Homestead_Ivers STALE FORM aIrLrurvl TPrAAImG EOM 79-IA
'MIMED BY MITE Brwannv vn CMS.a, PVANnm BY OW arWART:MT. OF LOCAL CMct'NrrT FINANCE K'�I.1-resat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
\PRINCETON IN 47670 Individuals and married couples are limited to one homestead.aandard deduction.As the receipt of this deduction become,
4. more beneficial.there is more incentive than eser for homestead fraud homestead fraud causes higher tae bills for all:therefore.
REA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he IEp confidential and on only he acce.sed by authorized county officials.The Ikpanmmm of
Local Government Finance■■ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ivers, Wayde M
401 G Walnut
Fort Branch IN 47648
7741
Wayde M Ivers
401 E Walnut State Parcel Number Legal Description
Fort Branch IN 47648-1432
I II III I I I I III I II I II I III I nr I 26-19-18-303-000.342-026 011-00342-00 WALTERS ADD
l u ul t urn n nn tun nt t 118PT/119PT
•
PART 2:TAXPAYER INFORMATION
Owner I / First Middle Last
D6 MAYO tV&WS
-- •tg Address(number and street,city,state,and ZIP code) - — - -_ - I r l-Same Drs property eddress —--- -- —' - - - -.
5`0/ E V✓Ae,yur rr Ae,er Beaded, >n/ 976Yr
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
see
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
•
e� CLAIM FOR HOMESTEAD PROPERTY TAX
s� CREDIT/STANDARD DEDUCTION
• State Form Sa73 (R2 / 5-92)
•�i
,.,.
INSTRUCTIONS: See reverse side !or liling instructions.
. .. _ _ .-�;nFanc�r_er
FORM YEAR
HC10
'e) occupied as our p�cipal place of residence the tollowing described real property tor which a Homestead Property Tax Credit is hereby daimed:
I(We) owned ❑ Are buying under contract SEP 0 8 1998
❑ Have a beneticial interest in the entity that is liable for ihe property t�es on the pmperty and ihat owns thp.property or � bu�mg under a coptract.
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.�i, %ti%''�-`- -
.. . � . � � � � . CONTRACTRECORDED.�. ,�/° ,GIBSUi7WUrv��;-:r��v� . �_c-,.
If buying on contran, Fee Simple owner's name
Recortler's oNice w�ere contrect is recorded Record number Page
Counry
Parcel number
II any rtion c
of the Drocertv
'. ` _ . .. PROPEPTY DESCRIPTION " , �-.. � . k � `. � :"-
Township Tacing di5tric11uN, fown. township) '
3��_1 Legaldescription
�CJ
:mial stmaure or the land not ezceeding one (1) acre Ihat immediately
produce inmme.
is usetl to produce incafnV, describe ihe use and portion
PROPERTY OWNED BV CLIUMANT IN OTHER COUNTIES � � �
Counry Township Caunry Township
�ereby Certify lhe above Statements are Irue, correCt and wmplele. Signature of Caimam / � l
. e�`�"�
Address (number and street ciry, stafe, ZIP cade)
o F. J� � � 6
� ASSESSOR USE ONLY � UE TAX ASSESSED NOMESTEAD NON-RESIDENTIAC;
�� . � VALUE VAIUE. VALUE . - VALUE -- �
Land not exceeding 7(one) acre immediatety - ° ��
surrounding residential improvements. (�� - �
Oiher land �z) ��'b ' � .
Total land (line 7 plus line 2� (3)
Dwelling (4) . • .. �.
Residential improvements '
Garage (g) - -
Other improvements (6) -
Total improvements (line 4 thiough line � (7)
Total value (line 3 p�s line � (g)
I hereby certiry ihe above is true, correct, and Sgnamre of nssessor oa�e si9nea
complete.
rityirg attion - Signature of Auditor Date signed
�
19_Pay79_
Lesserof 7/2 Homestead
Valuation or $2.000
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