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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homesead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incenthr dun cur for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA I344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receise the
benefit and to provide additional identifying information rlece33ary to allow county government to better monitor homestead
filings.Ibis information will be kept confidential and ran only he accessed by authorized county officials The Department of
focal Goverment Finance will use this information to create rwls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Land, Troy MNirginia C Trust
2001 F lake Road
Princeton IN 47670
3348
Troy M/Virginia C Land
2001 E Lake Rd State Parcel Number Legal Description
Princeton IN 47670
26-12-08-401-001.569-028 019-01569-00 PT NE 8-2-10.54 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�d0
ig Address umber and street,city,state,and ZIP code) .//-��--- - - - eA Same as property nddiiss—
�]
Spo First Middle Last
I CegSee� 8.-y- clap?
Mailing Address(Number and street,city.state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
stare
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
•
•
FOflM HC 10 1479
PreuriDM By S�ate BwrE ol Tax fqmmiuianers
To & FileO in Dupliwte
CLAIM FOH HOMESTEAD PAOPEATY TAX CREDIT FOR YEAR 19 1y �
- SEE BACK FOR FILING INSTRUCTIONS . QrC�- O/SIO�' ��
r-- %
`�(We) V� ,'a- e. � n� certify that on �the 1st day of
arch, 19�, 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) G3'owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in � bSon County �G--� �� Township
Taxing District (City, Town, Township): ��incbfo.� �i1ex /b
Parcel Number or legal description shown on tax statement:
�E (�! r �/Y- � -3 -/ o S `i
If buying on contract: Owners name �'� ""'o'e °""ef�
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.
sc.eet noaress
County Township
�c.��.°Q� S�7G 7D
Ciry. Stare �W 2ip 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 -
Land not exceeding t(one) acre immediately
surroun� r�ider��jal i�ve�ts
Other L ��
Total Land
Residential Irr��il�vem�nt� 19.
�.� � /���
Other Im ro�/ements AUDITOR
P
True Cash
Value
(1) /(o�-.
(2) —
(3) /(n�o
Dwelling (4� ���1�1, � �
Garage �5> °'����
Total �6� �"�—
T� "-Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
o� Asusmr
(�) —
(8) Nv�
- ACTION BY AUDITOR -
Assessed
Valuation
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S� U
Homestead
Valuation
S-/7-'�9
oare
Approved: �� - Date: � "�' � %
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