Homestead_Green LL IN FUR IU± IhM F U d(l7 IRA Utlll( runt (uu 13 .
• SEE BACK FCR FILING INS RU':TIOus" : • ' . '
' ,' 1 , 40 ,l l . • r0r',_1fy that an the is` ri n.y
Z, •1 rte.)i �I� �o ' , ;sd as ,. 'a ..Dal mace of rnr.i peace the folluring Ons=in d real
1.....22..±, . I, -+a'rl , -• Tax C"._.1t is h�y be.irg ri Tnrr;:' a -•rs•=�V�- y f� t ich a Y-r� .... ..
DEre b'.rJ nq't:..a 3 n.17.2.±. • .
❑ have a ) a t interest to payer .
r--n ] )n-• i s' ; in �U{ County ( 9 � 1 Ts
Taring. t s t (City, ram, Township) :
Dr _i : tit I I I I or ie ..1 es .=nn ,G..-i •i `.ax _ ��:
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• C:.L t .-re—t-_-;,__ in P° *'°'r's °-=;c_ - Re---rd lb. Face
If any tcrti 7 of the ra_ ret ial st-t:ta e Or the land, not r e i pnee (1) r-'-•e tnt
:".. .:19-1.:1 saou4S that Su •ir is t1S th ..�•1.•7•ro frrp_°, aes—The Ere use and union o
the zsN�y if-4 1 i t'ed to ^r4",.^° i.wnxe
?ny other co=_ es in hipc_h ir1 i vidue1 C'+.T-S or is :caryi '-'g real trco r : • Cot es 'rO;:^ s:.io
C
I h°-*°e ' ce-rtify the atav°_ stat__'u,t is }e., can t aid �,�1eta. \�
Sr-at Piii -a ... City, Sir sl Zan a•
} i s hiving iTr.3 a c r:a-act that _uriris he is to pay is
*Ira i i31 either a•._s or
try tarn on the r°-i^°r-ce, or has a ben : 1 al interest lathe tms yer.
•
. - FOR Aan�bORIS Ur:. OMLY.- -•
• • . True. Cash. . .Assessed - Barest
. Va,ue wti_:_,_tic - vaiu
Lana p• ling 1 (ate) ne i°;;°_ly . . / 70
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. .� the a ce �.� L..-.'L_ , arti O'S;]let..
I h=°may c=-` tY r .
n Ia
. tare-arre of Assessor.
t ACTIOid BY 4(IDITnR
. Las:
srDv :
• STAf FORM !SMIR_/)V•1 1trssUItR FORM 3-IA
APPRr11'EO BY Si'IE YMR DM'MT,RY,'r S.!t. PRI$TEBED BY ntr DEPMne.rec LOCAL rovrtN.v,EAT FINANCE IC 41.1_A.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 e'er for homestead fraud homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessan'to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Depannent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pro ertv • •
Green, Robert D/Cathy J '"
RI Box 71
Francisco IN 47649
1077
Robert D/Cathy J Green
6590 E 450 N State Parcel Number Legal Description
Francisco IN 47649-9237
26-06-17-300-000.910-017 0009-00910-00 PT W SW 17-1-91 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
lk \
�rg Address(number and street,city,irate,and ZIP code) ® Same as pmpenv uddrw'-' . -. —- '-- — -
90 `-150 N) c\-ax\c'.sco 'SIJ ti'lte`i9
Spouse First Middle Last
Cothy 1/4?-e-cx_y. \Dre_e-h
Mailing Address(Number and sweet,city,state.and ZIP code) ®Same as propeny address
1p5�a E 1-k50 N , FrQy.c. SCa
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 taxes and substantial financial penalties.
Owner I Signature Date
PART 4:ADDI1'IONAL INFORMATION
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