Homestead_Alexander •
Qdll HIR■33W,R3h-Iq :0tACDRLR HAM 15.1A
.IAOVEO BT:TVE!VIVRr.OF'1(trNrc y0•4 IRLY'Ra1ED H1 THE DLPARIVEIOF I(CALCOVERMIIST FINANCE I('b!]T+.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 ccce for homestead fraud.Homestead fraud causes'nigher tax bilk for an:therefore.
80!lOfitl AINf10O NOS8lO111 1344-2009 requires taxpa'en who receive the homestead standard deduction to verify that they are eligible to receive the
0
benefit and to provide additional identifying irlixnulion necessary to allow county government to better monitor homestead
filings.Thi information will be kept confidential and can only he accessed by authorized county officials.The Department of
C.J Local Government Finance will use this information to create tools that will help counts'officials eliminate homestead traud.
ZIOZ I �n� PART 1:PROPERTY INFORMATION
Taxpayer Name Location Address
Alexander. Jacy Lee
1 —JL®p 7924 S ANDEE LANE
FT BRANCH IN 47648
2577
Jecy Lee Alexander 110101 i ii[ill[ill lit 1111001111011110011011.111011011101011.11011011-1011111
7924 S Andee Lane
FORT BRANCH IN 47648-1545
I'lllIIIl'llIIlllIll11111'IIIItIIIIIIIIIIIIIIII'llII'lll'I'IIIIII State Parcel Number Legal Description
26-19-19-103-001.204-026 SOUTHGATE18
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION .. '
er I First Middle Last
� Gee_ 4/exa✓IJ� n
Mailing Address(ntml nd street,city sta. ,and ZIP code) Same as property address
7?2 4/ 3. 4 e LA For + gran c, X/tJ 174 Via
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 1 Si Date
• •
ar
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
smce r-o�n s4rs cR� i sas�
Piem3ed by ihe De�t of Loml Govenunerq F'vanca
' INSTRUCTIONS: See ieverse side (or frling insbuctions.
�
. FORM
^ , HC10
�l1
�
�(�''�e) certify thal o� the ist day of March, 20
I(We) oocupied as au " pal p idence M�e foQowi desai real for which a Hanestead Pfo ��"'
�9 P�Pe�h' P�Y Tmc C�_` �ereby�aimed:
❑ I(We) owned Ara b� g unda cmtrad C,�g50N COUNTY AUD170R
�iave a benefi6al interest m the entity that is liade for ihe property tazes on ihe property and ihat o.ms the property w is buying under a contracL
tl buy'rg om m�tract. Fee Slrr�ie awners reme
Recoideh ot6ca w�era cumaa is recaded
�v...�k�x�i�f� A'.iTd�fi�`1/i'Y f f?�Y'9f't'at':�:�(X��'.
��Y � • .. � Tuvrrslup
Legal deuription
H erry pation af iha r�ide�Nai stru.Yirte d ihe WrW nol �ceadirg ona (1) aue tl�at
d ihe WuPertY uGFmd b G�duce u¢ame.
— i y—i�_ iii.� —
Retad number � Page
�
Nr� �j,�al poperlY LJ MoEile Fioma (I.C. G/.7-I)
airtw�c Nat is used b Groduoe uimrt�e. dexaibe the we and G�n
20 _ Pay 20 _
Lesser of 112 Homestead
Valuatim or 535,000
E
S�a ��i� V 1„ I 1// 4. • � oau