Homestead_Robb (12) %1WWE FORM 535• IR:l 54 1 nrrAiatrit FORM:S-IA
APPROVED BY Sf 1E BOVIDOFACCOUT5.2UN ?RL ANW BY TIM DEPARrxesr OF LOCAL r taNMCA'r FINANCE lc-l.l-L'J.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become,
r more beneficial,there is more incentive than ever for homestead fraud.!Inane-stead fraud causes higher tax bills for all:therefore.
• HEA 134+-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to preside additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lept conlidenlial and can only hI accessed by authorized county officials.The Depannlent of
Local Government Finance will use this information to create Owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Robb, Robert/ Nancy L
Outer E Ohio Box 48
Princeton IN 47670
1368
Robert/Nancy L Robb
1112 E Ohio
Princeton IN 47670-8702 State Parcel Number Legal Description
Itlullnalt11u1na111a ulnitlnr111nrnIrinrllulrlrllul 26-12-17-102-002.403-028 019-02403-00 PT NW 17-2-101 AC
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.
PART 2:TAXPAYER INFORMATION
Owner I 0 First Middle Last
'ng Address(number end street.city.state,and ZIP code) Same as property address
Spouse First Middle � � Last
NO icy 11 n a e /Ky�/
Mailing Address(Number and street,city,state,and ZIP code) Vi 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
unlawfully,he or s e may be liable for back taxes and substantial financial penalties.
Owner 1 Sign ' 4 n qoa Date
FOflM MC 10 1979
Prewi�ee By S�aie BoarO ot taR Commissioners
io Be Filed in Duplicate
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT.FOR YEAR 19� L�
SEE BACK FOR FILING INSTRUCTIONS D/ g– Oa:�Q,3� OO
�(We) `� `�- ��� ��X%' certify that on the tst day of
�vlarch, 19�, I, (We) occupied a our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C3'owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in ,� County _ ���� Township
Taxing District (City, Town, Township): `�it..vn-t�w Qw.-�+.c.,yc 5
Parcel Number or legal description shown on tax statement:
`f'�_ Nw `i� i7-�. �o /R_
If buying on contract: Owners name '!�
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:
hereby certify the above statement is true, correct and complete.
County Township
a�a
Individual either owns or is buying under a coniract 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 Land � � �
Total Land
Residential Improvements � ti3��
���j2' Dwelling
�>ge
Fvta�
Other Improvements �' � 0.UD1T�R
T.r•-� Improvements - Line (6) lus (7) equals (8)
'i �6y certify the above is true.• correct. and complete.
Signawee
True Cash
Value
(1) �ooa
(2) —
(s) /ooa
(4)
(5)
(6)
(�)
(8)
Assessed
Valuation
,� 30
.3.3 a
b�
- ACTION BY AUDITOR -
oa�e
Homestead
Valuation
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Approved: � `�• /u.�a� Date: ��a7,L7/r