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Homestead_Boyle (2) <IAWE f WRM,)V W,R`/wrr tREASntM FORM 11A APPRMED NOTICE TO HOMESTEADEPROPERTY GOVERNMENT OWNERS 6-1.1 at Gibson County Auditor 101 N Main PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes I more beneicial,there is more incentive than her for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 1344--7009 requires taxpayers who receive the homestead standard deduction-to verify that they are eligible to reecho the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead flint..This information will be kept confidential and can only be accessed by authorized county officials.The Depanment of Local Govcmment Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Boyle, Gene A — 500 S Lincoln Fort Branch IN 47648 7826 Gene A Boyle • 500 S Lincoln St State Parcel Number Legal Description FORT BRANCH IN 47648-1630 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIII III 26-19-19-101-000,091-02'6/ 011-00091-00 SMITH ENLG 22PT 1. PART 2:TAXPAYER INFORMATION Owner I First Middle Last •tg Address(number and street,city,state,and ZIP code) — _ — --- — — _. Xl l Same-as property dross 56-0 51 ) 04,col , f Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) u Same as property address Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sme 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 aannnd substantial financial penalties. Owner I Signs 8C.10 Date PART 4:ADDITIONAL INFORMATION • wun nc io iv�s PrescriOCE By State BoarE ol Tae Commissioners To & FileE in Duplicate CLAIM FOA HOMESTEAD PROPERTY TAX CflEDIT FOA YEAR 19� SEE BACK FOR FILING INSTRUCTIONS �(We) ��-�-�- ''�`""`-' <<- �`'L �`�� certify that on the 1st day of �tarch, 19�(We) occupied as our principal place of resid ce the following described real property for which a Homestead Property Tax Credit is hereby being claimed: ' ' I, (We) ❑ owned � Q//--QQ�/ Di� ❑ are buying under contract , . O have a- beneficial interest in the taxpayer Property Description in � County �� --�.J Township Taxing District {�6Hy�Town, Toacaship): �� '�-s-^-�-e�- Parcel Number or legal description shown on tax statement: �� .M�a�-. � a �� If buying Ofl contract: Owners name �� simole owner) 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: County Township ' hereby certify the above statement is true, correct and complete. � ' 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 residential improvemer{� � ❑ Other Land �� t� Total Land Residential Improvements Other Improvements True Cash Value (�) 9 � o Assessed Valuation io � � �2) — — 0 J�'N E Qd/e�ing �% / arage �� i ��r- i AUDITOR Tr�lmprovements - Line (6) plus (7) equals (8) I,._,�by certify the above is true. correct. and complete. $igN:we OI A552550� , : • �� ' ...�,��a/ �i. %/,./' , c;'!� • - - - � ACTION BY AUDITOR - Homestead Valuation �io �� /�jjjjjjjjj i?�-�- � � ��y oare � /� / � G Approved: � �/� �� Date: 8 � / —�