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Homestead_Jones HAIL FORM JtrvgF 1f. 1 TREASURER FORM 73-1A .A/PROVED BYMAIL MOtOOF.MYCRnTS.±n+ PRISCRIAFD BY nIF OFPARTM£n OF LOCAL CAWERNMFTT FINANCE IC 6-1.14:4 I -.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 .,Y mole beneficial,there is more incentive than tier for homestead fraud Homestead fraud causes higher tax bills for all;therefore. . HEA 1344-1009 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 kept confidential and can only he accessed by authorized county officials.The Depannient of Local Government Finance will use this information to create twls that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address _ Jones, Basil R/Judith Lee 700 1:Sinclair ST Fort Ilmnch IN 47648 7687 Basil R/Judith Lee Jones • 700 Sinclair St State Parcel Number LeEal Description Fort Branch IN 47648-9798 II III II III I III I III II I I I 26-19-18-302-000.374-026 / 011-00374-00 HILLCREST 19PT 1 1r ur r 11r Ir rr r r rt rrl I tt ii 1 III ill ii r ✓ PART 2:TAXPAYER INFORMATION Owner I First Middle Last $A574 7e/C//f44)475°'V jC7)■(CS -kg Address(number and street city,state,and ZIP code) © Some as property address 700 .E S/NCL4/t sT A2' * W,t44i✓ctf, /4/- 4f7z, 4 Spouse First Middle Last JUDiTg it t EF 3 19 eVES Mailing Address(Number and steel-city,state,and ZIP code) ❑ Same as propeny address 700 -C. 5/A/c /e Sr Fo.e7- 1<i1 rch', //V 476 'fW PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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 FOHM HC 10 7979 Preuri0c0 By State BoarE ol Ta. Cammiuioners CLAIM FOH HOMESTEAD PflOPEHTY TAX CAEDIT FOR YEAR 19 � l To & FiIM in DuD���aro SEE BACK FOR FILING INSTRUCTIONS �// ,SjD Q�J//^�O � � .n � , oC a�� � �t� �� �7'. '(We) �y '�`-�-��-�- 2• 'd" certify that on the 1st day of March, 19 �? I, (We) occupied as our principal p ce 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 beneficial interest in the taxpayer Property Description in �-�-�-�- County �^-��-- Township Taxing District (Cky,—Town, Tovvrtshipj:— o�'i%" � Parcel Number or legal description shown on tax statement: 7V- iQ �eJe. s_o_� I � -.i�. If buying on contract: Owners name ��� simple ow�e,� �T SW 18- 3- 10 . 3D (�-G 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: �tiereby certify the above statement is true, correct and complete. sveec aoaress County Township ano 2iv �e ' Individual either�s or is buying under a contract that provides he is to pay the property taxes o s ence, or.has a beneficial interest in the taxpayer. �.� - SESSOR'S USE ONLY - �"Ar � � 31 �9j9 Land not exceeding 1(o� metliately surrounding residential improvemen Other Land AU�/TpR Total Land Resitlential Improvements Dwelling Garage Total Other Improvements Tr�mprovements - Line (6) plus (7) equals (S) I he�euy certity the above is true. correct. and complete. Siqna:ure ot nszessor True Cash Value (1) / � o O Assessed Valuation S�o ,• _.���-=l%%�%%%%%%% e i; �.��i a� ..o � � : � ''%//�/.% � /,'� . _ — :�.•.. ' ._� � (�) (8) � - ACTION BY AUDITOR - Homestead Valuation S3o �z�,197`j wre Date , 7