Homestead_Lee Malt FORM 5'••1R_l fwt TREASURER TOR431A
APPROVED 13Y5E\1E BOARD Of Aff*INTS.!mN PAr]1[AIBEDBY n1E DEPAAt5 WTDF LOCAL CA\crlMENT FINANCE IC 4-1.1-7:4.1
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 incentisr than ner for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Depanment of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lee, Gayle
905 E Water S'1'
Princeton IN 47670
3323 - - _- -- — - - . -- - - — —-
Gayle Lee
905 E Water ST State Parcel Number Legal Description
Princeton IN 47670-2247
Itlttiltrtltllttlttt in tttttttirtlrit ltt litt tlllttttltlt tlitrl 26-12-08-301-001.590-028 019-01590-00 LYNCH 1ST 87
Spouse First Middle Last
Cuy\e sue 7� Le e
Mailing Address(Number and street,city,state,and ZIP code) /^ Same as property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible 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.
FOflM MC 10 1979
R¢5cri0e0 9y 9ate Baara ol ta. Cammissionea
To Be Filetl in Ouplicare
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19Z� ✓
SEE BACK FOR FILING INSTRUCTIONS o�q- �rS9a�
'�(We) �, certify that on the 1st day of
�arch, 19��_, I, ( ) occupied as our p cipal 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
❑ have a tieneficial i terest in the taxpayer �!� ,�
Property Description in �� _ County ��_, Township
Taxing District (City, Tewrr Te+vw�.�hip): /"tiL
Parcel Number
If buying on contract: Owners nam
or legal description shown on tax statement:
�
/���. ,F7
Contract recorded in Recorders Office - Record No
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.
/1 _
County
Township
ana
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 tp�Il � tl � �
Residential Improvemerft3� �0
Dwelling
.1U�! 2 u i979 Garage
� Total
Other Improvemenls�/ ;�'' /�rti�[?�
�T ' Impravements - LiAe (6) plus {�i���s (8)
I"�eby ceryi#q�the above is true. correct. and complete.
Sqw:ure of
Approved
True Cash
Value
(i) /� o 0
(2)
(3) / � a o
(4) /-�-9�
(5) l ��g17
cs� /�d
(7) �
e
Assessed
Valuation
5�70
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Homestead
Valuation
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Date: —/i!_��� � !.