Homestead_Welch MATE FORM'1V' tRU-u/ TUMULI FOAM 73-IA
a EIMPORTANT NOTICE TO HOMESTEADrP PROPERTY OWNERS
Gibson County Auditor
101 N Main
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 net 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 receive the
benefit and to provide additional identifying information necessary to allow county gosemment to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized count'officials.The Dqunment 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
Welch, Gary
124 Box 61
Princeton IN 47670
2034
ary Welch
8023 E 500 N State Parcel Number Legal Description
\F ancisco IN 47641=9252
I I / I I I I I I I I I III I I 26-06-16-400-000.865-017 009-00865-00 PT NW SE/PT NE SW 16-1-9
lu utl utn , ratuntut nitntn Inl 16 AC C-1
X
PART 2:TAXPAYER INFORMATION
Owner I First � Middle Last
tg Address(nuni d street,city,state;and ZiP code)-- --- t.:1 -- --r -- jj Same �ad� - -
g o 1 3 f s o a IV F,1uro , t 4-7 6 4 Q
Spouse First Middle Last
7 -rte �u� Qil/� ! u/L.I J
Mailing Address(Number and street,city,state,and ZIP code) Q Same as property address
Do a 3 cro I'l - I - ce e f1
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
' ORM HC 0 1979 -`. '--"- -•• -
)rescribed-By State Board of Tax Conmissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_
SEE BACK FOR FILING INSTRUCTIONS
I ) certify that on the 1st day of
19 , I, (We) oc&•upied as our/Principal Place of residence the following described real
property for which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Clowned
Dare buying under contract
have a beneficial interest in the taxpayer. ,
Property Description in , ! ,, County ��lJ GZa�v �Q 2..,J Township
Taxing District (City, Town, Township) : l��pA+,1£�_,, 1
Parcel dumber I oorr�legal description shown on tax statemnt:
(&M /LJ � /o-/- <6,1-e__„/
/F,.�/c' '
If buying on contract: Owners name (fee simple owner)
Contract recorded in Recorder's 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
Pny other counties in which individual owns or is buying real property: County . Township
I ruby certify the above statement is true, correct and complete. •
•
*Signature - Street Address City, State and Zip Code
*Individual either owns or is buying uner a contract that provides he is to pay the
property. taxes.on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
• True Cash Assessed Hanestead
Value Valuation . Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvenents (1) .3-00 / 7 o / 7e0
Other Land (2) 45/.P. O /44 ) V / ? ��//
Total Land (3) 9 .a o .. —r� —a.. ��.
Residential Improvements _ Dwelling (4) 3 270 //����/��/
Garage (5)
Total (6) 3c2 S'70 /e) 5 7 , /n 77 e oo
Other Improvements (7) //// /�/�///%
To ; Improvements - Line (6) plus (7) equals (8) (8) 7.2 8 7O /75 'c o
i eby certify the above is true, correct, and complete.
`as9ta-Q . Date
Signature of Assessor •
- ACTION BY AUDITOR - •
Date: