Homestead_Reed (9) STMT FOAM))'M OW!.-dol. TREASURER RtM Ztn
RtarI� PORTANT NOTICE TO HOMESTEADrPROPERTY OWNERS
f�ibson County Auditor
101 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 can for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
0 HEA 1344-2009 requires taxpayers who reecho the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing-,.'rbk information will he kept conlidemial and can only be accessed by authorized county olTicia6.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
_ Reed, Robert/Sarah D
107 Freddie Ann Drive
Princeton IN 47670
3230
Robert/Sarah D Reed
107 Freddie Ann DR State Parcel Number Legal Description
PRINCETON IN 47670-3111
Itlttlltttllllttltttlll Iltrttlltttlltttlllltttltttltrlltl 26-12-08-104-002.802-028 019-028oz-0o EAST HILL 10
PART 2:TAXPAYER INFORMATION
(Tyner--I First Middle p^ Last
_ evw
g Addriunbcfasm,a,citj;siatc;andZ:P code) — >\J — -. .. - 0—Same es property address. - _ ._ —
I.O') F I P (-G;vs? (4)negY,v
Spouse First Middle Last
Mailing Address(Number and street.city.state,and ZIP code) ❑ Same as property address
10 9 1-c�,x)� AKA) ��otiR �� rX�Qbv� 1
tN Y *90
Each undersigned certifies,under penalty of perjuy: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 Sign. Date
40
G
�
�
❑
' CLAIM FOR HOMESTEAD PROPERTY TAX ��
CREDIT/STANDARD DEDUCTION c�'
t Stete Form 5/73 (R6 / L-03)
� Preambed by Ne Department of Local Gwemmeni Finance \Q
INS7RUCTIONS: See rererse side Jw fifing instnxtiwu.
FORM YEAR
HC10
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-.._ ...�._ _,-._ __...-.:-.. -:.:.:_. ._,,..,-._.. _ __......,. ...�...,�..,.m
_ . . . ... . . _.. . -.�. �.� . . ....... . :_..
I(VJe) � certify that on Ne tst day of March, 20_
I(We) occupied as our principal place of residence the fdlovring described real property for which e Homestead Property Tm� Credit is hereby deimed:
�(VJe) owned ❑ Pte buying under cont2ct
, Have a bene0cial interest in Ne entiry that is liable for Ue pmperty tenes on the property and �hat owns Iha property or Is buying under a conVect.
II btrfng pn convpa, Fee Slmda
RecoNers office where conUaa
Counry
Parcel number
01 � -C
1/8ny pation ol N�
al fhe property utili
Caunty
neme
;:;i4"p: ":
Tamship
sWdure w Na land rwl e[ceeEing one (/ � aee
caincome.
I heraby cerUfy �he above stetamants are We, cortecl end complete.
� �Lress (numberantl sLeef. dfj stafa, ZlPCOtle)
�
s�
�
numCer �Pape
7' ' t (crty. fown, rownship) �
is me c�vsm i� o�es,�,:
❑ Real v�CeM1Y ❑ MoMe Mome (I.C. 67.1-n
SurtounES NaI structura Is useE lo p9tluca income, Oescnbe Ma use en0 pption
County
cieiment
��4�i -
5� "�*�ASSESSOR USE ON 1'�Y �'� J�� ���UE �� AT E 0% OF TTV� �?� V LLUE�Ds� k'�` �`� NON�ESID -ENTIAL��lr �j. i
..�:.. a. .. cr,. "a�k?3�.M1.!4� i,.n w . i .. :,.... .. ��. : � . .._ . _ .:� i i�`.i.'.-.:>;�::�VALUE�•'ti'Y r .
,_..-awL.t«'�v.
Land not exceeding 1(one) ecra immedietaty � �;?L�"'is�^��;�"'`� x?:� � `��
surtounding residantial imp�wemants. ( � 4,,����;� n�n�y.�; I�,_r�.�y,�, �h
Otherland (2� '�'• ;'.�.i,i.i'::�,�i� 2Y
Tdal land (Ilne 7 pl�s line 2) (3�
n�r.`�...;_.:.,:-•;-Aka +ril .5;� 4''
Dwellin 4 c:,:.tq,`.}�2:+r '� :5'�-��!!i;-;_°':-�$..+'• .
Residenlial improvements orAnnuaDy 9 (� :"�-;:.;K.�_'✓„�� S:,r:�: _�{i;j?.�:�:.}}�?i;+c.F;.I;
Assessed MobilB I ManufatAired Home �-� � �• � e a;�
Garage (5� Y � .,:l�„j! k"�Je'tt''' r.:�
"a._"e�_:(�.'xEa}iW-.t�,f 5.t„Sr.k
Ojperimpmvements (6� j,.,. _,:.:r, j,:'' _ _
_d`� ..c." �
TGei Improvements (lina 1 thrwgh line � (��
TGaI vaNe (line 3 pha line n (8)
I hereby cerlity �he above is We, correct, and Signawre otAUessor Date sipned
completa.
Veily'mg action - Signature of Puditm Date siBnetl
r
SlgnaNta ol Puditw
20 _ Pay 20 _
Lesser of 12 Homestead
Valualion w 535,000
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