Homestead_Georges STATE FORM!3M I',AM TAEASU LIP FORM iSIA
AFPROVEo RTCrV[DURUM,NCTLNIS.b+v Ptf s1BED BvnIr DEPAkn EYf OF[SEAL GOVERNMENT FI:ANCEr Ll-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 incentive than ever for homestead fraud Homestead fraud causes higher to bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to mene the
benefit and to preside additional identifying information necessary to allow county government to better monitor homestead
filinf,.'ntis information will be Lepi confidential and ran only M accessed by authorized county officials.The Ikpannmn of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
- - - - - — - - Taxpayer Name — ----- -- Property Address -
Georges, Donald R/Amanda A
202\V Walnut
•
Fort 13ranch L\47648
6852
Donald R/Amanda A Georges
202 W Walnut State Parcel Number Legal Description
Fort Branch IN 47648-1336
26-18-13-404-000.243-026 011-00243-00 MCCRARY ETAL 55 PT/56
11111111111.1111111111111111111111111111111111111 ui,.I t I t I I..I
PT
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
'DONALD 66-0g6 65
•g Address(number and stmt,city,sate,and ZIP code) _againe ni poperty address ___ __ . _ • _
l,0 tit)A-1 o r ST-/ Itier &AtheH , 1 J
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) me as property address
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.
04 Signature Date
FOflM HC 10 7979
ReuriEeE By Stale BwrO of Tax Commissioncrs
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 192�
To & FileO in Duplifate
SEE BACK FOR FILING INSTRUCTIONS �/�_DDp� �"f��DO
�(We) ,�-r'n-�-�-�•d CLr"V�c^,�-.�a- �• certify that on the 1st day of
arch, 19� I, ( ) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer —,/
Property Description in � County /�-�-*- Township
Taxing District (Cii�-Town, Township): �� • � /�-�-�--
Parcel Number or legal description shown on tax statement:
C�-d_- `f��.c�.-v Ss-sp�"� � Sl�
If buying on contract: Owners name ��� simple o.�e.r
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, corre nd complete. �
' �2 0�0
'Sig�ture Suee� Aaar iry, State ana Zi0 CoEp /�� ��
�
' Individual either owns or is buyin9 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(onel acre immediatel
surrounding residential impr�m�itT � T
Other Land r 1 L L
Tota� �and JUN 11 1979
Residential Improvements welling
� �! age
!t' AUDITO
(/ �otal
Other Improvements •
Tr' Improvements - Line (6) plus (7) equals (8)
f��y certify the above is true. correct. and complele.
Signawre oi
True Cash
Value
c�) //�-o
(2) �
Assessed
Valuation
3 80
• '
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- ACTION BY AUDITOR -
�..�-�--
Homestead
Valuation
�so
. -�-���
�J�� i979
Da:e
Date: