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Homestead_Sherman (3) FIVE FORT''fit itC(•Ant TREASURER FORM S-IA VPROVED BY ST,Tt Wt OtK■CLOUTS_"N. Rr3Am(Dnv all DE?ARfCJT(f LOCAL r VER,FMrxr FINANCE M V1.1-1-n.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deducion becomes more beneficial.there is more incentive than mgr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the benefit and to ptoside additional identifying information nemsars'to allow county government to better monitor homestead I Ft filings.This information will he kept confidential and©n only be accessed by authorized county officials The Depannmu of J III Local Gov<mment finance will the this information to create awls that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION MAY 3 CUIU Taxpayer Name Property Address -yy� �/M Sherman, James C/Dessie �'r/s 830 N Gibson — GIBSON COUNTY AUDITOR Princeton IN 47670 2660 James C Sherman 830 N Gibson - State Parcel Number Legal Description PRINCETON IN 47670-1662 ltlltllllllllllalllllilt1111llllllllalltatlllllllltlltttlttlli 26-12-07-201-002.753-028 019-02753-00WARNOCK 10 1 PART 2:TAXPAYER INFORMATION Owner I First Middle Last nfit?e-s C Le- it 7 1 s S F1 eenI4A/ - g Address(number and suet city:sac,and ZIP code).— -{� — address._ _ ® Some as property address. o Note -r14 GI13soAi lv {eI 'tie aToe7JlJ 97670 — — — Spouse First Middle Last (-eSS7e lice N. SNzleM4ni Mailing Address(Number and street,city,state,and ZIP code) �o ®Same as property address Ego ,)d2 T H C�feS of I_ /\ /U c n_ 7. N J hJ' y >G70 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 Date • r, CLAIM FOR NOMESTEAD PROPERTY TAX = CREDIT/STANDARD DEDUCTION � � Slaie Form Sa73 (R6 / 403) Prescnbed by Ne DeOartment ol Local Govemment Finance INSTRUCTIONS: See revcrsc sidc !or lilinq lnsVUCfions. _ � - .,,.. �.:. . 1N\ � FORM 1 �' HC70 YEAR ��?}^ ' � +�; ..< - ' :r '� . CERTIFI N STAlEMENT-. - �� _ — � � I(We) � 9 P P� certify thaPonYl��t�t�y�f arch, 20 I(We) occupie as our principal place of residence the followin described real ro e (or which a Homestead Pro ert �l� r it Gaimed: ❑ I(We) ow d ❑ Are buying under wntracl � Have a beneficial interesl in lhe entity Nal is liable for ihe property taxes on the property and that ovms the property ���i� contraU. s� II buyv�g on contraa, Fee Simple ownefs name RecoNefs ofica whera contrad is rewrded Record number � Page ;��-Le.-, s_t-� .-:.,._ . : -•r.-__,, .--._^',. c—`i•;-:..,_...•�RROPERTYOESCRIP,TION`S. - _.�t: �. � : •. -.. �..,�- ,. �i: ,, d ..-`-. . Counry 7pvnship Tacing dis�rict (ciry, town, township) ber /S� La al scription Is Ne pmperty in quesGon: �✓/� ❑ Real D�oVerty ❑ Mo6ile Homo (I.C. 67.1-7) If any portion ot the resiEentlal s Wcwre w the land not exceeding one (1 � acre t�al immediatety surrounds ihat swuure is uud lo Droduce income, desuibe Ihe use and portion of the property utilizeA to produce inwme. County Tonnship I hereby certify lhe above statements are true, conect and complete. AOOress (number and sfree(, city, sfafe, 2/Pcode) Counry oftlaimant a Tavnship c �`�''r`i '{' ASSESSOR SE ONLY�- ._ TRUE�TAX ASSESSED VALUE �. �HOMESTEAD ` NON-RESIDENTWL„ �,>L:�S.t, i?..�..: r+ ..:L:'s,---�--�.•. . . '�': VAL.UE "AT 700%OF�TTV � . � ° VALUE.- '.{'2.:VAl.UE_� . . Land not exceeding 1(one) acre immediatety -= "` -` . surroundingresitlentialimprovements. (�� '_ -. `- : � Otherland (2) • . � TUaI land (line 1 plus line 2) (3) Dwelling (4) �;. . .., � - ResidenGal improvements or Mnually . �-; Assessed Mobile / ManufacNred Home Gara e }E -. n�-� . 9 �5� - a_ . . . Other improvemen�s (6) Tolal improvements (line 4 fhrough line 6) (7) � � Tdal value (line 3 plis line 7) (g� I hereby cetlify the above is Vue, correct, and signamre ot nsseswr Oate sgnea complete. Ventying aclion - SignaWre ollwUitor Date signed