Homestead_Lagneau •
SINE FORM 53!4.1R2:54.1 ERE SMER FOAMZIA
RraEI� PORTANT NOTICE TO HOMESTEAD FP PROPERTY ROWNERS za
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more 1344-20c there is more incentive than Cher for homestead standard Homestead fraud causes
that hither tar bills for all:ceise t e.
1 ! ` HEA 1143-?0119 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
i,I benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings,This information will be kept confidential and nn only be accessed by authorized county officials.The IkpannrenI of
Local Government Finance will use this information to create tools that will help comity officials eliminate homestead fraud.
APR 9 ZU10 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
77l0 /et Lagneau, Bruce Wayne
GIBSON COUNTY AUDITOR 709 E Broadway
_ Princeton IN 47670
1093
Bruce Wayne Lagneau
709 E Broadway State Parcel Number Legal Description
Princeton IN 47670-1950
�t�tt�� r�t��tt�rtr��� ���r�trr�t�t��tt t��tt t�r�trtr�t�� 26-12-07-402-001.535-028 019-01535-0O PT SE 7-2-10.77 AC
tt
— — . — -
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
�2!?L%Cr_ LcJa y_t C— Z- a f /2 to 67
�ag Address(number and street,city,state,and ZIP code) amt as property address
`70 9 662571--- n ixonIugyf/- /�ilfA'Cet6/l ti y7 Qo -/c�o
.
Spouse First Middle Last
�
resa ilA/A/ L. ay 12 eaGe .
Mailing Address(Number and street,city,state,and ZIP code)
l
I�Same as property address
7o9 C acI- 732o4dwny Sf z*A'crA4/7 r,- 4/749" —/95—d
------- ----'^---�_--- - -----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
•
FOIIM NC 10 1979
Presui�etl By Stale Boa�E a� Tax CommiSSioners
CLAIM FOR HOMESTEAU PROPERTY TAX CREOIT FOR YEAR 19Z�
io Be FileG in Du0licate
✓
SEE BACK FOR FILING INSTRUCTIONS
,...�. 0�9-o/sss- �o
�
�We) certify that on the 1st day of
.._rch, 19 ,(We) occupie as our principal pla of residence the following described real property for
which a Hom stead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned •
❑ are buying under contrac[
❑ have a beneficial ipterest in the taxpayer �G�
/ 1 / �7
Property Description in -� fd`�a-��'� County , Township
� i
Taxing District (City, T�wrr,-Tciv,wshipj: ; `�/��-P���
Parcel Number or legal description shown on tax statement:
�-� 7� _ � o . 77��
If buying on contract: Owners name �'� �'"'o1e °""e`�
Contract recorded in Recorders Office - Record No.=
Ii 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.
� �
County
Township
x�a
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 res etitia imp eve�ent �
Other Land i � � �V
Total Land
Residentiai Improvemeh�'sN 19 i979
✓ 1 � � i /�Y.�a.,k?tLG�il�
Other Im rovement� AUD1TpR
P
True Cash
Value
( i ) SL�S—o O
(2) —
(3) 4LS o D
�welling (4) `/�
Garage (sl%�D ��—p
Total �6) ���
3���mprovements - Line (6) plus (7) equals (8)
y cer� lhe above is true. correct. and complete.
. . ., ,
Sig�uWre of
(�) �
�g) �o
- ACTION BY AUDITOR -
Assessed
Valuation
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