Homestead_Davenport i
STATE raced.mW t2'f'-nt TRFASURLA FORM 711A
APPROVED BY MATE!CAROM,ArnrCSIk!1's r[MYAUM:On nn DEPARTMENT OF LOCAL tSwttNMrr.T rcvs(rr 6-I.1 -RI
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.Ilomeaead 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
benefit and to provide additional identifying information necessary to allow count'government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county officials.The nepanment of
Local Government Finance will use this information to create ads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Davenport, Donald K/Belinda S
509 N West
_ _ - _ _ on Branch IN 47&48
6749
Donald K/Belinda S Davenport
509 N West State Parcel Number Legal Description
Fort Branch IN 47648-1045
26-18-13-401-000.595-026 011-00595-00 ROBERTSON ADD 32/33PT
Illudlogililloollidlidill111111111111111111111111dimilll
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PART 2: TAXPAYER INFOR\IATION- ,
Oaner I First Middle e- Last
---- -
ng Address(number and street,city,state,and ZIP code)
'
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 I Signature Dare
•
4a��"'� a CLAIM FOR HOMESTEAD PROPERTY TAX
;��= CREDIT/STANDARD DEDUCTION -
,�;� � State Form St73 (R2 / 5-92) ,
,:�.
INSTRUCTIONS: See �everse side /or tiling instrucfions.
' � . a - , � . .. '- neennnwr�
FQ�� YEAR
�� ��HC10� �
� I�y� •
24
�R � n (1
, — . _ _ _ . ie . . , .� -
'a"" � �� i./'�{iY;,(cv ntS'J�v.,,.
I(We) �, �� /Yt ���jti}� tha6onAfie 1st day of March, 79
�) occupied as our principal place of residence the following described real property for which omestead Properry Tax Credii is hereby daimed:
(We) owned . ❑ Are buying under contrad � , , • -
❑ Have a beneficial interest in the emiry ihat is liable. for the property taxes on ihe property and thai owns ihe property or is buying under a contract.
� - � � • � ' CONTRACTRECORDED � . � . . �. -
It Wying on contract, Fee Simple owner's name - � ' '
Recorder's otlice where contract is recortled Record number Page
Counry ' -' Township ' .
Parcel number ^ Legal description
� � J� .
If any portion of the revdential structure or the lantl noi exceeding one (1;
of the property utilized to produce income. ,
PROPERTY
town,
immediatety wrrounds that strucmre is used to produce
and portion
�PROPERTY�OWNED BV CLAIMANT IN OTHEFi COUNTIES -� � -
Counry Township Counry Township -
�eby certify ihe above siatements are We, correct and complete. ' Signamre t daimam
Address (numberandstreet. ciry, state, ZlPcotle)
S6 Si'� �B y' Y
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL,
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately �
surrounding resideniial improvements. (�� �
Otherland (p)
Total land (line 7 plus line � (3) - •
Dwelling (4) . � .
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value Qine 3 pbs line � (g)
I hereby Certify the abOVe is tNe. CArrOCt, and Signature of Assessor Date signed
complete.
���Nirg action - Sgnature ot Auditor Date signed
l
19_Pay79_
lesser of 1l2 Homestead
Valuation or 52,000
Auditor
S