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Homestead_White ,• - STATE FORM 53569(53/&5a) TRA9aS)t FORM 7S-11A r APPROVED BY STATE PMRD Of ACCOUNTS.2034 FRESCRBFD BY THE DEPARTMENT OF ILULCOY'ER%MESTFLYA`t EC 61.1-224.5 'Gibson County Auditor alPOW ANT I OTICE TO HOMESTEAD PROPERTY ON■'N ? S,,L, 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes \ Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore, ® FILED HEA 1344-2009 and provide o requires additional taxpayers eno rennin the homestead standard allow county to verify that they are eligible to homestead the benefit and to pro.ide additional idrnOfying information necessary to allow colmry government to better monitor homestead filings.This information sill be kept confidential and can only be accessed by authorized county officials.The Department of . Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION JUN 3 0 2011 Taxpayer Name Location Address C . y White, Sue E 5849E 390 N .GIBSON COUNTY AUDITOR FRANCISCO IN 47649 185 -- E White 111110111_HIIDIIIIIIIIII ftIII1III 1111 11 1I1111111I1 II111111 111101 MIlflIII111 1111111--- . , 5849 E 390 N FRANCISCO IN 47649-8905 Illllrllll1111]]Illlllllll'II"IIrrllllllllllIlI'llltllllllltlllr State Parcel Number Legal Description 26-06-19-101-000.889-017/ KIRKSVILLE 1PT C-1 9 Spouse SUE First Middle ', I 'L r7-- Last Mailing Address(Number and street,city,state,and ZIP code) 111.<i=as property address 6M Cil E . 390 NC. ) FR.A-daI SCO,2Ei\I 1 1-1-710Y 9 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 1 - (A FOAM HC 10 1979 -. _ - To Be Filed in Duplicate JPrescribed By State Board of Tax Commissioners _ CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 • S2-- �/ / place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: - I, (We) ❑ owned ❑ are buying under contract ❑'have a beneficial interest in the taxpayer ^ // Property Description in 9&C:_&-•+-� County- v( -n-4-4- Township Taxing District (.Cit�erwr-Township)• `r n .0---114_-.: Parcel Number or legal description shown on tax statement: /V .2. Lo7- / If buying on contract: Owners name (lee 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 hereby certify the above statement is true, correct and complete. - 'Signature Street Address City, State and Zip Code • Individual either owns or is buying under 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 Homestead Value Valuation Valuation Land not exceeding 1 (one) acre immediately /71 surrounding residential improvements (1) 3 o o _ '71-e-0 /70 /o Other Land (2) — Total Land (3) d oo f'¢° /71 Residential Improvements Dwelling (4) 70 FILED Garage (s) — Total (6) 7 o o x'33.7 %c 9d wt�I8pp 18198? Other ImproverrtEttts (7) — Tn' ' Imp e n - in• fir. ..,t (7) equals (8) (8) 7oo I-,eby et1ff ( . Sve is true. correct. and complete. 3 .3d g - k . ' `YlAn.._ . / ?i 1 9 s ' Signature of Assessor Date - ACTION BY AUDITOR - Approved:— G Date: