Homestead_Isaacs STATE FOAM'mt.OLt!AM TAFASULEA FORM CIA
xreaneED BY MATE IftliRD rr MTTaL 1S.2%. runaway THE DErMTME\Tew LMaL novasslrTr rw:1MCEM411-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead Aandanl deduction.As the receipt of this deduction becomes
I more beneficial.there is more incentive dun ever for homestead fraud.Homestead fraud causes higher its 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 nemory to allow county government to better monitor homccead
filings:.This information will he kept conlidential and on only be accessed by authorized county officials.The Hepartntcm of
Local Government Finance will use this information to create Owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Pro.e i •Address
_ Isaacs, James E I Jonna L
— I Outer S Jackson
Oakland City IN 47660
4669
James E Isaacs
1551 S 950E State Parcel Number Legal Description
Oakland City IN 47660-8446
n��nt�n�u�u�r�n�t��ut�t�nn��f r�u� 0
26-13-22-200-000.664-006 00'00664-00 NE NE NE 22-2-91.68 AC
Irinllurltllutll
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
i
,J_j p_ u G -A) e _2- sir ec5
•Tg Address(number and sum,city,state,and r Z I I P�c o d e) - _- -- - .Same as property address - -
/ c 7.-S/ 5 °75-e7 h= r p e i Kikifl n ( -
Spouse First Middle Last
JCD NrJA .--1-3 AeNC/6
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propeny address
' ss7 S 67,5-0 COel KLA IJ.� al rY .& 7 / (_
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 . es and substantial financial penalties.
1
CCittriSignature '/ Date
�V/
i /
CLAI 1 FOR HOh=- PROPERTY TAX CREDIT FOR YEAR 19=
SEE BACK FOR FILING INSTRUCTIONS
, " o Ny 9 certify that on the 1st day of
March, 19_ I, (we) occupied as our prjnrj�M of residence the following described real
nr'nerty Tor which a Hcasestead Property Tax Cruet is hereby being claim�3•
�._)'� owned aiG �Cr6
are buying under contract
have a .beneficial interest in the taxpayer C:o /.
property Description. in G /Gi 60 A/ county Tvanshiz
Taxing District (City, Tv+m, Township):
Parcel ihm1ber I or legal description shown on tax statement:
NEB /yn/E %i✓E//y .2 -7--P -F 1'68
I_` buvina on contract: Owners narrke (fee shmle Owner)
Contract recorded in Recorder's office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that
u:mediat--ly surroinis that structure is used to produce incase, describe the use and portion of
the Dra utilized to produce incorre
Any other counties in which individual owns or is buying real property: Township
Ij I hereby certify the above stateTent is true, correct and corrplete.
, State
*Individual either awns or is buying tuner a contract that provides he is to pay the
property taxes on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSORS USE ONLY -
Land not exceeding 1 (one) acre irme iately
surrounding residential improvements
otivar Land
Total Land
p,esidential :E=rovEm mts
Garage
Total
Other Irrprove -eats (7)
' To I=rovenents - Line (6) plus (7) equals (8) (8)
I hereby certify the above is true, corzect# and ccrrmlete.
Date
- ACTION BY P.UDITnR -
Date:
iipprov� :
i
True Cash.
valu=e
(1)
6-0 O
(2)
S-0
(3)
DSO
(4)
Other Irrprove -eats (7)
' To I=rovenents - Line (6) plus (7) equals (8) (8)
I hereby certify the above is true, corzect# and ccrrmlete.
Date
- ACTION BY P.UDITnR -
Date:
iipprov� :
i