Homestead_Graper a IME FORM 53,1a nC/,-N1 nRrANuuA FORM ZtA
AITIMNE)BY'LATE BOARD Of Ynat1t.9x FRLAIImm BY fir DEPARTMENT(FE(XA1 rM'EANMrxl reascrw FIi-r-t.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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction in verify that they are eligible to receive the
benefit and to provide additional identifying infomvatwn necessary to allow county government to better monitor homestead
7 tiling.This information will he kept confidential and ran only be accessed by aulhorired county officials.The nepanntent 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
—.— Graper, David R/
604 Treuer Park DR
Fan Branch IN 47643
7710 .
David R/ Graper
604 Tretter Park Dr State Parcel Number Legal Description
Fort Branch IN 47648-1220
f26-19-18-302-000.772-026 011-00772-00 TRETTER PARK 5
7/ I uInIItt.ItIIniIt.II.iIn iletioInIi111111IIttr.I.It.IuII
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
DGlv i d P. G r a� ex--
lip Address(number find street,city,state,and ZIP code) 0 Same as ptopenv address
-- -
o'o4 Trelfei mart DYIU�P to{4 6ranrl. ZI�I � �(P ��
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.
Owne ignauue _ Date
1.
A
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
sm� w� san �� i soa�
Piascnbe0 by ihe DepeNnent ut Laal Gwemrr�ent F6anoe
INSTRUCTIONS: See reverse side tor filing instructions.
� Or
.-
/Ir; ; i�•, /i.
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I(We) � �i��U �' /��, i���� certify Mat on the�of�'� 20—
�e) occupied as our prindpal place of residence the fo0owirg d �bed real property for which a Homestead Pro T�c s hme daimed:
�SVN COUNTY AUDITOR
I(We) owned ❑ Ne buying under contract
�Have a benefidal interest in Ne entiry that is liade for the property taxes on tl�e poperty and ihat owns fhe properry w is Wy"vig under a contracl
n�Y�B �^ �nhe0. Fee Simpe owrels nama
Reoorders W6ce wlKae mN+et! is iamd0d
�P;L;�l�FSif�i:'.�i�``°��%Jkh..�e'�„',.r�tirl.S4P :`,
Cam 'ry � Ta
�U N
Palcel rwmber e
H a(ry portion re�Cdertliat NuGUre a the Ix
a we yapert� b m yoduca mmme.
��./Q /,P��i�.2 M
��n
Tarnsnip
Is ihe
ore (1) aae Mat immedatNy svrtouMs
I hefeby ceAi(y the above sYatements ma We. cortect and cortplete.
Adtlress (nuMer end street oN._9ate. Z!P
�(0�/ %Vztfcr �G✓IL v/��vz
Land not exceeding 1(one) acre irm�ediatety
siaround'ug residential improvertknts.
Other land
rum �a�d pme , Pa,s �re 2�
D�velGrg
Residential improvemeMS or Mnualty
Assessed Mbble / MmiufaW�red Flome
Garage
Other unprove�r�enh
TaFal improvemertls (!me 4 througA Gne 6)
T��,.�� (1'vre 3 pha Gne n
I hereby wrtify tl�e above is W e, carted, ard
mnplete.
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(3)
(4)
(5)
(6)
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si�rems orn,s�sa«
counry
R�d num6ar � Pege
fow�n,d�iP)
Reei p,apwry �,,,J Mobile Honre (I.C. &7.f-�
rta is usad to produce u�me. describe the we and pwtion
�va i Qr4n�h
nl N7(oy�
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. _ .. _. . -. Dace aigned-.
�s�K�`��'':��ii�t��.'��4a,��rr�;����:srnr�oatn.omucnoH�ai�ow,nNCen�.�����'����_'.�'�'��;Y���i�.�;.���K `��
� �—P�20— ' ' '-'-
Lesser of 12 Homestead f
Valuatim or 335.000 ' - - - - - -
SignaMe af Audita - Data signetl