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Homestead_Gries SIAVE FORM!).-M I IC wl 11L4NILR Po0.w ZIA .APPROVED BYS1SI[BOARD Of.Mil L%tS!n+ PILS(WBEDBY mr DEPARTHENT OF LOCAL CAS'RNMFNT FE:.NCE tt'FI.I raa Gibson Co 101 N Main u nty Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS --.1 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 exec for homestead fraud[homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be Lets confidential and can only he accessed by authorized county officials.The Department of local Government Finance rill u-c this information to create woos that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Gries, Donna Life Est Etal 400 N Ilull Fort Branch IN 47648 7682 400 N Hull State Parcel Number Legal Description FORT BRANCH IN 47648-9709 - Illll IItlt ltlltltlttllrtltlt lot ltltllltllltlll lotto lot lttllttl 26-19-18-302-000.271-026/07t-00271-OO HILLCREST 79PT • Spouse First Middle Last D O 11 1, c` M a- ! 1 l / ( E .S Mailing Address(Number and street,city.state,and ZIP code) l Same as property address LF o o jtJ- l-I u i t s--f — fF • B r Q �lf� t4.) z�6 B' 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. Owner I Signature Date 0 wxn+ Hc �o �e� RestriEM By State BoarE ol Tar Cammissioners To Be FileE in DuDlicate CLAIM FOA HOMESTEAD PAOPEflTY TAX CREDIT FOR YEAR 19 7 9 being claimed: I, (We) N7 owned ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in �-�-�-a-^� Cou Taxing District (�it�Town, S�waship): � Parcel Number If buying on contract: Owners name �� simv�e owner� �� 40 s�T/- 00 � Township or legal description shown on tax statement: /.L�e-e��t � y s ��z 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. � County ,iJ,�, z A�'.; r. t Township , �+ —e- � � � � ' 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 Improvem�hts �� Dwelling ,iU�1 51979 Garage Total Other Improvements � ��ti`k,� � / Tn� �mprovements - Line ) plus (7)��8) I�oy certify the abov is true. correct. and complete. Sigiulure OI Assessor True Cash Value (�) 890 (2) �s� 5' 9 0 (q) "� o v-��- (5) f/ �lo O cs> �� (7) — (g) --°v--'r.sc� c� - ACTION BY AUDI Assessed Valuation �oc� . � �� %!�;;'j/;�// �%//,/..;,,. , / .�� Homestead Valuation . jjjj�jjjj/ jjjjjjj�j� ��'YL� � i � i � � 9 Dare Date: � S �