Homestead_Market (5) AllRn1RNY 51•TE'/kro TRrDasCE TORN 4i
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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead saandard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than exec for homestead fraud.ltomesread fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taspaxers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county genet-merit to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized roomy oficials.The Department of
Local Govertrnent finance will use this information to create tools that will help county offcial>eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Market, Mick R
108 N 9th
Princeton IN 47670
1584
Mick R Market
108 N 9th State Parcel Number Legal Description
Princeton IN 47670-1118
1111 tllntillnilIlntln 11111111 26-11-12-203-001.116-028 019-01116-00 BMA 98
-
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Viet frto ,izfcEr
-- ' g Address(numbir and street,city;stag,and ZIP code)— -— -- -_ Sam:a.;property a dress -- - --
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIl'code) [] Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
site
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 1 Signature Date
•
�oet.t xc ia �•, y
PtESbmm 9y 4a;e Eoz:a o: !a� Canm:siio.^.e6
CLAiIY FOR �OME�EAD PROPERTY TAX CREDIT FOR YEAR ,19�
,
QC �EE BACK
., „� ./ _
FOR FILING INSTRUCT�ONS
��
iu lie f:.aJ m !.:nm:.Y
GI
'�We) ���^�`' '� `'" certify that on the tst day of
ch, 19 I, (We) oc pied as our principal place of residence the following described real properiy for
which a Homestead Property Tax Credit is hereby being claimed:
I, (1Ne)`C� ovmed ✓
❑ are buying under contract
❑ have a beneficial interest i_ � the taxpayer � � g ����6
Property Descripiion in 1J1�3�� County Township
Taxing District (City, Town, .Township): ��
Parcei Number or legal description shown on tax statement:
�.m. A . q8
If buying Ofl contract: Owners name � ee s�moie owne�l
Coniract recorded in Recorders Office - Record No. Page
li any portion of the resideniial structure or ihe Iand, not exceeding one (1) acre that immediately surrounds that
siructure is used to produce income, describe the use arid portion of the property utilized to produce income
Any other couniies in which individual o�.vns or is buying real property:
I�;zreby certify ihe above statement is true, correct and complete. —
�C��`-V�a�,�� l l� � N , q �`' . �t . '�
� 'Signawre . Street ACCress -
Couniy
Township
7 (oi�0
' . . . � . . �T�
Individual either owns or is buying under a coniract that provides he is to pay�the
on the residence, or has z beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY
Land not exceeding 1(one) acre immediately
surrounding resid2niial improvements
Other Land
Toial Land
Residential Impro��ements
Dvrelling
Garage
Total
(�)
(2)
(3)
(4)
(5)
(6)
ana
JU:d 3 0 ?yu9
�'r!/N..P� �7' �i.:�c.�S
True Cash Asses"sed��jOf. �Homesiead
Value Valuation Valuation
Other Improvements (�)
Te�provements - Line (6) plus (7) equals (8) (8)
I hr._.,y'certify the above is true. correct. and complete.
S�S��:ure o: t�ssessar � �
- ACTION BY AUDITOR -
Aooroved: 1.�� ' ' ' "`�i"""
Da:c
Date: �°'30'g�