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Homestead_Freudenberg (2) STATE FORM: Y (C,"rvl LR ASUIER FORM:}IA APPRIWED BY STAIEBENRDOt VOXLSll9N FRISR®m BY fir.DEPARTY£YTGWLO1:ALGOVERNMD.T m:.ttE MLl.1-L'JI 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 more beneficial.there is more incentive than es er for homestead fraud.I lumestead fraud causes higher tar bills for all:therefore. HEA 1344--209 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to Tecehe the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing.This information will be kept confidential and on 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 Taxpayer Name Property Address Freudenberg, Roy E 696,6 6 . (050 E, R2 Box 119 A Fon Branch IN 47648 2140 Roy E Freudenberg 6966 S 650 E State Parcel Number Legal Description Fort Branch IN 47648-8570 I t I tt I I tit III tit III 1 1 1 1 1 1 III I I tit I I 11 III 26-20-17-100-000.229-001 001-00229-00 PT W NW 17-3-9 5.240 AC t tt tt t tt tt t t tit tutu t 11 PART 2:TAXPAYER INFORMATION Owner I First Middle Last evy • .EQrI Freudenberg Sue Address(humDer and Street,city,state,and ZIP code) - — --- --- - U Smuc us prop s:fly uddrw • 199 („ (0 5 - ( 5b E - F '+ branch , =n 47t X18 Spouse First Middle Last Retie gees. Lee • Fr auden ber5 Mailing Address(Number and street,city,state,and ZIP code) El Same as property address Co9CO Io 5- C066 E Fon+ @rartch in 47(0411 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 • FORM HC 10 1979 Prewioed By State Board of Tax Commissioners To Be Filed in Duplicate ©O(- 0OZ-Z`% -60 CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_7 Y / SEE BACK FOR QFILING __IN��n�STRUCTIONS �(We) �� >E certify that on the 1st day of ,varch, 19_2_!�,'1, (We) oc6fpfea 6Z our principal place of r9sidence 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 � —County A9 zz4-e�- Township Taxing District (94r, Taws, Township): �4 — Parcel Number or legal description shown on tax statement: /lr. GUoi 4Cwy /%- 3-9 .::i:�R yy � If buying on contract: Owners name (fee simple oweer) 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 certify the above statement is true, correct and complete. City. 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 - Land not exceeding 1 (one) acre immediately surrounding residential improvements Other Land Total Land Residential Iov ent True Cash Value (2) �7C� (3) Dwelling (4) hr,al' 1 g 1819 Garage Total Other Improveme To mprover r s, /-fne/( ) pltf Q�uals (8) i y certify the e is true. correct. and complete. of A,S..r (s) z. • : 1 - ACTION BY AUDITOR - Assessed Valuation / 70 Homestead Valuation mom Date Approved: Date: