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Homestead_Minnis Spa FORM'a'tsgR F rarissa Z FOAM t-IA' VFRn'EO BYASTE B 1 OOt Mfg 1S. PILFSCPIBED BY nM DRAa1YQ:YHF LOCAL t01WAW.IA111NRSCE e't.I-HJ.I 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 become: inure beneficial.there is more incentive than an for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to lathe the benefit and to provide additional identifying information nece.nar to allow county government to better monitor homestead filings. this information will he kepi confidential and can only he accrued by authorized county officials.'the Dcpannxnt of Local Government Finance will tae this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address _ Minnis, James Lee/Sandra L 210 S Madison Princeton IN 47670 3325 James Lee/Sandra L Minnis 210 S Madison State Parcel Number Legal Description Princeton IN 47670-2226 III I III t o tit t o nr te t 1111 IIt I 26-12-08-301-001.812-028 019-01812-00 LYNCH 2ND 134 PT/135 PT/136 PT PART 2: TAXPAYER INFORMATION Owner I First Middle Last _ N'TAMec eb ' ZEf /fitr,vNts tg Address(number and street.city' ity,state,and ZIP code) — — — Same as propcny Iddr—ess -- -- - — " — --- ' 10 5. fA-DI row CT. PRINCTrog. /Ar. /7C7o Spouse First Middle Last 511-fry DRA LEE At AtArcc Mailing Address(Number and street,city,stale,and ZIP code) ©'Same as property address )la S. AA-A-lice,/ Sr. PRINCE7"o,1 , I,(. - 4-767o 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 Arn 7 Z010 91000N couren AUDITOR FOFM HC 10 1979 PcescriGeG By S�ate Baam o� iaz Commissioners To Be Filed in Duplicate CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 191� ,/ SEE BACK FOR FILING INSTRUCTIONS o�g_ ��g�a.0�*J a „_ - , _ _� (We) 4i�`"e°� -�- ¢`� �� certify that on the 1st day of �larch, 1��, 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) �owned ❑ are buying under contract ❑ have a beneficial intere t in the taxpayer Property Description in ��.i�r-�.__) County � �-- Township Taxing District (City, Town, Township): .—Q�OJ�r��n.. Parcel Number or legal description shown on tax statement: n . _ � � If buying on contract: Owners �lee simo�e owneq Contract recorded in Recorders Office - Record 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: certify the above statement is true, correct and complete. r County Township City. Scate and Zip Code Individual either owns or is buyin9 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 immediatel surrounding residential i�� Other Land Total Land JUN 2B i979 Residential Improvements Dwel�ing (./f Y', ��.4jdi(�"J'rage � AUDITOR Total Other Improvements T�'-' �mprovements - Line (6) plus (7) equals (8) I�by certify the above is tru�correct. and com Sigiurore ol nssesmr True Cash Assessed Homestead Value Valuation Valuation • r i � ! i � � � �jjj��j�j � jjjjjj��j/ ' .�'. • j��j�j/ j�jj�j��j//j��//� •7 �� /%/�'%//�� . i „ i , ' ' � � __�r � (�) ($) 6 —�z /— �y oa:� Date: —L:/ �/�_/ / `� / /