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Homestead_Lear • San rotu!35e4,C/% t TSEASLRER Po0.4 79-IA
'MOVED BY%TSTE MVRDrr M?R,Srs,1,v PI/SOURED BY 111E DFYARTn:ST OF LOALrAVEtNMitre re:ASCE IC 6-I.1-r4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Ilomestearl fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who reactive the homestead standard deduction to serifr that they are clieible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Miner: This information will he Litt confidential and can only be accessed by authorized county Official!,The Depanntent 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
• Lear, Frank P/Donna M
604 S Willard
Fort Branch IN 47648
7841
Frank P/Donna M Lear•604 S Willard --- - -State Parcel Number - Le2aI Description
Fort Branch IN 47648-1664
II III I II I I I II I I I III I III I 26-19-19-101-000.446-026 /b11-00446-00 CLAR-ENCE TERRACE B 23
t o tat t to ta 11 nu t tat ton tan n ru
PART 2:TAXPAYER'INFORMATION
Owner I First Middle Last
K tea_ I L ccu
•na Address(number and street,city,state,and ZIP code) - - — - — _® Same as property uddress- -- - --- -- ---
(oo S- I.c)1' loam F+. N L176Li le
Spouse First Middle L Last
�O1\\\La (�%'�• l0. C lyc_ L a r
Mailing Address(Number and street,city,state,and ZIP code) 11 Same as propeny address
L, vq lc�f' /larof nFf, / rane.,k Ai 47cg418
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
F9RM HC 10 1979
PrewioN By S�ate Bwm of Ta. Commissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 79
ia Be FileO in Duplicaie
SEE BACK FOR FILING INSTRUCTIONS
�� ��.�,....� P �- �9- 6// DD ��_ oa
1�(We) � �� -- �1 • certify that on the 1st day of
vtarch, 19 7 9 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) FJ owned
❑ are buying under contract
❑ have a beneficial intper�est in the taxpayer
Property Description in h1s--�-a-� County �r Township
Taxing District (Bit�Town, Tvw�hip): �'�• ��-�—�-'�^-
Parcel Number or legal description shown on tax statement:
l—X n/1__�__.�� �' / l' A A_rLa� � ` J
If buying on contract: Owners name �'� ""'o'e °w"e'�
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.
i/ /I ✓I � n ,. . _
County
Township
ane
' 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) a�re ir�media.tet�
surrounding residen.,�ial iimprov�e�menf� �
t�
Other Land �J �
Total Land '`i�
, � . �!'��.
�''•�' �
Residential Improvements Dwelling
�� /��U�� Garage
'//�' pU4170R Total
Other Improvements �� _
I�Improvements - Line (6) plus (7) equals (8)
I.., . by certify the above is irue. correci. and complete.
Signawre ol Assessor
�l . . /�
True Cash
Value
(�l 7 7 0
(2) �
�3) 7 7 0
(4) cl-5''Sz. o
(5) a.�
(6) 'r��
(�) �
(g) �-r-��
- ACTION BY AUDITOR -
Assessed
Valuation
�- (o 0
��j/�j�jj/
�: �jii��/
///� % r,.%
�
��
r /�
Homestead
Valuation
2 � o
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--a3-7
Da:z
Date: � c� %� / %�/