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Homestead_Dierlam MATE FORM 5t■ i0._/,-ivl TRJASUIMA FORM rllt APPROB'Lnny MAIL BOARD Ofnen C.\RS.n•■ PRF_`RAtntnor fir DTPA ATe4T(f LOCAL flovs,MrKTrwwK'F Mbrr-r-n Gibson County Auditor 101 N Main u 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 :F �' more 1344-200 there is more incentive wh receive ever for homestead eLad fraud.d o deduction fraud rid th higher tag bills le all:-ct therefore. HEA aal to p requires taxpayers i who yiingi in the nion homestead standard allow county ty verify that they me eligible monitor Fumes the benefit and to pnn'idr additional identifying mfumunwn necessary to allow county gtn'rmmenl to better monitor homestead filings.This information will he Le't enntidential and ran only he accessed by authorized county officials.The Depanntent of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. MAY 5LUIU PART 1: PROPERTY INFORMATION Taxpayer Name Propery Address Dierlam, Judith Mulberry GIBSON COUNTY AUDITOR 500 E Fort Branch IN 47648 7830 Judith Dierlam 500 E Mulberry State Parcel Number Legal Description Fort Branch IN 47648-1638 Irlttllrrtltllrrrirrilrtlrtrrlltllrttrlltltrltlltrtll Iltl 26-19-19-101-000.172-026 011-00172-00EASTVIEW 16 Spouse First Middle Last J1.4 Ann D : er lam Mailing Address(Number and street,city,state.and ZIP code) ® 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 eliuible 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 Date PART 4:ADDITIONAL INFORMATION WFIA HC 10 1979 P�eurioeG By State Boam ol ia. Cammissioners CLAIM FOR HOMESTEA� PROPERTY TAX CREDIT FOR YEAR 19� io Be FileO in DuO�icale . SEE BACK FOR FILING INSTRUCTIONS �// ��D�7��D� r /!�1y �(We) N� ��- ��1-�� z� certify that on the 1st day of ��narch, 19�, I, (We) oc ied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) C-3'owned ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in �%' � 5b �✓ County ��R/i onl Township Taxing District (6ityr—Town, Tevfas�ii�� A� ch Parcel Number or legal description shown on tax statement: �cu,T Q.oP�2. . / � If buying on contract: Owners name �'� $inp1e °"ne`� 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. Sheet Aaaress County Township City. State ana 2ip Cotle ' 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 improvements � � Other Land � � � Total Land Residential Improvements Jur, ; t979 Dwelling �-l�ti`k��9e Other Improvemenis �' � pUD�T�R T�Improvements - Line (6) lus (7) equais (8) I �..;;by certify the above is true. correct. and complete. a _ ,. . Signarore ol Asseswr True Cash Value (1) 90 O (2) (sJ 90 0 (4) �� 5> a�oao (6) �� (�) (8) '7�'�� - ACTION BY AUDITOR - Assessed Valuation �'� 3� r .�_ F'�P��.J Homestead Valuation oJ o—c ��/�jjj� �j��j��j/ `yn-�, i s, �� 9 —� Date: �—�" 7�