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Homestead_Summers STATE FORM!!t•qR-r f∎w1 TRRFASURn FORM TS-IA ArrMT'Fn PYSr•E BOARD Or.sTTMRR.2ttw PR/SCRIM DYnir DEPARTo,TOr LMTLnovarlMrNr rNAs(Rw '.1 -F.1 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 comes more beneficial,there is more incentive than net homestead for homeead fraud.Homestead fraud causes higher tat bills for all:therefore. ®` HE.\ 1344-2009 requires tatpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kepi contidential and can only lv accessed by authorized county officials.The Ikpann,ent of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property'Address _ Summers, John W/Mary E 818 N Race _-- 2661 John W/Mary E Summers 818 N Race State Parcel Number Legal Description Princeton IN 47670-1664 �r� art���rt�t��t rt� X26-12-07-201-002.817-028 019-02817-00 WARNOCK 18/19 PT tt lltttlrllt tlt ttlll 11t11rtt lltt tlt t PART 2:TAXPAYER INFORMATION Owner I First Middle Last John W, u.►n� r►2et-s -iit g'Address and ssst�city,sate,and ZIP code)- - - --- - Same as property address— - - - -- - I ? N . �i acs St ' Pr nc�t©rt , sn 47170 Spouse First Middle Last Mary E 51,01,114,e_r S Mailing Address(Number and street,city,state,and ZIP code) Same as property address 8IS N ,-- a_e_e- S.t . RI rInce/o& -Zn 4%70 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 n Date • POAM HC 10 1979 Preu�i0ed By Slaie Boam of IaR Commissfoners � ia Be Filea in Ou0licate CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 8� ./ SEE BACK FOR FILING INSTRUCTIONS ��4� 0�$17—QQ •�(We) �"�����'O'�`a- t��"1- 6' certify that on the 1si day of arch, 19 Sy I, (We) occupied as our prin pal place of esidence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned C'�are buying under contract ❑ have a beneficial intere t in.the taxpayer (� Property, Description in � County "�'O"'�''' Township Taxing District (City, Fewn;�: ���-'�"'`'�'�"" Parcel Number or legal description shown on tax �tatement: _ WQn.. ��.. , f 8� If buying on contract: Owners name ��ee s�mo�e Contract recorded in Recorders Office - Record � If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: County Township �hereby certify the above statement is true, correct and complete Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY Land not exceeding 1(one) acre immediately surrounding residential improvements Other Land s- Total Land � �n n � � 3�' -';g a.i Residential Improvements APR 2 9 19g? Dwelling Garage \� . � . �� �µ {,�� Total t Other Improvements AUDIi04� T.�"" Improvements - Line (6) plus (7) equals (8) I�by certify the above is true. correct. and complete. .. �� Signa:ure ol Asseswr Approved:—lSt- True Cash Assessed Homestead Value Valuation Valuation (i) / / a o 3 70 (2) — (3) � � oZ O (4) cs> (6) (�l ($) 3 70 l - ACTION BY AUDITOR - �f - �- °7 - 8 z— �:� Date: �'�— Z—_�—��