Homestead_Rawls (2) SIAIE I OR\I5IY/1R:1 sWI mmaASUtrx FOAM 75-TA
APPROVED PT Si11E&IUAO OF ACCOUNTS.21n1 PrIYTIBm BY nir DEPMfMETOF LOCAL ODlT.RYMEA7 FNASCE M�Lt-r4.1
Gibson County Auditor
101 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
N Main
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 mgr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1544-2009 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necesivy to allow county goerment to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Depannient 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
Rawls, Judith Ann
910 E Evans
Princeton IN 47670
1277
Judith Ann Rawls
910 E Evans State Parcel Number Legal Description
Princeton IN 47670-2214
Irlrrllrtiltllllllllllltlrllllllllllllllllllrllllllll1111l1111 26-12-08-301-003430-028 019-03430-00 LYNCH 2ND 121/120 PT
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.
Spouse First Middle Last
Cf (4 I /1h /4///717 Flaw IS
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
- - _
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
•
FOflM MC 10 1979
RescriDM By Sute BoarE of Taa Commissioners
To Be file0 in DuDlicate
CLAIM FOH HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19�_ �
� SEE BACK FOR FILING INSTRUCTIONS Qr9 _ 0 3 Y3 p- o�
�(We) ����- ���-�-��� ��� �-�-�� certify that on the 1st day of
arch, 19�`�, s our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) B' owned
D are buying under contract
❑ have a beneficial interest in the taxpayer
../..
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying Otl contract: Owners name ��� simple owneq
_ �� Township
or legal description shown on tax statement:
�c.Q. ,`�..� � /.�-�/ /zo f'i
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: County Township
hereby certify the above statement is true, correct and complete.
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on ihe residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 e) cre med ly �
surrounding residential i�mpr�eme�ts �
t�
Other Land
Total Land JUN w s j9�9_
Residential Improvemen�tsI /���`k�welling
�/I , , arage
AUDITOR Total
Other Improvements
To'-' -Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true, correct. and complete.
$igwmre ol
True Cash
Value
(�) /730
(2) �
(s) / 730
(4)
(s)
(6)
(�)
(8)
Assessed Homestead
Valuation ` Valuation
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i?-�o'79
Da:e
ACTION BY AUDITOR -
Approvetl: �� � q Date: �