Homestead_Anderson (3) t
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APPROVED OY RATE EMRrsnr A(Ymlc._ryw rtIYTInED al'mE DEPARML TOELR'A GOVERNMENT FINANCE ICIE1.14:.1.I
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 ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
T benefit and to information additional ept confidential fvin_ orand ran necessary to allow county government to better monitor homestead
tloLp® filings.This information will be kept cal and ran only be accessed h5'authnrimd county officials.The Ikpannlent of
Local Government Finance will toe this information to create tools that will help county officials eliminate Mane tcad fraud.
PART 1: PROPERTY INFORMATION
APR 12 2011 Taxpayer Name Property Address
Anderson, Debris
1004SMain
GIBSON COUNTY AUDITOR Fon Branch IN 47648
7040
Debris Anderson
1004 S Main State Parcel Number Legal Description
Fort Branch IN 47648-1734
26-18-24-204-000.020-0261-00020-O0 BRENTON ADD 3
Spouse First Middle Last
-P 'S A.) A- f 2YSoKU
Mailing Address(Number and street,city,state,and ZIP code) I t.t came as property address
JS 6 S neTh , itJ �f �,9� t �1v .. q 76 y�
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.
FOflM HC 10 1979 To Be FileO in OuD����e
PrescnDM By Sute BaarG af Tax Commiuioners M�� `� ^Q _ OT
v Q /C V
CLAIM FOR HOMESTEAD PAOPERTY TAX CAEDIT FOR EAR 192`L
. SEE BACK FOR FILING INSTRUCTIONS
�(We) ����-�v, ���/-e-P�-�-�� � certify that on the 1st day of
arch, 19�' R, I, (We) occu 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 �.-�—�a-�^- County �"""O"`" Township
Taxing District (£itq;-Town, �ewrtship):- �"�� �-�-^-�—�
Parcel Number or legal description shown on tax statement:
�he.,��-� C�-�-eC....3
If buying on contract: Owners
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:
�hereby certify the above statement is true, correct and complete.
County
Township
` 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 -
True Cash
Value
Land not exceeding 1(one) reImr�at I�
surrounding residential improvements � (t) S"8o
Other Land .��1•'V £ 1979
Total Land ,�% �
Residential Improvement�iT' . � ���,���, _ 1��,,, Iling
� 2
AUO TI OR� age
Total
Other Improvements '
Tc�mprovements - Line (6) plus (7) equals (8)
I i,,._�y certify the above is true. correct, and complete.
Siq�:ure o1
Assessed
Valuation
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- ACTION BY AUDITOR -
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Homestead
Valuation
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Date: �