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Homestead_Morris STATE FORM MOOD/11-10) TREASURES Med TS-IA • APPROVED BY STATE BOARD OF ACCOUNTS.20"; PRESCRIBED BY THE DEPARTMENT OF IOCALGOVF4\MEVr FINANCE IC6-1I-al-RI Gibson County Auditor IMPORTANT NOTICE-10 HOMESTEAD PROPERTY OWNERS 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore, T HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the • ben filnegfis Tanhd is tio n fporrom5iadtn n a ddwiiltl i obe na l k epide n t condg e nitniafol rma and t icoan n necessary a ccto e saslelod w by c on autthy o rgizeved rnmunyt officittals.Thmoe n iDtoer p homestead f Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION APR 2 8 2011 Taxpayer Name Location Address Morris, Glenn R 0 SR 64 - GIBSON COUNTY AUDITOR PRINCETON IN 47670 2372 Glenn R Morris II 1111111 hhI101101011101111111011111111 II0011011 IIIIII01 II=111110011011 IIII 10111 3318 W Broadway St Princeton IN 47670-8573 "�FII III'I11111 11111Ii"uu I11I11111111111111I1111tr111111111 State Parcel Number Legal Description 26-11-10-200-004.079-028"/PT NE 10 211 20.86 AC This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2:TAXPAYER INFORMATION - _ Uwuer I First Middle Last I r / r is Mailing Address(number and street,city,state,and ZIP code) Same as property address 3 3 i r LU 6 it o cL w ec. Spouso First (� Middle n Last Mailing Address(Number and street,city,state,and ZIP code) Same as property address 3 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 FORM HC 70 7979 , To & FiIM in Duplicate Hescri�eE By Srote Board af Tax tommissianers CLAIM FOH HOMESTEAD PROPEATY TAX CREOIT FOR YEAR 192`� SEE BACK FOR FILING INSTR .. i'� �(We) ��'�, �� 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: O��^ O� O� � I, (We) �wned 3 ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in � County �"�`�r�`'— Township Taxing District (Git�y, �ewn, Township): �� Parcel Number or legal description shown on tax statement: �^� / ( �O A� (i'�. /UC �-f /O��—// If buying on contract: Owners name �� `"�1e 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 ocner counues in wrncn inaiviauai owns or is ouying reai propercy: �ounry i ownsrnp hereby certify the above statement is true, correct and complete. 'Signawre � °� 1� �3 $treet AdOr¢ss �7�T7 Giry, S�aie ana Zip Coae ' 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. �Y�].�FX9�XY�I:�F1�bY�iLl�! Land not exceeding 1(one) acre immediately surrounding residential improvements Other Land Total Land � � � � � Residential Improvements Dwelling �`�n' � ? !J�� Garage ��'=d�CRyTotal Other Improvements� , �j T�'�' Improvemen�s - Li (6) plus (7At�1�2 (8) I�oy certify the above is true. correct. and complete. Signamre ot Asseswr True Cash Value (t) Soo (2� � c So (3) �SSc �a> /a o 0 0 (5) — (6) /aGOo (7> a � �o (g) /'�G'Fo ��y,��t��t��i� Assessed Valuation :!�� _ ; �� i rO / � .� � — S-7 Da:e Homestead Valuation Date: ��.Ll� � • i