Homestead_Harris •
• t1 VE FORM!)M IR_/%An) 1R LR FALUI WL4 73-1A R F IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
'
tibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
P� mote beneficial.there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
FILED HEA 1344-200 and to p ovi requires mxonal i who yang receive the information homestead standard deduction y refer me they are elimoni monitor homestead
benefit and to provide additional identifying information rkirrsary to allow county go.emmmt to beast monitor humcatead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Depannumt of
Local Government Finance will use this information to create tools that will help count'officials eliminate homestead fraud.
OCT 2 4 2011 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
c N Harris, Larry C/Cynthia D /
GIBSON COUNTY AUDITOR Rtil �C..J
Oakland City IN 47660
1795
Larry C/Cynthia D Harris
1883 S Whispering Hills Rd State Parcel Number Leal Description
Oakland City IN 47660-8671
26-13-23-101-000.364-006 003-00364-00 WHISPERING HILLS 5
to ilt t ll t ll di r 1I t t 1i1 t 11 ut��
D-6C-1
— --This form-MUST be-returned to-County Auditor's-office: ---- - -- - - --
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION -
Owner 1 First Middle Last
Aetivi r.
tig Address(number and street.city,state,and ZIP code) ® Same as property address
fl3 s (�/�li spe t^5 /4'//t 21 (�a k 4 i (;' 4- rN V746 'a
Spouse First Middle Last
yy 44 aeon ��; 3
Mailing Address(Number and street.city,stale,and ZIP code) 131 Same as properly address
/efc93 s- GrA 4or,^; /1M`//- ,
Each undersigned certifies,under penalty of perjuy.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.
Own I Si hers Date
,
/
CLAIM FOR HChI =STEAD PROPERTY TAX CREDIT FOR YEAR 19 El6
SEE CK FOR FILING INSTRUCTIONS 16 03- 0031q -o9
/�° /zle �.L f� AR 2 y / ✓. ` `�'^ -"�- ` certify that on the 1st day of
lace of residence the following described real
19 . I, (We) occimied as our prince. p
crty ror which a Ftmstead Property Tax Credit is hereby being clairred/�i
I, (We) ❑ owna3
are buyina-urrier contract
have a benefictial. interest in the taxpayer
property Description_ in 6, bJ4N county o I. ZUwr>.ship
Taxing District (City, Twin, Township):
or legal description shown on tax t:
parcel thmber
if buying on contract: Owners haws (fee single owner)
Contract recorded in p_.mzd °-rIs Office - Record NO . Page
If: mrtion of the residential structure or the land, not e=eed! one (1) acre that
I- any _ insane, describe the use and portion of
5m nediately surrourds that structure is used to produce
the property utilized to produce incort e
Pny otter counties in which individual owns or is buying real property: dun Zbwnship.
comfy the above statenent IS true, correct ani omplete.
*Individual either owns or is buying carer a contract that provides he is to pay the
or has a beneficial interest in the taxpayer-
property taxes on the residence,
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 (one) acre immediately
surrounding residential mn?roverents
Other land
Total Land
pesidential IrmrovegentS
C--her inwrovansts
To L=rvvezrents - Line (6) plus
I hereby certify the above is true,
:vucrpved:
Garage
Total
True Cash
value
(1) 20 0 0
(2) YO
(3)
(4)
(5)
(6) 3 a3 0 0
(7)
(7) equals (8) (8)
correct, and amplete.
- ACTION BY AUDITOR -
Date:
Date