Homestead_Beadles (2) CU�If 1 FOR-F[ STEAD PROPERTY TAX CRf 11IT FOR YEAR 19 i
SEE BACK FOR FILING INSTRUCTIONS 0/9 - 6,0/5 ' 00
I, '-. ,rr,) a . -9 C s . �.Ga-J&- : certify that on the 1st day e
March, 19 , I, (We occupied as principal Place of residence the following described real
P rty for which Ilrnrestead Property Tax Credit is hereby being claimed:
I, Ole) owned
are buying under contract
•
; have a beneficial ant es taxpayer
Property Description in County A1A J 'lb..'rr nhi
Taxing District (City, Tarn, mwship) : A., j
Parcel /limber • or legal description shawl) on tax state cnt:
- g I9t,"/ , , -L 6 .1
If buying on contract: Owners nawe (fee simple owner)
Contract recorded in Pecorder's Office - Pecord Ib. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that
inned.iately surrounds that structure is used to produce inane, describe the use and cortion of
the property utilized to produce irrorre
Pny other counties in which individual owns or is buying real property: County . Township
I '- 'reby certify the above statement is true, correct ard�plete.
//0 . .� . �/ 7i 7 ,O
9(4,->r7;.-7,5j p o � Street Pi-rill City, State aid Zip are.
Sipnatur_
*Individual either Cans 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 hssessed ibitesteaf.
Value Valuation Valuatic:
Lard not exceeding 1 (one) acre immediately 0
8
surrounding residential improverents (1) s`/ r o 780,,
Other Land (2)
Total Land • (3) (r l ( •
Residential Iurprovenrei is Dwelling (4) • / V//r%ll4 /Sj2t(��l��j?' ,
Garage (5) //////411944 /my //
i-t 17o
1'11 Total (6) 6 r-412 Cr ‘ oo0
•
%
',en�erts (7) / -
Other Inpro �/�����/7/!%
'1C . li,yrovarents - Line (6) plus (7) .eornl.s (8) (8)
digiireby certify the above is true, correct, and couplets.
W Date
Signature of 2ssesscr
- ACTION BY AUDITOR - .
„A/ 0 • Date: 3- JP?' - 11
_
5tA1E FORM 5AM 1R_/n-N1 TREASURER FORM ZIA
APPROVED BY%TAW BOARD M ACC fa C.21/v PRr3MIEDBY THE DEPARTMENT cLIML CDxERYNTA1 FINANCE.M 6-1.1=24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than erer for homestead fraud.Ilonldtead fraud causes higher tax bills for all:therefore.
Ill HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to teethe the
benefit and to pttwide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kepi cnnfdemial and can only he acee<.ed 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
Beadles, Timothy A/Cynthia J
1603 Blvd Place
Princeton IN 47670
3916
Timothy A/Cynthia J Beadles
1603 Blvd Place State Parcel Numher Leal Description
Princeton IN 47670-3437
Itlttlltt ElE 11Et ltttlll IltPlttlttllE TEE rI'I IItIIIIII
X 26-12-18-302-000.151-028 019-00151-0OBROADLEIGH PARK 67/68
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Vra�c/4v /� /ten �Jeacifes
�g Address(number and street,city,state,and ZIP code --- -- a Same as property addresi^^— ---- —-_— --—-— -
1 60 3 8 / vs / ce. Pr ,T »cc fort. ' l n 1-1-767 7o
-...
Spouse First Middle n Last
Vn—Ail;a_. SAyrie, eGJ1es
Mailing Address(Number and street,ci state,and ZIP c Same as property address
f1�3 X31 0� f�lace, Ti`hc � 7 r ) L/ 7b70
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 Signs Date