Homestead_Archer •1(RO,E0 B5 STATEe∎RO 1RF UtD FURY:5-IA
APFRm'En BY 5(01 a MROnf'Yrr(eerc.2uN rtrATlamnv nlr DrMRr12Yr(i LOt:U nOVttNMtWT FINANCE IC 4-1.1-2:-A.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homeacad standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than nee for homestead fraud I lomestead fraud causes higher tax bills for all:therefore.
• HEA I 544-7000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to retch.:the
benefit and to provide additional identifying information necessary to allow roomy government to better monitor homestead
filings This information will he kept confidential and can only be accessed by authorized county officials The Depanment of
Local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Archer, Henry Jr/Dawn M
cIN
uS 4l
nch 47648
7620 ,
Henry,J�rcher Jr.
910 Chickasaw Dr State Parcel Number Legal Description
FORT BRANCH IN 47648-9539
I I ttt III I I I III ttt I I IIII IIII I I I 26-19-18-101-001.15 26 011-01158-00 LITTLE YORK VILLAGE
t tt t try tt tt r t t rr r tttt tr /.< PHASE II LOT 16
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
L L
L . iz, t2 .
�ag Address(number and street,city,state,and ZIP code) - R'Snme as property address - --
Spouse First Middle Last
D/-4 thJ n/ ni RR /6- ARC//
Mailing Address(Number and street,city,state,and ZIP code) 2 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 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 $' nature %dial �— I�/p3 ^^
•\
CLAIM FOR HOMESTEAD PROPERTY TAX �'R
CREDIT/STANDARD DEDUCTION , �G t
� s:re rw,,, s�r.� �� i sou� /'�
~ ?�r�uib�vl by Me DepaiUnent of Lo�l Gouermierd Fvan� �
�NSrnucnoras: s� ��� s�ea �. m�y m�a•e,u. D E � 0 6 Z 006
-- C TIFlCATq�I STA7EMIX7 . .
��e) . . certify that on the 1 stCd�a oyf •�(�—
I(We) acaipied as ota N� P� P�cE o::e5idence ihe tc&r.ing descrbal rt=�i �rop��• for whch a Hmrsfeed P:��ish�� dairtied:
�I(We) owneA Me buying under cmtrad
I J Have a benefidal interest in the �tiry that is liade for the properry tazes on the {xoperty arM Uat ams the properry or is 6uying under a oontract
- ; . � . _ _ �..*J.:.� . - CCN78ACT RECw'sDEA� �" - . _
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Veluation w 535.000 � 1
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