Homestead_Jarke STATE Font n!agKztV.NI taLSVRfl FORM 3-IA
Arrflto BY Sr1EE MNxn OFMTTIIATS.Nos IEIflBWBY nir nrlMnur4T OFLOCAL COVa`I.Nrs-r fa:.xNCE MbLI-rat
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 horl,stead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1347-2109 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 kept confidential and can only be accessed by authorised county officials.The uryvnment 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
_ Jarke, Phillip A/Sandra L
504 N West
Fort Branch IN 47648
6781
Phillip A/Sandra L Jarke
504 N West State Parcel Number Legal Description
Fort Branch IN 47648-1046
II III I II I I'll I III II I III I 26-18-13-402-000.365-026 /CHRISTISON ADD 5/6PT PT SW
t o tart tat ta ll Inv tan II t n Iru ta t ll / SE 13-3-11 .03 AC
PART 2: TAXPAYER 1NFORNIATION
Owner I First Middle / Last
Ph-1 I I ; p August- JCurke -
•ng Address(number and street,city,state,and ZIP code) /-� ——-'- - - -Same as property oddtess
5o 14- N . Wes-I' S-Il t roll— 6Rta-NCB. —r-NI L(��y S — IOLi('
Spouse First Middle Last
saNdRh L_e_t_5l_ SR2Ke_—
Mailing Address(Number and street city,state,and III'code as property address
504 N u12�1 ■S4-. 1 Co R4- r RAJClti -DJ y�(a4S �i1o4c�
- - -
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. Eacb undersigned also understands that,by claiming additional homestead deductions
unlawfully,he •r she may be liable for back taxes and substantial financial penalties.
Own if Date
•
FOFM HC 10 t979 Q�� /�to ee_FileE in Dupficate
Prescri0etl By State Bwra af ia. Cammissioners _ D/// ��J_ �O
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192�
SEE BACK FOR FILING INSTRUCTIONS
�(We) � ' u- •� da-^�'� a• certify that on the 1st day of
�arch, 19� I, (We) occupied as our prin ipal 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 beneticial inter st in the taxpayer .�,/
Property Description in �-�^'` County W^�-°'� Township
Taxing District (�it-y; Town, To��p): ��' - � �-u-•-G,-
Parcel Number or legal description shown on tax statement:
(�. . ' . s� .9z-, 0 3
If buying on contract: Owners
Contract recorded in Recorders Office - Record No. Page
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.
�. �/a7 /�y _ _ _
Sa� n • L�Jc,k- �' .
Sveet Aaaress
County Township
ke�X f5hc.�.�.� , .�.(.�...� ��45��
inry. mace ana u0 ��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 �improvemenls
Other Land {,� � � p.d �
Total Land �� �B
Residential Improvements ,���r� ? i979
.�
�� -������
Other Improvements // AUDITOR
Dwelling
Garage
Total
To�mprovements - Line (6) plus (7) equals (8)
I y certify the above is true. correct. and complete.
True Cash Assessed Homestead
Value Valuation .Valuation
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Date: �/���� / "