Homestead_Jennings •S •
CLAIM FOR tft TEAD PROPERTY TAX CREDIT FOR YEAR 19_• .•
• 7 SEE BACK FOR FIL,ING INSTRUCTIONS : =i` '
, - 1- Vp� certiiy'that on the 1st day c
I2rc, e). • / described real.
}+arch, 19,1_) I, (F7e) ,.i€~3 as our nr+n^±nal place of residence claimed:.
St Tax Credit is hereby being
�o�-`y Z which a Homestead Property
I, gie) 0 maned .
are buying racier contract . •
o have a beneficial interest in the taxpayer Tbrmszi
Property Description in 4-�-�_-a-..-d County ��
Taxing District (City, Wan, Township):
Parcel ; urber j I i • I or legal ds:iiption span on tax sat-�n_t:
i lr217 . S E 2y a S-- /_ i/ /• /s
If buying on ccotrana CMners name (fee siirple owr-er)
fact recorded in p_c der's Office - Rid Lao. Page
ore (1) a e that
If any portion of the r=.sidential ssu„^ture or the land, not ex.-reeding the use and portion of
irm iately s:arolr3s that stricture is used to produce ro=pe,
the property utilised to piodvce i .
•
owns or is buying real property: mom' Township
Pny c`.i'°s rr,�„t;es in which individual
I hr-by certify the above statsn�t is true, o rr t and cmplete. •
® Street Morass . - .--: de
. . City, State and Zip Cc
"�, mwides he is to pay the
*Individual either manner or is buying tmer a tract that _
property. taxes on the residence, or has a beneficial interest in.the taxpayer.
- KR pSSESSORES USE OILY -
True Cash- Assessed w„pstear
•• Value \Mind--ion - valuatio
Land n�.o,,,t7ring 1 (one) acre iniately - - . • (1) Q
sarourrling residential i owoents a) O / 7 a ///// /////-
C�otal Land -; (3) 5.3 o ///�3���/o// ��/0///�,
• To`�al. Lana may.-- //�/�/���'///m//�//�l � /�
Residential Improvements A,o„i r (4) f///////'SS). y// /
Garage (5)
Total (6) 33
/ ,'o0o//////// Z o
Car Ir. tS (7) r /! ��
ovsicnts - Line (6) plus (7) a Is (8) (8) -
I bareby catify the above is true, portent, and deplete.
Date
® Stanattme of Assessor
T • - ACTION BY ..,..
Date:
. Apt ove:
'a HATE I OVA!!:M nl'/w1 TREASURER FORM TRIA
• APPROVED BY%T.AIENIOIOt*MIT R:Nri.a,r/ PM-LAMED BY TIE DEPARTMENT OF LOCAL CUVCRsMrNT FINANCE M 6-I.1-2:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receise the homestead standard deduction to verify that they arc eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Levi confidential and can only be accessed by authorized county officials.The Ikpanment of
F
al Go ,nt f a will use this information to create txls that will help coty ffi
ocials eliminate homestead fraud.
PART 1: PROPERTI'INFORMATION
;w 1
Taxpayer Name Property Address
APR 7 LUIU Jennings, Verna L
Po Box 1133 �Vr
77Jaa�e Princeton IN 47670 2'
645 ss
GIBSON COUNTY AL)01TPR
Verna L Jennings
716 S Old Patoka Rd State Parcel Number Legal Description
PATOKA IN 47666-9003
Irlrrllrt rltllttt littt lirrlrlrrllrtil Ilt ttrlltlltt ttitil 26-04-25-400-000.557-020 018-00557-00 PT SE 251111.15 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
VER N A LEE JINNI Al 5
0,2 Address(number nnr3street city:Suite,and ZIP code) - '— "--- — - zi Same as property address—-- - - — -- -
776 5 GYb PkTOKA 'Rb //Y 4L7666
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
seer
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
Spouse Signature Dale Telephone )
PART 4: ADDITIONAL INFORMATION
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