Homestead_Parke (4) AAIE FORM!!•0,ORil f•) M.ssum FORM:-1A
,rrRm'En BY R■TE BOARD or AMR.MR y.v PRfAWBtT BY Tilt.DEPARTE4T OF LOCAL GOTERNMEM rftc tt IC 4-1.I-22-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
• more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to recene the
benefit and to provide additional identifying infomatton necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorised county officials.The Department of
Local Government Finance will Inc this information to create tools that will help county officials eliminate humegead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Parke, William R >J.(q S /14:18
I/$YfiI.R•asJ
Oakland City IN 47660
1533
William R Parke
2492 S 1200 E
003-00045-00 NW NE 30-2-838.86 AC
PART 2:TAXPAYERINFORMATIQN
Owner I First Middle Last
fi4tt CV14Ll*r� ( Ceftit° PAL(k
-- hg Address(number and imcet,city,state,sod ZIP code) _ • �- ,A-Soule m property address— -— - — - --
1.V 91 ,f /).0P/a- Qeict 9 C=;1-r)1 1-Ai y76ao
Spouse First Middle e- Last
Mailing Address(Number and street,city,state,and ZIP cafe) 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 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.
Owner I Signature /7 Telephone
2P ST)1/0 cFi ) vy e3 a:"
Spouse Signature Date Telephone
PART 4:ADDITIONAL INFORMATION
CLAIM FOR OESTEAD PROPERTY TAX CREDIT FOR YEAR 19fY k-�.
SEE BACK FOR FI INGINSTRUCTIONS UOnj a 0a'
certify that on the 1st day of
�. -.h, 1T H, I, occupied as a& principal place of residence the following described real
e derty fok which a Hoa:estead Property c ax Cne4t is hereby being claimed:
(We) owned Q tv.Zo °1
are buying under contract
p have a beneficial interns
Property Description in
Taxing District (City, Town,
in the taxpayer .
County Township
Parcel thniber or legal descri shown on tax statement:
If buying on contract: Owners ram (fee sinple owner) 3Q
Contract recorded in Recorder's Office - Record No. Page
If any portion of the residential structure or the lard, not exceeding ore (1) acre that
b mediately surrounds that structure is used to produce inane, describe the use and portion of
the property utilized to produce it :care
Any other counties 4n.which individual owns or is buying real property: Cow
�er�ei7y.oertify above statement is true, correct and complete.
'L��Si rtnahira Rtraot Dririraaa • - Ci� Stab
*Individual either owns or. is buying uner a contract that 'provides he is to pay the
property
taxes an the residernoe,
or has a beneficial interest
in the taxpayer.
r
FOR ASSESSORS
USE ONLY -
__
'True Cash
Assessed Hanestead
Value
Valuation . Valuation
[and not exceeding
1=(one) aces immediately
surrounding residential-
Other lAnd
2 L •'1� 1 - l • 42 •.
t.CID �C'. (2)
o�. t'J ✓
^vim
Total Land '
"1t
(3)�J
Residential Igzo eu
Other Inproverente
To " '• L%=ovmmts - .Line_ (6) plus
I hereby oertify.the above is true,
Dwelling (4) . 3 7SO
Garage (5)
Total (6) o ,37SO
(7) /7'i�,
(7) equals (6) (9)
correct, and omplete.
- ACTION BY A.UDITnR -
/a 730
Date
Approved: ! - Date:
rom/m/m/m/m/m/m/0
r--