Homestead_Ingram r • s rn1E MRsu,,swIrn-o-, TREASURER FORM:S IA
ArrRrw'ED BY 51-41E NstotrArrOl.%Ta.ryry PR/SCRIBED BY 111E DEPARn -nc*102AL: RYNrATrp:&s[EIc 6-I.1-L-t.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 standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
ill USA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying infomnnion necess�rr to allow county government to better monitor homestead
flinty.This information will be kepi confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will u.e this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address .
Ingram, Charles/ I Mary Lee
316 S Race ST
Princeton IN 47670
1052
Charles/Mary Lee Ingram I I
316 S Race St State Parcel Number Legal Description
Princeton IN 47670-2204
It1r111rttltlltrltttllltttttltlttltllltrttlttltttlltll III
26-12-07-401-001.328-028 019-01328-00 PT SE7-2-10.14AC
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
Owner 1 First Middle Last
Charles .2-so rn -4. fr■ ra
lipAddress(number and street,city,state,and ZIP code) as property address
3i (� S . iecece Sf , ri �ee �4 , fm. ci7 (o.70
Spo' First Middle Last
/ V`a r Lee_ 1- n ra rn
Mailing Address(Nu&er and street,city,state.and ZIP code) /� • ® Same as property address
31(9 S ' 2oGP_ � `F. PrIne- `1-0 /1 / n/ . 07(.0 70
- -
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
wwn+ xc �o �e�
HescriGeO By Stnte Board of Tax fqmmissioner5
CLAIM FOR HOMESTEAO PROPERTY TAX CAEDIT FOR YEAR 191.�
To & Filed in Duo�iwte
/
SEE BACK fOR FILING INSTRUCTIONS o�g- 0�3a g• o 0
�(We �� certify that on the 1st day of
rvtarch, -19 I, (We) oc�c pied as our principal plac o re idence the following described real property for
which a Homestead Property Tax Credit is hereby bei claimed: '
I, (We) O owned
❑ are buying under contract
❑ have a beneficial in rest in the taxpayer �GZ , n
// -f !�
Property Description in i�-oB-��� County ���P-�� Township
Taxing District (City, �ewrt�hiR): !��s`n
Parcel Number
If buying on contract: Owners name ��� simD�e owner�
or legal description shown on tax statement:
p�. S�"� 7-a -ic . � va.�..z
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 complete.
3l6 S !�l�,° �
'Signature Svee� AOOress
County Township
State ana 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.
- FOR ASSESSOR'S USE ONLY -
True Cash
Value
Land not exceeding 1(on cr imm�diate
surrounding residential im ove�nts �, � � (�) / �.3`b
Other Land (2)
Total Land � JN z � i979
Residential Improvements� /-y) welling
v' ' � r g e
AUDITpt��otal
Other Improvements
rovements - Line (6) plus p) equals (8)
�ertify the above is true. correct. and complete.
(�SSPSSOr
Approved
(s> / 3.s"o
(4) �
cs> �5�80
(6) �
(�) �� —__�
(g) '�`".� `/o
Assessed
Valuation
S/,5 c
.
����������
%' ����%�
..,.r /.. i,,,,
�
/�3=,���
Homestead
Valuation
.�.� .
lo - / �' - 7 ry .
Da:e
Date: � ��� " / /