Homestead_Hartley (5) s1Vt EnRMt∎Rali n-tm TREASUI41114 i}t:•
.SPrRm'Et BY St STL BnxRDM.MT,R TS.Zino PILLSCEIBM BY 1I1t BEPAanocYrOF LOCAL GJSTL'Mn.T FINANCE F 4-I.1"4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandard deduction.As the receipt of this deduction becomes
O more beneficial.there is more incentive than net for homes gad fraud,Homestead 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 ro recehe the
benefit and to pnh'ide additional identifying information necessary to allow county government to better monitor homestead
filings-This information will be kept confidential and cm only be accessed by authorized county officials.The Department of
Local Go.cmment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hartley, David A/Joyce Ann
627 N Main ST
Princeton IN 47670
2449
David A/Joyce Ann Hartley
627 N Main ST State Parcel Number Lezal Description
Princeton IN 47670-1407
26-12-07-102-001.099-028 019-01099-00 OLD PLAN 132 PT
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Spouse First Middle Last
J 04ac, Pr N m 14Are..4- ley
Mailing Address(Number and street,city,state,and ZIP code) RYame as propeny address
/Ca7 N- 1flA1& Pr ' ivte-E-oN IN 47120'770
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 �a Dstc
•
POPM HC 10 19N
Reuri�eC By State BwrG ot iaM Cammissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19 '79
io Be FileO in DuO���ate
✓
SEE BACK FOR FILING INSTRUCTIONS o rq - o co 99� �O
�/ i /J //
� � �oY�E ff�✓�✓ /'YA.eTLEy
�(We) certify that on tFie tst day of
arch, 191�; 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)��owned
� are buying under contract i
❑ have a beneficial interest in the taxpayer /�
Properry Description in ����✓ C ty "'rO��� Township
Taxing District (City, Town, Township): ���GE>an/
Parcel Number or legal description shown on tax statement:
. ' �LZ� /'[.A.J % 3� n/ �i�
If buying Ofl contract Owners name ��ee simo�e ownerl
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:
� her y cert' y the bov s atement is true, correct and complete.
� ��-� A �-�� _
/1 n vl .n . . _// ,
County
Township
ana Zip
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 I rove�ents� Dwelling
,i�.:iJ ` �' ��lS Garage
L^�,2� Total
Other Improver�eir} s
Tr'-' Improve�refeht§ �ine (6) pd��(�b�quals (8)
I��by certify th �yve is true. correct. and complete.
o� auessor
(�)
(2)
True Cash
Value
/oo
�3� 3�00
(a) i,-G-�d
(s)4i��,�d
(6) _�-83 0
(�)�--
($) !°tl�"°
- ACTION BY AUDITOR -
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Homesiead
Valuation
/0.30
F�_�
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Dat�i—? .S - � `�