Homestead_Dixon ma FORat!tv+i2 r.wI TPFASBLER FORM 71-IA
ArPR(T'EP BY SOUL 0 r'M vts-rc._an FUnBED BY 111E DEPAATMESTOF LOCAL OCATINNITT MANCE M 6-t.1-r4.1
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 internist than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
_ HEA 1144--2009 requires additional i who receive the homestead standard deduction to verify that they are eligible to teethe the
tEa benefit and to provide additional identifline mfonnanon necessary to allow county government to better monitor homestead
• i
filings.this information will he kept confidential and can only be accessed by authorized county officials.'the Department of
FIT , ED local Government Finance will use this information to create tsrds that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 0 7 2010 Taxpayer Name Property Address
Dixon, David/Renee \L
6r RI Box 198
GIBSON COUNTY AUDITOR Fort Branch IN 47648
3028
David Dixon
R1 Box 198 State Parcel Number Legal Description
Fort Branch IN 47648-8009
II III I a I) I I 26-19-19-204-001.317-026 007-01122-00 INDIAN HILLS 118/119
r Lr Lrr r err Lr t rr t III set II set I t I nn I t II teI teI tr II 0-27
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
fluid 0 .
DI
firAddress(number and street.city,state,and ZIP code) ® Same as property address -fir91 I I t y iI n
3a$ E -NS S 6ro.- , , I ur1 q g I^" �-
Z+
Spouse First Middle Last
gene S
• D 1 xt v,
Mailing Address(Number and street,city,state,and ZIP code) Vi 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 eligible to
receie 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 l Sig •tare late
• PI<&SO_ in tstt -rho _ ell I It p cta o. -`-b Ir add re ss e D r re r7F r mn
� CLAIM FOR HOMESTEAD PROPERTY iAX .
♦ J�.
CREDIT/STANDARD DEDUCTION
SlateFUnnS17g(R6/403; . . ; �
' Presuibed by t�e Department ol Local Govemment finance �, � , ,. •
' INSTRUCTIONS:SeCr¢vc�sr.sidelnrlilinginxliuclinns:. , . -,�'., .. .� ,
��
6
FORM.
HC10
0
YEAR
•--� ..,u_�•:�;•.� �.;:.ti_^ . , . -. .;..�rniiri�wuunain�tMeN7:. ""-_ ..:. :..� ,-i�a.. .
-, ;.
--�_... „ �v-.:-,�_s..._ ...z,��..-• �: .. . . . . _ . _.ES'.* i� - • .::.- . .
��e) ` Qi� - � ceNfy that on Ihe 1 st day of March, 20_
I(We) occupied as our pnncipal place of residence Ihe following descnbed real property foi wfiich a Homeste��y�edi� er�aimed:
❑ I (VJe) ovmed .❑ !ve buying under wntrect � � � � � �
, Have a benefidal interest in the entiry Nat is liable (or the property taxes on lhe property and that owns th ro nVaU.
it buying om m�uaa, Fee Simple ovmer's name
RecorAefs office wliere contracl is recordeE
Tamship ' � Tating district (ciry, town,
Parcel number Legai scnpGOn Is the pro�
-� - — -- — - �a�i?cG�a��� !i� l�i
If eny ponion of Ne residential sWclure or Iha :and not exceeding me (1) ave lhat im iatety surtounds ihat
ct Ihe property uhliz=_d b,�roduca inwme. � �
�� - �9-�9 ��� �� �� � aa�
Tavnship
I hereby certify ihe above statements are W e, correcl and complete.
�dress (number and �Ireet, ciry, slafa, Z/P code) ' .
CouNy
Signature
�0++ �
GI $E3pY�pp7�7y qUD1T0 age
- ". �, •�c-r=; _ : t.^_i�:. �..
�P) _
/t/ /hl�t�/ / �/ ��/`�
in question:
�eal Droperty ❑ Mobile Homo (I.C. 67.1-7�
wre is used m produce inoome. desaibe ine use antl portion
1NTIES -� �_ :ti �st� �?`r?�'.'`:tr . ; -.t.�,.,'•.
;�ch�t�''�`ASSESSORIISEONLY �''c'..`��' �� � L� TRUETAX' � _ ASBESSEDVALUE �+HOMESTEAD` � � �+ � f � �
'� ��s �-t`szy,'. r a�-�: ,e. ��.� z�� VALl1E' w t� AT100%AF'TNx �-�fi,s-_ VALUE`�� t'��`YNON VACUENTIA �,�c�,�x
�..e.s. �r. a.4 �;ia.� s,.'-G+'.... -.�4�}- n._._.. a, y�-
Land not ezceeding 1 (one) acie immediately (' ) ' � �.y� `fi�r §�,}��`�""�F`` r� "';�;
surtoundingresidentlalimprovements. �,.:G; _�.+�.�',.ti:iw,-,.!;r.�.3:.-',__.�..-
. 3`� y�_� _Yrs i: �
Olher land � ��-'"F''-. �"�---
' (Z) �'ig?irn`r. °''�
�� ��
Ttial land (line 1 plus line 2) (3)
� Dw¢Iling (4) " ? F ( � , �1' r Y�'*s z i�r C ��:
Residential improvements or Mnualty ��`�' Cw�-.s -5 Tl t
Assessed Modie / Manufadured Home Gara e '`��� ��y:��'"��'''r��` '�''`� �
8 (5) :` tsya` �Z�, ��`zj,�.
-31.hy..:�.._�c• �..7c„�-..:'
Other improvements (6) '-'"�-�` �°�f� { �'• ~
� _� $:p� k2?�� rr
Total improvements (line 4 Ihrough line 6) (7)
Tdal value (line 3 ples line n (g)
I hereby certi(y the above is true, coved, and Signamre otnsseswr oate signed
complele.
Veritying action - Signature ofAuditor Date sgned
20_Pay20_
lesserof tr2 Homes;ead
vaivaUOn or 835.000
S