Homestead_Steinrun.' nb m urY ,. 1. I,l -L m Ib::n.Uc
Prescribed By Slate Board of tax Commissioners q
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 /
SEE BACK F FILING INSTRUCTIONS 'Id �e) certify that on the 1st day of
'G46rch, 19 I, (We) occupi o as our principal place of residence the following described real property for
which' =owned roperty Tax Credit is hereby being claimed:
I, (We)
❑ are buying under contra
❑ have a beneficial intere t taxpayer
Property Description in � un y Township
Taxing District (City, To Township): O
Parcel Number or I al description shown on tax statement:
- >��.�%
If buying on contract: Owners name (fee simple owner)
Contract recorded in Recorders Office - Record No. Page If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
ent is true, correct and complete.
9' 1
Individual either owns or is buying under a contract that provides he is to pay IN% pFroyftaxes t,
on the residence, or has a beneficial interest in the taxpayer.,
FOR ASSESSOR'S USE ONLY - APR 10 )9106 9
True Cash nA sesspd,& yX4_9njgstead
Value ValuatidiDITO--R aValuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) a 8o c 930 %30
Other Land (2) /.'2- n O /
Total Land (3) I -30
/
Residential Improvements Dwelling (4) j
Garage (5)
Total (6) a 30 d 9 3 a
Nmprovements (7) 79 O
iprovements - Line (6) plus (7) equals (8) (8) O `� -7 O y certify the above is true, correct. and complete.
Signature of Assessor Dalr
ACTION BY AUDITOR
Approved: �
- ' ' SIAM FORM!Pwwgl2/Mal lRrAA1tf!ORM 75-1A
APPROVED Ire AVE DIME)nrMSYIN14,1m, PRLYNMnnYTIr DEPARTMENT OF LOCAL w LYMEAT FRANCE IC4.1.t1:4.1
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
ilk more beneficial,there is(tore incentive than e'er for homestead fraud.Ilontestead fraud causes higher tax bills for all:therefore.
RIP HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recebe the
benefit and to provide additional identifying information neetssan to allow county gmernment to better monitor homestead
filings.'nth infomatiol will be kept confidential and can only be acce,sad M authorized county officials.The Depanntatt 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
Stein, Michael J/Jill E
— RI (,(ryJ�
Francisco IN 476W
1065
Michael J/Jill E Stein
6314 E 450 N State Parcel Number Legal Description
Francisco IN 47649-9235
III I III I I I I I I I I ill III a III I 26-06-18-400-000.731-017 009-00731-00 PT E SE 18-1-9 40 AC
I rr rrr r iii iI r rr r iiai I it It l t t t it C-1
PART 2: TAXPAYER INFORMATION
Owner/I� `_ First __1 Middle U Last
1 ' I ) Ci'\C1 e-1 1oSeph }y J�e\ �
�g Addres.4(number and ins[-city,Hate,and ZIP talc) — - — - __ — yyl Same as property oldness' • - - - • -
( 3 \"( E yso N Yh
Spouse \ \ \ \ `. \First Middle Last
\
Mailing Address(Number and street.city,state.and ZIP code) a-3amc as propeny address
(931 '( j gsz51V
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:ADDITIONAL INFORMATION
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