Homestead_Jenkins STAR iTItM.!H 1R_/NYI ttESSgamII FORM 75-IA
APPROVED BY STATE wwo Of Nriroasnn.y prinsam BY FOE OEPARTHEVTew LOCAL rovaNMrsT FINANCE n44.1-rait
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limbed to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher lac bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
+ benefit and to provide additional identifyine information necessary to allow county goverment to better monitor homestead
tiling,.This information will he kept con will m confidential ffidential and can only be accessed by authorized county officials.The Depanment of
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Local Government Finance e this information to create tools that will help county officials eliminate homestead fiaud.
g PART 1: PROPERTY INFORMATION
APR 0 7 2010 Taxpayer Name Property Address
Jenkins, Charles Brian/Rachel A
502 W CIIERRY TREE LANE
COtiN7" ALP-nTOR
PRINCETON IN 47670
943 GIBBON
Charles B Jenkins
502 W Cherry Lane State Parcel Number Legal Description
PRINCETON IN 47670
26-12-07-301-004.310-028 RICHLAND FOREST 17
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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 I First Middle Last
Charles Rrinn �enlCinS
ig Address(number and stmt,city,state,and ZIP code) Same as property address
AEgr r
- (92721
Spouse First Middle Last
Ru4e I Ann • Jfn(lvls
Mailing Address(Number and street,city,stale,and ZIP code) I�A'Sune as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
jr` . = 8-d X37 5aSr __A .-::p-? e - ,r 2 a.
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
•
CLAItA FOR H�AAESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
smm Fom, s�r3 �� i sa�
PreaabeA by Ihe Depatrnant of Loml Goramrierd Frw�m
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I(We) � certifY that on tlie i st dey of March, 20_
I(We) oxupied as av p�mdpal plaoe af residence Me foBowirg d real poperty for which a Hamesfead Propaly T�c Credit is hereby dmmed:
(VJe) owr�ed ❑ Me buyug under rmtract
Have a benefidal interesl in tlie entiry that is liade for ihe po�erty �ces m Me property and C�at owns Uie properry w is buyug under a contract.
rc Ouyrg on cmOarl. Fea Sit�le owners r�rre
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I Ae2by certily tlie above is true. oornect. eM Sgra�ue o(Awa� Dme sip�ed
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20 _ Pay 20 _
Lesser d 12 Homestead
Valuatian ot 535,000
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