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Homestead_Pauley (8) STATE mAN 53'MIR2/Y•I TAIASULLR FORM 73-1A .APPROVED BYSTSTL RMRD(f MT,y-al.T.,9v RRE4RIBm BY THE MP/WHEW%LOCAL CO%tR.`!tlWT FL'AWCE r 4-11-2:4A Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead standan]deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than exer 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 am eligible to receive a the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead Tiling..This information will he kept confidential and can only be acees cd by authnrired courtly official..The Ikpanntent of Local Government Finance will u-c this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Pauley, William C/ 319 5 Seminary Princeton IN 47670 3017 William C/ Pauley 319 S Seminary State Parcel Number Legal Description Princeton IN 47670-2121 26-12-07-401-002.109-028 019-02109-00 PT SE 7-2-10.17 AC I rlrrilr rr1r 11tr 1ttr 111ttatt N PART 2:TAXPAYER INFORMATION Owner I First Middle Last 1Jii1 /ANi CA4RK f,qULr--Y ' D..,dmg'Address(number and'stroat,city,state,and ZIP code) - --- -- — — — -- - E Same as property address---319 Scull Si-2111 A2v 5TR1i_ t PR/Nc/ToN IN 97670 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 Signature Date ia- FUftM HC 10 1979 Rescri�eE By Sute BwrE of Ta. Cammissioners To & FiIM in Mplicate � CLAIM FOA HOMESTEAD PROPEHTY TAX CREDIT FOH YEAR 19� / SEE BACK FOR FILING'-INSTRUCTIONS Q�L�'- Q e��O�J'-OfD (We) � °F certify that on the 1st day of - arch, 19�, I, e occupied as our principal place f residence the following described real property for _ which a Homestea Property Tax Credit is hereby being claimed: I, (We)� owned ❑ are buying u�der contract ❑ have a beneficial interest in the taxpayer Property Description in ���P+� County �� � Township Taxing District (City, Tewa,- Tc�u�wshi�): ��-�- Parcel Number If buying Ofl contract: Owners name ��� s""o�e ownerl or legal description shown on tax statement: �r_ .1'E �s� 7- � � / o . / 7 a-rirv_ 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: i'�hereby certify the above statement is true, correct and complete. � .�.�.��.�, ��� �_ � 'SignaNre eet AOdress County Township ____��� Ci�y. State antl Zip CoGe ' 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. - FOR ASSESSOR'S USE ONLY - Land not exceeding 1(one) acre immediately surrounding residential improvements Other Lantl � 8 � � � Total Land Residential Improvements ��;�1 G.5 �` j� Dwelling G age � � t� Other Improvements � AUJITOR . To'-' Improvements - Line (6) plus (7) equals (8) –I ��y certif r�the above is true. correct. and complete. Signature of True Cash Value (t) /�30 Assessed Valuation s 4�0 (2) — — � � i � .�-. � ; � .� - ACTION BY AUDITOR - 5— 5�0 -� Homestead Valuation S'sCo %%%/%%O//%%%� l0-��-7 Dare /� i�l,� .n� � �� 9 Approved: Date: