Homestead_Dickman MATE FORM5MMIR E S-P) nVASUICZ POEM 71-IA
APPM*ED BY SLATE YMNDOf ACMU+'rl'an PRf3Rmmn BY all DEPARMMNT OF LOCAL CM^tMMrwr FDasC'E If 4.1.l-U4.l
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 eser for homestead fraud.Iomestead fraud causes higher tat bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information tea:spry to allow county gocemment to better monitor homestead
filings-This information will he kepi confidential and can only be accessed by authorized county officials.The Depanment of
Local Government finance rill use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Dickman, Mary Margaret
Coal Mine RD
Fort Branch IN 47648
7049 .
Mary Margaret Dickman
678 W 800 S State Parcel Number Lesal Description
Fort Branch IN 47648-8068
r tt��tt�tt�t�ttt��tt�tt�tt�� 26-18-24-204-000.391-026/011-00391-00 PT NE 24-3-11 .58 AC
Itittlltttltlltt tlttlilllt it lltilt
Spouse First Middle Last
/nnti MPibpeer al)iCKn)did
Mailing Address(Number and sued.city,stale,and ZIP code) ® Same as property address
G 17 ,wesr pa oSourbl Goer $l24z1o4' /Ai • 1/7s
- _- - - — --•
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.
. HOPiIESTEAO PROPERTY TAX CRE�IT FOR YEAA 19�Q
SEE BACK FOR FILING INSTRUCTIONS
��"^� �� � _ certily .that on lhe 1st day ol
��1� �9�Q, I, (!:�e) o�cqupied as our riricipal place of residence the foliowing described real property lor
�vhic� Homestead Property Tax Credit is. hereby being claimed: ,
I, (lMe) ovined
❑ are buying under con[ract - ,��/(� Q
❑ have a. beneficial interest in t e taxpayer � �//` CJ`!/�// Q�
Properiy. Description in e,�kQALJ County Township
Taxing District (City, Tov+n, Tovmship): � � •
Parcel Number' or legal descripiion shown on lax slatemenC
��.� ., N.�''y � N - 3 ,- I ► . sB �4
If `JUying on coniract: Owners name ��ee smo�e ow�c�l � � " � � - - •
Contract recorded in Recorders Ofiice - Record No Page
I( zny portion of the residential structure or ihe land, not exceeding one (1) acre thal immedialely surrounds thal
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 properly: Counly Townsliip
I
i
I.�°��y certi{y ihe above statement is true, correct and complete.
,� � .� � D �.� � � � � � y3 � ����
�. . -�ig �t . . .. . Slreet AdC�ess � . Gy. S�oie an0 Lp Cuac
' Indi���lual either ov✓ns or is buying under a contract that provides he is lo pay � ,
o� tne residence, or has a bene(icial interest in the laxpayer ��
- FOR ASSESSOR'S USE ONLY -
nd r�ot exceedin'g'.�i:!(one) acre immediately
�roundirg resideniial improvements
ier Land
tal Land
sideniial Improvements Dvrelling
• Garage
Total
(�)
(Z)
(3)
(?)
(5)
(6)
True Cash
Value
ner.��vements ��1
la�. iprovements - Line (6) plus (7) equais (8) (8)
�eret;y ceriify the above is true, correct, and complele.
�01vrc ol Assessor ' '
� � - ACTION E3Y AUDITOR -
�- p � �� .
FEB 2 % 199�
a�A � %� r�lead
DITOR �Yalua�ion
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