Homestead_GravesPicsndoed Uy state Board of lax commissioners
CLAIR9.FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR.19
SEE BACK FOR FILING INSTRUCTIONS
(W`Are) �!�ri4�� � certify that on the list day of
h, 19 , 1, (W ) 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 owned �/� �QQ ��� ✓/
❑ are buying under contract p
❑ have a beneficial interest i the taxpayer ��_/j -C:? Q�-(J
Property Description in County JICZ^^``°`� Township
Taxing District (City, Town, .Township):
Parcel Number or legal description shown on tax statement:
(;�. A/W'_gq0( ,4 ao - a- "? .%,AC-
If buying on contract: Owners name Ile, simple O'ne')
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: County Township
I hereby certify the above statement is true, correct and complete.
Street Address _ _ .. City. slate and Zip Code
Individual either owns or is buying under a contract that provides he is to pay the prop FyM)e
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements
Dwelling
Garage
Total
0th^- Improvements
To.,
nprovements - Line (6) plus (7) equals (8)
1 hereby certify the above is true. correct, and complete.
(1)
(2)
(3)
(4)
101
(6)
(7)
NE
E ONLY -
True Cash
Value
5.9wrom of nsscssor
iaN c:Y .iu'sTOR -
SEP 18 1989
Assesa4t4 wkHo'T'A wj d:
Valuation AUDITORLI ion
Doe,
• STATE FORM!a W IR_!YPI TPF>,SUIIR IORM 13-IA
.APPRIWrn BY CT ATE BfwRD(1W ACIYflI I5.,IM PLFSCRMED BY fur DFPAP.Tlcfl OF LC4At CNtrs..nr FINANCE IC '.Ira'
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
•101 N Main
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt or this deduction becomes
FILED mole beneficial,there is more incentive than ever for homestead fraud.d deduction fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county go.emment to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanntent of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
APR 2 3 zuw PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
ayr7ag+�! . Graves, Donald/Rebecca
GIBSON COUNTY AUDITOR 107 Main PO Box 63
Francisco IN 47649
4586
Donald/Rebecca Graves
P O Box 63 State Parcel Number Leaal Description
Francisco IN 47649-0063
26-13-20-101-000.183-005 012-00183-00 PT NW NW 2029.46 AC
Itlttlltt rldltttlttlltltt ilt ttlittrtlitt rtlit tlltrt tlltt tlril
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle- Last
c\N.) R1 - ---- -- - - C�Ra\\ ES - ---- - -- - --
g Address(number and street.city,Hatt,and ZIP code) Same as property odiiiczc
\c .7-1 01\Q-L lam\ ST p O FRc) 1st'; FQPsS\\v =Sc S.n\ t-k`l 1.`k9
Spouse First Middle Last
R 6AFSC .ka
S. CS R A\1F.:,
Mailing Address(Number and street.city,state.and ZIP code) ® Same as property address
\C\rt c -.c\.1 cv. P ' 5c\X \ . -etc sc t Gee St\l x-tnl Lket
_ -
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 Signat Date
)
PART 4:ADDITIONAL INFORMATION