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Homestead_Taylor (7) STATE FORM 51569(RIB-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 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 ever for homestead fraud. Homestead fraud :auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers 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 be kept confidential and can only be accessed by authorized county officials. The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART!: PROPERTY ,'FORMA ION Taxpayer Name Properly Address State Parcel Number Legal Description: Vachel R/Anne O Taylor 318 W WALNUT ST 226-12-07-101-002.847-028 FOREST PARK I PT/2 PT PRINCETON IN 47670 Complete and return to: 1 Iff1110011111011'111W011hl[11lhIEIILIHPlUIW1 M I1AII1© GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 'IIUl IuIW 1 lllW1 llJJ PART 2:TAXPAYER INFORMATION Owner I L First rst 2A L/ Middle A /74/Z- Mailing Address(number are street,city,state and ZIP code) / me as property address �I✓/VC 613A.-RLt }CS - yL/)/e___. Mailing Address(number and street.city.state and ZIP code) [jas progeny 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 she may be liable for back taxes and substantial financial penalties. Omer{II Signature Date �J space / PART 4: ADDITIONAL INFORMATION - FILED • NOV 7 2012 GIBSON COUNTY AUDITOR FORM HC 10 7979 PresuiGeO By Sta1e Board o� iaR Commissioners 7a Be Filetl in WOlicate CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19Z ✓ SEE BACK FOR FILING INSTRUCTIONS �(9- oaPy7-om �(We)Sl �, (l �-`�-�`F�.s-� � certify that on the 1st day of � �arch, 19�, ,(We) occupied as our principal place of residence ihe following described real property for { which a Homestead' Property Tax Credit is hereby being claimed: . I, (We) �Li.owned - /f7 are buying under contract ❑ have a beneficial in�erest, in the taxpayer Property Description i Taxing Dis�rict (City, Tewr�Towrtslaip): Parcel Number If buying on contract: Owners name �� simpie owner� �Q�(.e-;F'.AJ Towns h ip or legal description shown on tax statement: ��-T�� /a gr Contract recorded in Recorders Office - Record No. Page 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 � hereby certify the a ove statement is true, correct and complete. � �, �� , � � Township State ana ' 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 Total Land � � � � Residential I rove ents � :.1UN � 71979 True Cash Assessed Homestead Value Valuation Valuation �� S U (2) � ° — (s� � as� Dwelling �4� �9e��) Total (6� Other improv��fhe, ts T�'�'�,ImproO"emen L n uais (8) I:�;by certify_ e aboy.� is�At6IBITpRtrect. and complete. oi Assessor (�) (8) '� �Si�' � �� - ACTION BY AUDITOR - �- a-/-7� � Da:e Date: "` - �