Homestead_Tice (3) mot E01tM!!"..0e/'Ni raEVA:afd PORN:}la
APPROVED BY SGTE&WOOF A-4475.21r• PRrn[NHEDOY PIE DEPARTMENTOF LOCAL GD\ERNMRR FINANCE IC 0-1.1_ri
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaL.and married couples are limited to one homestead standard deduction.As the receipt of this deduction bttmtes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tae bills for all:therefore.
S HEA 1344--2019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authariied county officials.The Depannlem of
Local Government Finance will use this information to create tools that will help county ofrxials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Tice, John W Sr/Sharon K
2011 W Brumfield
Princeton IN 47670
1510
John W/Sharon K Tice Sr
2011 W Brumfield State Parcel Number Lezal Description
Princeton IN 47670-1035
ltlttiltt rlt IIt tItttl1t 1111 Iltrltltrtt ll rttl�t�t�t� k'26-11-12-103-002.443-028 019-02443-OO TOWER HGTS 208 PT/209
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
J okhJ WILu4ill T LE
�tg Address(number endium,cityatate:ami ZiP code) -- _ __ .. _ g Same as property adder.;
Spouse First Middle Last
SNAPCIO lc Ay T/ C.t
Mailing Address(Number and street,city,state,and ZIP code) N....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 eliuible 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
•
PORM HC 10 1979
PrescriDed By Sta�e BoarO a1 Ta� Commissioners
io Be FBea in DuD�icare
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19 �� c
—� SEE BACK FOR FILING INSTRUCTIONS Lyf��!��
Z
�
�We) � �'� �`n'�`� �• certify that on the 1st day of
March, 19 �� I, occ pied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: ' � ��
I, (We) ❑ owned
�are buying under contract
O have a beneficial interes in the'taxpayer
Property Description in �J""�'°"'" County
Taxing District (City, Town, Township):
c9�q- va�1Y3-oo
Township
Parcel Number or legal description shown on tax statement:
If buying on contract: Owners
Contract recorded in Recorders Oifice - Record
� �o�
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:
�tiereby certify the above statement is true, correct and complete.
�
�
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Streel Adar¢55
�lE[.D At/E
Counry
Township
�70N! L/�
Gry. Siate ana Zi0 �e
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 ON�Y -
�` �Land not exceeding 1 (one�c��
surrounding residential ir��ve=m�nj�,
�. �: J 1��3
Other Land ' r
Total Land �' � � `��CS�
AUDI�OR
Residential Improvements Dwelling
Garage
Tolal
Other Impravemenls
Jmprovemenls - Line (6) plus (7) equals (8)
I�. ,eby certify the above is true. correct. and complete.
/�.�e.¢�..�: � : � ��
SiqwNre ol Assessor
True Cash
Value
��� �z3o
(2) -
�s� 3 a 30
�4) �r-a3o
Assessed
Valuation
/ o �S o
ioSo
�'�/%%�%/%/%%/%%//:
. - — ,'
, ��j������
Homestead
Valuation
/0 80
�g� a �
- ACTION BY AUDITOR -
-� --,— �_,
�'rt,,�. �5, ���3
oa:�
Approved:�19� • G Date: ���s �d 3
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