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Homestead_Mullen „ STATE FORM S]SM(1UI B-10) TREASURER FOAM TS-IA APPROVED BT SIAM BOARD OF ACCOUNTS,AA FRESCOS°BY THE DEPART-MEAT OF LOCAL OAT•FANMENT FINAVtf M 61.,-1$I • Gibson County Auditor IMPORTANT NOTICE TO 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,them is more incentive than ever for homestead fraud,Homestead fraud causes higher tax bills for all;therefore, HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to s'erily 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 be accessed by authorized county officials.The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION 0 Taxpayer Name Location Address 0 ,Mullen, Tammara R • 621 N West . Princeton IN 47670 2531 . II l Tammara R Mullen ll In1I I_�lll hi InI.hell_ II viii inniii i hill II- II ll IDl l I_I III_1011111 OII DIM II 621 N West Princeton IN 47670-1439 . 111i 1111111111111111111 611u1111111111111u 1u 1111111 11111111111 State Parcel Number - Legal Description 26-12-07-102-003.595-028/FOREST PARK 27 PTf26 PT FILED ✓ JUN 8. 2011 c . Thi BtgrmaSRreturned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. r- _____._. ____EMIT211AXPAYER-I\TOR_ IATION ____ 6 .-r 1 First Middle - - - Last_ — ,h.Djrg / 111 Re►iee Mul1� _ Mailing Address(number and street.city.state,and ZIP code) l Same as property address . 6 .21 Al , west S, , A-Incef6,), TN 47670 - Spouse First - Middle Last Kim l/Uar [-rider' G ks 0 ✓I Mailing Address(Number and street,city,state,and ZIP code) ©Same as property address 10 2. / /V e Wesf S1.� Prince/o0, 1N; 47(07o 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 fmancial penalties. Owner 1 Signature p �� Date .� �����-- - . > -- �—� -° �. —`--- E`�� "�' E CLAIM FOR HOMESTEAD PROPERTY TAX i��� CREDIT/STANDARD DEDUCTION �. , .�., State Form 5<73 (R2 / 5-92) yu '� INSTRUCTIONS: See reverse side !or filing instructions. ��\ . � �_� • r�c � __ � . _I _,' OCT 4 1991 � cwe� _(�}�vrfv m.ot.l�--.� \ � �s1 eL�xstirj �r �� r�.�,s�(�r�s_ . I(We) occupied as our principal place of residence the following described real property tor which a Ho e��rQ�aSF1T?�drt�idlh cUif►y aimed: [� I(We) owned ❑ Are buying under coniract �.'ave a beneficial inierest in the entity ihat is liable for the property taxes on the.property and ihat owns ihe property or is buying under a contract. � � ' . � CONTRACTRECORDED' _ ' - If buying on con;ract Fee Simple owner's name Recorder's oflice where contract is recorded Record number Page Counry Township TaYing tlistrict (dry, town, rownship) - P3;Fe� nu e= Legal descnption /�� � lJ �J If any portion of the residential simcwre or the land not exceeding one (7) acre that immediatety surrounds that struciure is us d ro produce ot ihe property utilized to produce income. use and ponion ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL VAIUE VALUE VALUE VALUE Land noi exceeding 7(one) acre immediatey surrounding resideniial improvements. (�) Other land (2) Totat land (line 1 plus line � (3) Dwelling (4) Residential improvements Garage (5) Other impmvemenis (6) - Total improvements (line 6 through line � (7) � Total value Qine 3 p�s line � (g) I hereby certify ihe above is true, correct, and Signamre of Assessor Da�e signetl - complete. Ventying action - SignaWre of Auditor � Date signetl � � � � �. STANDARD DEDUCTION ALLOWANCE ' ' - 19_Pay19_ . Lesser ot 7/2 Homesiead . Valuation or $2.000 5 Sgnature of AWitar Date signed