 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 Signature Date • • rieSCUpeO tl( Slale tlW�O ot la. Cunn4smnea . CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 g� SEE BACK FOR FILING INSTRUCTIONS ,/ y o�9-033�3'� � '. °el certify that on ihe tst day of I i, 19�_, I(We) oc upied as our principal pla of residence the following described real property for ;which' a Homestead Property Tax Credit is hereby being claimed: I, (We) CYowned ❑ are buying under contract ❑ have a bene(icial interest in the taxpayer Property Description in County Township Taxing District (Cily, Town, Township): � '� Parcel Number. or legal description shown on tax statement: Q9.� �.S2�rn� � a�j-�- If buy'�(��O�C��'��:��W�1QfS name ��ee simo�e o..ncrl c:. r�.-- � Contract recorded in Recorders Office - Record No. Page If any portion of the res'dential structure or the land, not exceeding one (7) acre that immediately surrounds that structure ��eb fo!produce income, describe the use and portion of the property utilized to produce income Any other coGnties in which individual owns or is buying real property: County Township I hereby certify lhe above statement is true, correct and complete Gnr. Si:�tc .ina 2in Coae ' individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a bene(icial interest in the taxpayer. FOR ASSESSOR'S USE ONLY _and not exceeding 1(one) acre immediately �urrounding residential improvements )ther Land fotal Land ;esidential Improvements lther Improvements Dwelling Garage Total True Cash Value 1�l (2) (3) (a� (5) (6� l%) fotal �rovemenis - Line (6) plus (7) equals (8) (8) here �ertity the above is true. correct. and complete. 3lqnmum o� Assessor - ACTION BY AUDITOR - Assessed Valuation � Homesiead Valuation Dalq. ��IQ-O I