Homestead_Peed SIMI FnRM n,..I t so.':t T1 TREASURES PORN 3IA
_
ii Mini",BY STATE&s-sooF- eV*NTI.Lnx PAIAWBm BY ME(*PA ne.T Or LoAL GOVELVME,T FINANCE le H.I_-.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
i II 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 eter for homestead fraud.Ihomestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county ofeiuls.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
Taxpayer Name Property Address -
_ Peed, Bernice B/Elizabeth A �I ,
PO I3ox50 �r
Princeton IN 47670
64
Bernice B/Elizabeth A Peed
P O Box 50 State Parcel Number Legal Description
Princeton IN 47670-0050
Mulltttllllttltltilltrgilrarll,rtFI I IItrPlI I II II 26-1122-07-102-002.122-028 019-02122-00 PT NW 7-2-10.18 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
111,-Qtr 1n c-C E 2
Mailin-gAAddress(number and street.city,state,and ZIP code) - 0 Same to property address - - --
Pi O, 60., (3-0 1 Py` -cam 'U',_ �✓V 21-2)-(i 7-0
i. First Middle Last
/=' / ,`z u Le--Lin 4 -19e. e_cf
Mailing Address(Number and street,city,state.and ZIP code) ❑Same as property address
P. OF d cct- , fur, X.,e."— I '-1-1)6; 5 e
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 t pA _ ,Jr:a� f,ap ! (r Date
wxh� nc io ie�9
PreS[ri�ed By $ta�e Boa�d ol ia+ Commi55loner5
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19��
To Be Filea in Duplicate
�
SEE BACK FOR FILING INSTRUCTIONS o�9_ o��aa- �
�(We) ��/_-�Z/���1 �� J �- certify.that on the 1st day of
��iarch, 19�2,�, I, (We) occupied as our principal pl of residence the following described real property for
which-a Homestead Property Tax Credit is hereby being claimed:
I, (We) [9�owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �� , County ,/� :�� Township
Taxing District (City, Tswa; �evrnsHip): /.it.t�.
Parcel Number
If buying on contract: Owners name �'� ��"'o1e
or legal description shown on tax statement:
1 '7: �� %� — / O , I Cp4�L!
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 oi the property utilized to produce income
Any other counties in which individual owns or'i�buying real property:
� hereby certify the above statement is true, correct and complete.
� � /il /a .
. . .
��.i� � i �
' � . ,..� �.
_ /
�' 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 exceedina 1 �a)s�cr�imr�iateli
%
True Cash Assessed Homestead
Value Valuation Valuation