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Homestead_Atchison (2) STATE 10kM!SN+IR_/•wl rnrssurfR FOAM 15-IA .ArunivEn BY 5TMI.WARnor.VrTRPTc.Lm prF9CPMWD BY TIE orrsn Tu LOCAL&AVrRNMFHrrin'ASCEICSII.r.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 dun nee for homestead fraud.homestead fraud causes higher tat bills for all:thereat. I L HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they due eligible to receive the ,l benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.'this information will he kepi confidential and can only be acce.sed by authorized county officials.The Depanment of Local Government Finance will use this information to erica:c tools that will help county officials eliminate homestead fraud. APR 8 - Z010 PART 1: PROPERTY INFORMATION Taxpayer Name Property Address �� Atchison, Joseph A/Geraldine GIBSON COUNTY AUDITOR 701 Ii Park St Fort Branch IN 47638 7668 Joseph A/Geraldine Atchison 701 E Park St State Parcel Number Legal Description Fort Branch IN 47648-1114 Im�r r��r mr�r��rrr�rr��rr�rtr r��t rr��rrr��r�t r�� 11111111 26-19-18-302-000.034-026 011-00034-00 HILLCREST 4 x PART 2:TAXPAYER INFORMATION Owner I First Middle Last J DSe p k A. > C h.;50 tg Address(number and street,city.state,and ZIP code) — -- - ----E-Same as property address - loI t PRrK sf- Spouse First Middle Last L -et R ldi rte- RfCh 13011 Mediae Address(Number and street,city,stale,and ZIP code) Same as property address id I E PArK st 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 e 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 Signature Date PART 4:ADDITIONAL INFORMATION • wen+ xc io is�s PreuriOed By State Boam ol ia. Commissioners To Be FileO in Duplrtate CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 192`� SEE BACK FOR FILING INSTRUCTIONS �(We) ��'� �1�-�-�. Q•�� certify that on the tst day of � arch, 19 �9 I, (We) oc pied s our 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 � Coun Taxing Districi (City, Town, TawnsF�ip): �.7� Q Parcel Number If buying on contract: Owners name �/�' Od a,��-Qd � Township or legal description shown on tax statement: `.J.��c�eth�,o�' � Contract recorded in Recorders Office - Record 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. � /i / I /,//Y // . � 1Jn. . n s�� County Township antl 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 resid�jjal�pl,pvery�pis� Other Land F L E Total Land Residential Improveme��JN 11 1979 �� AU�� Other Improvements True Cash Value �>> aa�o (2) — Assessed Valuation "7 � o (3) a��o �7�f'o ' '%%%%��%�%%/ 1 � �� ,.�. .a aii i ,'�%'�% �� . .�. /_///. _ �� _ � • - - -- - T�Improvements - Li�ne (6) pius (7) equals (8) (8) �.—?-`�'a' �" I,. .,.by certify the above is true. correct. and complete. Slgnamre oi - ACTION BY AUDITOR - Appro Homesiead Valuation �� jjjjjjjjj� �� Uy�yu�a ��°d/�-�ii, 4. ��jjjjj/ ��j��jjj� ih-�-� /� i 9 7 9 Da:e � Date: