Homestead_Muncy -
STATE FORM,1!MIK'/v.0.o TPFASUIILR FORM TSIA
VFRn.'EO BT A UL WNW OF ATM!Nt.9N PAr3WBm BY THE°EPA0.➢fEYr(W LOCAL GOVERNMENT FINANCE IC 1.1.I.2.24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundani deduction.As the receipt of this deduction becomes '
more beneficial,there is more incentive than ever for homestead fraud homestead fraud causes higher tax bills for all:therefore.■
III HEA 1544-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to remise the
benefit and to provide additional identifying information necessary to allow county govenitnent to better monitor homestead
filings-This information will he kept confidential and can only he accessed by authnrired county officials.The Department of
Local Government Finance will use this information to create tools that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Muncy, Gary Monroe/Dixie L
202 Olive Drive
- -= - —- -— - - _ Princeton I— N 47670
3995
Gary Monroe/Dixie L Muncy
202 Olive Drive State Parcel Number Legal Description
Princeton IN 47670-3456
lrl 26-12-18-403-001.885-028 019-01885-00 ROSS PLACE 3
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PART 2: TAXPAYER INFORMATION
Owner I �I First Middle Last
C3- a, rJi, Al o n nog En e j
•,g Address(number and vireo,airy,state,and ZIP code) _ - {aSame as property address
--- -- - ---
Spouse First Middle Last
Thxie Lee ane,__g
Mailing Address(Number and stee4 city,state,and ZIP code) aS'sme as property address
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 Si azure �y�, Date
I
FORh7 HC 10 1979
Prescri�eE By State BoarE ol ia. CammiSSionea
To Be Filed in Duplitaie
CLAIM FOR.HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�. �
SEE BACK FOR FILING INSTRUCTIONS p(q- o�ggs-ofl
,'(We) �"�' certify that on the 1st day of
�vtarch, 19_��, ,(We) occupied as our principal place of resid ce the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C3�owned
❑ are buying under contract
❑ have a beneficial inte�..r/est�-in the taxpayer
Property Description in .CLW4-e]�J County ���.- Township
Taxing District (City, Town, Township): y-'it_+.+._c1_.�cr.� �.c�.Y f'
Parcel Number or legal description shown on tax statement:
�a.oaJ `��f�L 3
If buying on contract: Owners
o.�e�i
_ 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
' h by certity the above statement is true, correct and complete
c
/
'Si .ure Stree� Aooress Gry. 5.e ana Zip CoCe
' Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayer.
� � � SESSOR'S USE ONLY -
Land not exceeding 1(one) acre��ii�ediateiy79
surrounding residential improv% e�///��
Other Lantl (�" � 6l
� AUDITOR
Total Land //
Residential Improvements
Other Improvements
Dwelling
Garage
Total
(�)
(2)
(3)
(4)
(5)
�s>
(�)
L� Improvements - Line (6) plus (7) equals (8) (s)
f,. .aby certify the above is irue. correct. and complete.
nssesso�
Approved
True Cash
Value
��
Assessed Homestead
Valuation Valuation
- ACTION BY AUDITOR -
oa:�
Datei���J� �