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Homestead_Parker (6) .. • sort FOEM53N t:r w.t tRLtctUrom atA .\rrRmLD BYSTAIE bOARDOF.aCCOLINr3.9v rtEAT1BEDBY mEDE]MTIL`rr(F LOAL OOV_LNMENT ra:ASCE Ice-it--il 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 becomes more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. dip HEA 1341-2009 requires taxpasers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying confidential infl and can necessary obe to allow county ized county officials.ciaer monitor homestead This information will be Lqa confidential and con only be accessed by authorized rouny�officials.The Department of Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION APR 1 21010 Taxpayer Name Property Address Parker, Pamela A —y2/ Ira P o Box 1 144 .o%N COUNTY AttOIToA Princeton IN 47670 35.8 Pamela A Parker P O Box 1144 State Parcel Number Legal Description Princeton IN 47670-0844 t��rtltrrl��r rrl�rrr�tt�rt�tt�t�t t�r�tt�t�t t�rt111� 26-11-01-404-002.091-028 019-02091-00 PARKVIEW 3/4/5/6 BLK 4 11111111 ttl 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 Owner I First Middle Last ere n r�c I✓ _r er ng Address(number and street,city,state,and ZIP code) © came as property address P• o -I;Q1c lVY (93o N• irebree 4' n cc-iv er =Tn - q/ 767n Spouse First Middle Last Mailing Address(Number and street-city,stale,and ZIP 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) Slate 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, or she may be liable for back taxes and substantial financial penalties. Owner I rgn e �� Date 0 J.._ �. r `. ...� _ ._. . CU�lf�i FOR HG��STEHD FRO°�t�Y TAX C.�I7 FOP, YE1�R 19.�(0 � �Q O�� SEE BACK FOR FILIN6 INSTRUCTIONS O�9-��,(J q%-O� I, '•. �`) �� �, . �p�1,p`, P certify that on the lst day o � �, . � rch, 19 , I,' 41� cim as our princinal nlace oi residence th° follv.aing descriipd real ��o�.sty for which a Hort�t=_ad Pmp=_rty Tax CYedit is herehy }r..ing claiired: Z, (i•�e) �oo-ma3 � are buyinc? urrie�' wntract � have a bene�icial int_rest in the ta�yer �� Proc+erty Des^ription_ in `.�.�i �L�'101^ ��ti' Tahrshi Ta}:ina District (City. Ta,n, Zbwnship) : r�rc�1 r�L,,.n�°.s I � or legal descriotion shrnan on tax statanent: � A 1?� �, � r � — �I — 5 - Ln !�-IZ. I= Dllt'1i:7 on �n`�ract: Oo.n=ss r�r� (fee sur�le v,v-ner) Con�ra� r�ord�i in P°card=r's O`=iro - F�card rb. Page I' a�y oor,ion of `�.h_ r=sid�tial strt�cture or `he land, not e.�e�ii-ng or� (1) acre that irrn�iiztely surrotads that structure is usa3 tn pmduce incane, d=scribe the use a*�d portien o� ti±e nzog��ty utilized to produc= incoire pn:r o;t'•°—r m�.*ies in o.�hich iuxli�2di:a1 w.�ns or is bv�ing real oroo�.sty: Cb�tv ?c.Yrshio � hes� � c-`�i`}• the ve S` t is true, mrrect a� corplete. ���/ 5rseet Fr3dress Ci.ty, State acri Zip G *Sianacur°_ *Individual eith_r owns or is kuying wi°-r a a�ntract that prorids he is to oay `.h_ Dro�scy texs on tn_ rsid�ce, or has a bP�°iicial inter=st in th_ ta.`:naYer• - FOR ASSESS(h'2 � 5 USE Ot;LY - True Cash Value Lard not ex��9 1 Sone) acre inc�diately surroursiing residential itmrovarents (1) / �5�0 Q`�her I.and To�al Land P� sidentia 1 7iromvmients Dwelling Garaae ��. a-�n,s 7lrorovan�.nts Tc ' Iromv�rents - Line (6) plus (7) �ls i8) (2) (3) (4) (5) c6� 9ago ��� � i So �e� ���30 � h�s�� certiiy the ai�ove is tn:e, corre�, arxi can�l=_te. j1.�'�i13t'�_ oi tiSS?SSCT - AC i I ON BY qUllI Tf1R - � Dat�: ���:vc-�c.': -� Pss°ss�3 Va].ua �ion �/ �/ � � 30^70 7�0 3 8/a Dat_ S ]rn�s �°�: Valua:io; �8� � �� � . ��%/� /%/, �/�/� � 3 o�p: I� � � %////%/