Homestead_Shipman Mit FORM fl t"IR:f W*) TREASUUER LOW i1IA
AErROVED BY STATE I il!BM PtIAtIbro BY air DEPARTMENT OF Matt r%TtNMrTT.MANCE le 11‘.1.r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2000 requires taxpayers who recei'e the homestead standard deduction to verify that they arc eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kepi confidential and nn only be accessed by authorized comity officials.The Department of
Local Government Finance will use this information to create tests that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFOR11ATION
Taxpayer Name Prnpern'Address
Marsh, Brenda
724 S Hart
Princeton IN 47670
2931
Brenda Marsh
724 S Hart State Parcel Number Legal Description
Princeton IN 47670-2642
unr1t 1t11ntlnlultlnitltknit 11nl 26-12-07-304-000.389-028 01p9-00389-00 SOUTHWARK ADD OUTLOT
PART 2:TAXPAYER INFORMATION
OwnneerI First ',
Address(number and street:ci ,sate;ard.ZIP code). - - — -_ - — - _ Same us property address
.gA (. ty•. - — --- — ---
h`t JUI '1 Pad-
r t fLUn(2 lC?i 1 3jYL�x, u7(e71\
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's LicensefState ID Number (last 5 digits) Other(please sproAfy in Part 4 below)
sae
PART 3:CERTIFICATION
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 t Date
;. l,Jill.l I VI\.tIU.L.JIChII ri�u� uu ���v �„u� � � � ��v �._.y� . � _;
Shl'P j�4C; FOR FIL1N 1tdSTRUCTIONS . ` �
Z, '-,,;e) certify that on th° lst day c�
i•Lzrch, 19 , I, li�1e) occu�ied as our princi, o ace or residen� t}ie .follv.uinq described real �
��*v1 �rty zo, •,h�ch a t!a;r�stA, pmp°,sty Tax Credit is herel�y tp.ing clauirs.l: �
,��
T, � ["J �,�'�'� m � 'i-11-11 : .= ,
� are b�ry�inR urrler contract . � - (
� hayz a b=-neficial interest in the tar.oayer a � 9.� � 3 g�• !
t� �
�re::•�rty Llscrip�ion. in 1b.,��shi'
'i'�:ing District
(City, Tarn, 1b;anstup) : �J�f�-CAJ f
P«cel il�ilr.s or legal descri ' n s}r�m on t statamst: (
, �,I� ��,,.�11�- 3r� I
I= bu_:ing on c�n�ract: aan_rs narre (�ee surole c.•,-ns) �
Con`�act r�ord� in P°c�rd_r's Ofiice - P�ord Ib. Page
I` �,�y o�rtion o� the resiciential structvre or t}ie land, not eze�iing ons (1) acre tliat :
.3ia�_ly su_*!-ouzis t}zat structure is use3 to produce inca�, describe the use an3 rortiai o� ,
i;t��-� �-o ,
�ie DTDC�j� u`ilized to p-o3uce irrorre
nn:�' other c.�u;ities in which individual an�ns or is btr��ing real orop°sty:
I hers}' c�ti�f '-�hs ab�ve statemnt is true, mrre�t ani con�lete.
�� , `I1T:.i15�i1D
� .-
na�e Street E�'iiress (:itf, Statz at i
*inciividi�al eit}n_r v..ns or is Lvying uner a o�ntract t}y�t provicls he is tD pay tti_
U�r�y tax°s on t1�e reside��ce, or has a ben�ficial iiitesest in t}i� tar.I�ayer.
- FOR HSSESSOR�S USE OP�LY -
L�y:� not e:cee�.ir�l ( _ ��reciiately
surrourr�ing resi��n ts
o�'s � DEC 1 9 1989
'i'o�l Land
P�sicistial In��O��s Rvelling
Garaae
7bta1
Oth�r I��v�nents
�u� Cash A;sess�3 F�i�s
Valus Valuation Valua
(1)
�z)
(3)
(4)
�� �/ /',;/%
t5� - % " /����
(6)
(7)
plus ( 7 ) . a 8 �iiinr�rii�ii�
�1C ' Inc�mv�����s - Z.ine (G) Eauals ( ) (
i�re�; c�s`4�y �he a}�o�-e is true, correct,
and curn�lete.
�13 t_
� 1�i1-Si,llY°_ p= .':SS°_SSCi . .
- ncrtoi� F�� Aun[mZ -
�Jat`_': � p� -) ( U / �
: :-��:�_�:: -�c�:,� � �'� ,
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