Homestead_Jenkins STATE FORM n't•itc/F+NI TREASURER FORM 13-1A
.AITROED BY ST rTEMwRO(4 ARY*eere tun PUS IBHD BY Till OEPARTe4TOF LOCAL OAxc0.YNFA'T FINANCE If tl.l!•JI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple,arc limited to one homestead oandanl deduction.As the receipt of this deduction becomes
w more beneficial,there is more incentive than met for homestead fraud I lome read fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kept confidential and curt only he arressed by authorised county officials.The Ikpannlent of
Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Jenkins, John F/ Esther D
106 E Strain
Fon Branch IN 47648
6859
John F/ Esther D Jenkins
106E Strain State Parcel Number Leal Description
Fort Branch IN 47648-1448 `
26-18-13-404-000.367-026 /t/11-00367-00 OLD PLAN 3
r -/[ PART 2:TAXPAYER INFORMATION -J
Owner I 'J7ii' /e/ s-t if, D First /A/1.62 / Pin-441- Middle jeA,//fr%Yf Last
ne Address(numbs and strm,city,state,and ZIP code)-/a Fg5t 57r�1Ti✓
Spouse / First Middle //// last
CS P`
Pon-4-4-, f�P4�/�,'1vS
•
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
e rs1 /Szcv �
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 /// Date
•
•
FOFM HC 10 1979
Preuri6e0 By 9are Bw�O af ia. Cammissioners
io Be FileG in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7`�
SEE BACK FOR FILING INSTRUCTIONS
�(We) ��� �*�- _�• d -� �� certify that on the tst day of
�aarch, 19 � .(We) occupied a ur principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
�� �%/ ,DD 3C�- o0
I, (We) Id'owned v ! /
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �9"-�-�-m County ���.�� Township
Taxing District (Gify--Town, �ship): ��� • � �-��
Parcel Number ��A� �/ or legal description shown on tax statement:
Q�.D�i��
Ocrj��i�I`e r�.a �£.� J�,�a.,� �
If buying on contract: Owners name °� ��mo1e owneq
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.
n /1
�
County
Township
e'
F. —� �
� . Sveet AaCress ��y. $:a:e an0 2ip Coue
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Individual either ns 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 ON�Y -
Land not exceeding 7(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential I�e�� � �
�'t��`? �' !Qf9
Dwelling
Gara9e
Total
Olher Improvements
To�-' Impro�nt�L (6 plu equals (8)
I��by certify NsE a ove � rect. and complete.
// � c- i
Signamre ol Asussor
True Cash
Value
��� / o �o
(2) —
(3) �O �o
(4) ��T-'
(5) --�—�r0
- ACTION BY AUDITOR -
Approvetl: ,/���—r��.�
Assessed
Valuation
3 s-a
� ��
Homestead
Valuation
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Date
Date: G � � �-7�_