Homestead_Sanderson LIA11.1 FUR fiLitSitili Itliiiitl I IM U1-.ill1 rul■ 'DIA 1147 .
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Ea BACK FOR -ILltiC INSIRLFZTION3 , : •. - • • t •
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'it-Irv-Li. ) 0-7---0-Let •4_ - / -•'/P• . .
..." i , certify that cm the lst day
Pat-h, 19 , 1, (We) ca,.. .i_et1 as c;,.• p _r..M..pal :Di Pre of resicir_ i-bn iollcwir-g tinr.r.2._bo real
trcoatty -1-:= which a Bra-stead .• 1..:..‘;_ Tax aredit is breby being r-ThirrrOf
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1114 D bi.rying3.=- =...2_1..e.:•rt - . •
D im.,,, a lyn,=.F;.--;p, in+ _st. in tin t_mmayer
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r-,-:-“,_ rty r I-atim in entity
CeLd_ng P;star:: (City, Tu.:a, Tervaship) :
P=-•=1 1:itfna* I
- or leaal dies:_-_±.7.-.a. Lm aram cri tax stata-r4-:
7ez. Je4 ,01/-/ - y tic
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If 1.-,ryir.g mi c.--L.1 ,....--t.: tr...-ners ramie (fee sirnle owner)
- C_...__Lart J.- ,2-.ti in PEIr._:_tai-is Office - P__on...._1 lb. Page
If any -r_rtim of the ra:.,-"Inant•ial si-__:-_u_-,,....are or the land, not tr----Iing one (1) an- th=i-
......7-ra-ciatiely sin.-rot..--is that . ',..i.c...tti.n-2 is usi to ...-r.o&-_:-_- inre, Ces-ibe the use and -^-_i_cr: o
the Ftparty u-j-i1-i7ed to r:)_ 61,......" fl...,„e.
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..tt 11:1 other tor-taies in T...-1-Lich individual owns or is btry-ir.g real =o0_,_--ty: : county • 9-mm.....-do
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I 1-nr.2ny c_=rtify the above. st_at_ny=ast: is true, r-re--t anl ants.
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rnabss.•• fr . c . :4 ._.,...I , .• • . •sre...c.. „....1-1_,-, • • ...: : : . . ..„,..: 4, Sr:. and 2ao a
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sa.rai-dau...na either owns or is hiving ur-- a =in-act tint rrntr. -- he is to nay the
Wa •: • truparty, ta2s on the resinente., or has a benarial itteras-t in.the t.mayer. - -
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. - FOR A.,-.-...t. RS usE OILY - • • . •
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c„-----u t - Thue_ Cash- Assessai Paresb
_ Et 4 chs e Li' . .-x_ • Valaatim Valtia:-
I.---nd r_ot e-_,.-..ten_ .--_ing 1 r.a.-_- _•0) =a atrraraiar-aly . • /7,0 / 70
rflot_—...-11-•.g 2.-a-1.41.Ri..,._ .71—,.._:-."-_s (1) •
t, 1W.Il
ctinar Lard . (2) 3 30 •
: Total Lama 0 a \ (3) - .5-0a
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Basi±ential 11, ...._LA.ri.17:11-t R 1
LT...-eLl-ing . (4) - • - / 'fla „
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Canoe (5) /7 //7/4 4' , ,
virtu (6) Co 2-0
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Ctina- 1......-..-ins (7) . ,
To ' li.,...-.--......v:._..ients - Line (6) plus (7) at:ti..a3s (9) (8)
1 bray r---4- ty the above is true, r-_--;-_, and =plate.
Lath .'
cirlinma-r-, of Assessor
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411-4-
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- ACTION BY ALOITnR -• •
...War. () • Date: 3 Y- 77
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• HATE FOAM!Mt.tRU w•1 TREACIrfA FORM SIA
.APPROVEDBY 1111tL ar1PDM.Mrr4N1,!on PITY-BIDED BY TR DEP, fl 4fOF l0.:LL CAn2RNM11n7 f'N.ANCEx'1-1.1-r-r-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(mud homestead fraud cause higher at bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'Ibis information will he kept confidential and can only he accessed by authorized county officials..11w Department of
Local Dovenvnent Finance will use this information to create tools that will hap county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Sanderson, Donald L/Betty R
6571 W Cr 505
Petersburg IN 47567
_ _ _ __ _. _____. — _ __ . _ - - __-
Donald L/Betty R Sanderson
912SCoRd700W
Petersburg IN 47567-8143 State Parcel Number Legal Description
It It tllattltaltt llrtlttt llttlttttll tlttl ttlfeet ell rtltlarlall 26-06-21-400-000.261-017 0009-00261-00 PT SE 21-1-9 BAC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
L SAN3ERSon1
•tg Address(number®td street,city;state,and ZIP code —' -- —- -- —. -- -' 'Same u-prupcny uddrsss' -- -- — -----
q12- STC� "- `iool.t,.) ¢ETERS 13L1'RG � N 'OIFINR 1/41-15. 1
Spouse First Middle
R N O c R S O N Last E T
i3ty
Mailhw_Address(Number and sweet city.slate,and ZIP code) IAI Same as property address
jta S : CO a 100 W PE-Cc &se0 C7 �rtc��OihNvl 41E &1
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:ADDITIONAL INFORMATION