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Homestead_Muncy
CLAIM FOR HCCUTEAD PROPERTY TAX CREDIT FOR YEAR 9 G . *• SEE BACK FOR FILING INS'iRIZ�TTI"^OnNS . . e--L .e`. /\ _ d- el - ate-----) cestiiY that on tie 1st day c rch. s as oar prince., place of resideice the following described real , coe y—, I, (We) Tax Credit is hereby being clainvd: - .IppEr for which a l7or�� Property Z, O :) ❑ amEai o are buying tinder contract . • o have a -;a, interest in the taxpayer � 1I G , b.S-o"i County CAA s K• Tow shi P�-�'tY L�s.."'�iption. in ,(A)4 a t+. Taring Ds n sict (City, Taal, Tcnaiship) : patei 2h.7.o_r ` I I . 1 I I • I or legal description scat s on tax at_ t: lORr. NE // /1?- 1 - 7 /1. 71 At. If buying on contract: Owns n (fee sirrle owr=r) 's O`fim - B 230 Beard . Page Cara-act recorded in Peco--d_a or the land, not e:cee±i.tg one (1) ace that 31 If add tea.portion of the that stnat re istus= r inane dean-ice th✓ use and rort10n of ;,•rrKr;ally surrounds that stn_"-tia�e is used to proaur" ,the property utilized to promre incare or is real property: County Township Frey other counties in which individual .. .. the above statement is true, mua.L and complete. . � hereby certify S. . . Gzy, Stars as zip COOS Street ..areas . . . . *Signaptn a h� is to pay either awns or is haying r a contract that provides pay • property. on tie resi i nC , or has a beneficial interest in the taxpayer. . - FOR ASSESSOR'S USE Ott? - • True sh• Assessed Pcnest Value. Va7n3;icn . Valuation• land not arm° ng 1. (one) ace drmecuatelY " (1) Soo / 7 0 /70 5 mroi thng raih°t:*..ial u:provemert`s (2) `S� / o /53 o y�����������4 • Total land (3) 5 ": o / 70 0 ' ,0�� A p?side;ltiel Improvanets tx„-e.2]i_txg (4) /// ///, 7� / . Garage (5) " �N 1 /. // Total (6) 3 <o75 0 / a7.S0 % a / Other I nmovan is (7) • //�j/ verertts - Line (6) plus (7) E3n ales (8) (8) - 7 11-7=eby certify the above is true, correct, and Clete. Date l • Signature of Assessor - ACTION BY ?.IIDITOR Date: • sl ATE FORM!)MIR./uMI arzsuarat RON:SIA ArrKrwEO BYSTOE BEIARDOCACrOILNIS.2vr PREStlUBED BY mE BEPARisnNT OF LOCAL GOVERNMENT FINANCE IC6-I.I-224.1 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 1334-2000 requires taxpayers who receive the hanestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead fihinic.This information will he Lep confidential and can only be accessed by authorized county officials.The Depanmmt 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 Property Address Muncy, Kenneth Ray/Sue Ellen t."' N r G Soi, 707 Kenneth Ray/Sue Ellen Muncy 5407 N 650E State Parcel Number Legal Description PatokaIN 47666-9139 X111111111 1tllattlltt 11111�I�11111��rt��t�r�t 11111111II�111111 26-06-18-200-000.510-017 009-00510-00 PT NE 18-1-911.91 AC -y- PART 2:TAXPAYER INFORMATION Owner I First v Middle Last Prvve�re vivc � ®ig Address(number and srtee,city,state,and ZIP code) - 5407 11. 15a r Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) 1 ! t,3 FL =�' � %', r; ,t 31 / 4'9'37 Spouse First Middle Last Mailing Address(Number and sweet,city,state,and ZIP code) ©S__am e as property address 4(187 N 6 co Cz Social Security Numbef(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) 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 eliuible 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 Telephone //// r/J .5- 8-T�v (Yi2) 3/S - 2e P3 po Signaatur /I /�'ua Date Telephone x 5—/ f—/0 (5'1 2-) -Igr - -2 u 13 PART 4: ADDITIONAL INFORMATION •