Homestead_Newman (2)rUKM nl: W 1919
PreKribed By Stale Board at la. Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19
SEE BACK FOR FILING INSTRUCTIONS
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*We) M�%- `+ 11 ' — 1_kw/�i certify that on the 1st day of
rch, 19 I, (We) occupied as ur principal 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-A,I+s'r - County —Township
Taxing District (City, Town, Township):
Parcel Number,
or legal description shown on tax statement:
Rk . MD 14 1 -In -2.00AC-
If buying on contract: Owners name flee wmPie aw�eo /
Contract recorded in Recorders Office - Record No. -5 Page_Lb 7
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
y certify the above statement is true, correct and complete.
Street Address lUiEReg-
on Individual either owns or is buying under a contract that provides he is to pay
the residence, or has a beneficial interest in the taxpayer.
APR 181989
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements Dwelling
Garage
Total
0th Improvements
Tolprovements - Line (6) plus (7) equals (8)
I hereby certify the above is true, correct, and complete.
Signature of Assessor
True Cash AssesAtlUITQ" rlomestead
Value Valuation Valuation
(1) a .200
(p) (° 0 0
(3) 3+00
(4)
(5)
(6) `t `f G o 0
(7)
(8)
ACTION BY AUDITOR -
Approved:
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IfDate: __( -IQ o
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STATE FOAM!3!.IP_/1,-.P.1 mascara INRV 711A
AT/ROVED BY SPOT IIr\RD Of Mrvy:NTS.!un PAr9[RIBm DY ml DEPARTMENT Of LORAL r4WttRNMENT FINANCE M4-1.1t4.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 e'er for homestead fraud Ilomestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires u'payen who receive the homestead standard deduction to eerily that they are eligible to receise the
benefit and to provide additional identifvile information necessary to allow county government to better monitor homestead
filing,.This information will be kept confdauial and can only It accessed by authorized county officials.The Depanment of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead timid.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Newman, Francis R/ Mary Ann
8139 N 7501
Hazleton IN 47640
188
Francis R/Mary Ann Newman
8139 N 75 E State Parcel Number Le2aI Description
Hazleton IN 47640-9232
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PART 2:TAXPAYER INFORMATION 5_
Owner I First Middle Last
FAC( C/s R4 /Vet-Orr-IQr)
�c Address(number andsti E aty,sm¢ and ZIP coac) --- - ' ----:, Same us property uddn ss ---
$/ 39 Al 7c E //9z./e.fon -1nom/ `77
Spouse First Middle Last
hi/ T7/yam ewrlr'in
Mailine Address(Number and street,city,state,and ZIP code) l.Same as property address
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 elieible 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 Signature Date
.
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