Homestead_Jenkins t.
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.VFRmEn BY vIAILwwRo MKrr*V.'ra.nn PITSCRIBM BYntr DrrARrel. TOF MIAL GOVERNMENT FINANCE R'H.Ir-&I
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 becomes
more beneficial,there is more incentive than ewer for homestead fraud.Homestead fraud causes higher in bills thrall:therefore.
® HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to pride additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by aahorvM county officials.The Depannent 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
Jenkins, Brian D/Icea L
R 3 13ox 65-
a-and City IN 47660
4895
Brian D Jenkins
9947E 450 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-7645
LLD 111_1 111_11_111_111II'1111I11Ii IFIFF'FF�IF Frlrlll ll 26-13-35-300-000.268-006 003-00268-00 PT W SW 35-2-921.659 AC
C-1
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
br \ pct. \\S 3-en C i- s
fig Address(number and street,city,state,and ZIP code) — - - — - -�-Same as pmpeny oddic 3-- - - — — --
�R y 7 c 1.1 sD $ Oci <Xa. r $�l y AJi O
Spouse First - Middle Last
L-e CC Vs. JC■\CYtS
Mailing Address(Number and street,city,state,and ZIP code) lg Sane 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 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.
es.-. r I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fomn 5473 (R5110-01)
ur Prescribed by the Department of Local Government Finance
INSTRUCTIONS, Son reverses xidn Inr rlin,, inctmctinns
FORM YEAR
HC10
I (We) -I- �A li 'M"a o hie I I cW. March, 20_
- W !L/ I AT-�?W" L-VW Pr;
I
(We) occupied as out pnncipal place of residence the I'VAring described real property for which A Homestead Pr W Tax reby claimed:
❑ 1 (We) owned ❑ Are buying under contract / a 19
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns. e pro e-- ndef
prop e- contract.
NTRACTz.RECORDED--
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
4=-*�UIVR61P ITY ES 6
-929W�R EF - -6 - CRIPTI N
Township
Township
Testing distrid i IMP)
I hereby certify the above statements are true, correct and complete.
Mber -Y.\
3 --k-" ca(o z -M i��tZ
-Iran (number and street cffi� state, ZIP code)
7 2,�,
Istj 3S�2 -9 a�
ltthqWerty in question:
094eal property ❑ Mobile Home Itc. 6f.1 -7) .
If any portion of the resideri structure or the land not exceeding we (1) am that immediately surrounds that structure is used to produce Income, describe the use and portion
of the property utilized to produce income.
kovEFftY,—OW14E6�dY.CLWKCAWT,,IWt)THER
County
Township
County ITownship
I hereby certify the above statements are true, correct and complete.
Signature ant
-Iran (number and street cffi� state, ZIP code)
7 2,�,
Z zq44--ZXA0 AA)
0 ='Al
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-A� a
MEMO- W-00-SNERMERNEWON
ANOT
NVIA
�EIJFA
_!NJ ON
'VAL LISOM
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
0 ='Al
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-A� a
Other land
(2)
, 07-:�q
WS01'101
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
PIRO-,
Garage
(5)%
gi;%
g �>$-'-_ -� }N'Ali
Other improvements
(6)
AIR
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead
Valuation or $6.000
Signature of Auditor Date ad
I , 110A L J 3eii e 1.6 J I s66 — 03 -0-3