Homestead_Perry (17) - 'Mt tM..xl V.M,R_r w, MEASURER FORM TS-IA
APPROVED BY gTnrRMRO OF.ilyytJNfl].M ru3Rmmov Ill!DEPARTMENT Cif LrA:ur4mLVMmTFNA,CE,c<t.,-r4.,
Gibson County Auditor N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
di 101 PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1347-7009 requires taxpayers who receive the homestead standard deduction to serifv that they arc eligible to mete the
benefit arwt to provide additional identifying information necessary to allow county gtwernment to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Goverment Finance will me this information to create tools that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Perry, Leslie Bruce Jr/Jessie E
241 S Prince
Princeton IN 47670
2862
Leslie Bruce/Jessie E Perry Jr.
241 S Prince State Parcel Number Legal Description
Princeton IN 47670-2115
ut�t�ut��nt��t�t�n�n�nt��n�t 26-12-07-302-002.149-028 019-02149-00 OLD PLAN 3 PT
n
Spouse First Middle Last
€ss /il J"—)E/e(2- y
Mailing Address(Number and Street,city,state,and ZIP code) Etie as property address
aYl Thy retiNctsi. ee,f .ve-cra4 )) lvt/ [,�76 �c'7
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 xes and substantial financial penalties.
•
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FORM HC 10 1979
PresttiOeE By State Bwrd al ia. Cammi55ioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
io Be FileO in Ou0licate
�
SEE BACK FOR FILING INSTRUCTIONS OI9 � O� I� 9' � D
�(We�` /J�wil,� „�s u�� � ��i, certify that on the 1s[ day of
�vlarch, �9 �79 ,(We) occupied as our princi I place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) L4" owned
❑ are buying under contract
❑ have a beneficial int,@rest in the taxpayer
Property Description in �����!'�`'�*J�-+
Taxing District (City, Tewc�Townsu+p}:��
Parcel Number
If buying on contract: Owners name �'� "'"o1e °°�"ef�
G'� Township
or legal description shown on tax statement:
(S!�� � 3�• e��
Contract recorded in Recorders Oifice - 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:
hereby certify the above statement is true, correct and complete
'SignaNre - ��[/`R/'— ��
�,�p_ .�
' Individual either owns
on the
c
Counry
Township
State ana 2io �e
buying under a contract that provides he is to pay the property taxes
ence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � � � � �
Residential Improvements Dwelling
���� 2 '3�� Garage
Total
Other Improvements
�, i
Tr��� Improvements - Line ) plus (7) gqu�,s�J,�)
I�by certify the above is true. correct. and complele.
SipWW!¢ pI ASSPSSO/
Q
True Cash Assessed
Value Valuation
(�) � 5�� O
(2) —
(3) ,i 5'�� C�
(a)
(s)
(s)
(�)
($)
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�-�i 6 �7
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Homestead
Valuation
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Oate
Date: ` � /