Homestead_Lee Y
StAlE I OEM!)H lie/■wl TREASULER FORM 7S-IA
APPROCEDBY%Par,IXNRo or NVVR'.vls.rt.x PRb4PoBED BY TM DEPARTKENT OF LOCAL CA)VERVMEFr ra:\CE IC 44,1-1'13
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanJ deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.I lontestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 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 he kept confidential and can only he accessed by authorized county officials.The Depannem of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
— Taxpayer Name Property Address
Lee, Rita R G,
COMMANU lh 'n` v
Fort Branch IN 47648 /I"I S
3019 0
•
Rita R Lee 1`1
R1 Box 154 State Parcel Number Legal Description
Fort Branch IN 47648-8003
Itlttlitt>ltiltttlttllttltlttltlltttll Iltitltlitllltlttll 26-19-19-204-001.286-026007-01055-00 INDIAN HILLS 46
., ' D-27
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
4z-2 a, LRaa Lee
•ng Address(number and street.city,state,and ZIP code) ® Same as property address
4790 . 7805
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/Stare ID Number (last 5 digits) Other(please specify in Part 4 below)
- -— so¢ __ _ ___
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 Viet. tn-yn_>vl.� `ccn-coo , Las Vt` '..G., `(sne—.1) 4, mn-r. ,,-eQQ1
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
" CREDIT/STANDARD DEDUCTION HC10
t � Sfate Fam SC73 (RS / 10-07)
��w PresaiEed Ure De
by partrne�rt of Local Gwemment Fcwnce
INSTRUCTIONS: See reverse side !or filing insfnictions.
'.� _�'t! �r.�'_`�.'� �. "�` -�•r�r 3."k� ��.�r' � 'i'
�,�;+'K+'�,.�s' _"��CERTIFICATION�.,STA7EMENT�'i'-,,..�,�� T��. '��ji�-���j ?-��3, ���--�"�t
� (�`�e) ' . . � . v^ '. . . ` _.` � rtify af o�e 1s���f1y of March, 20_
I(We) occupied as our principal place of residence the foflowing described real property for which a Homestead ��rtyiT�c �n[� hereby daimed:
❑ I(We) owned ❑ Are buying under contract ;� �_ �
a benefidal interest in the enfity that is liable for fhe properry taxes on Ihe property and that
If buying on conVad, Fee Simple ownefs name
Couny
where mnhaq i5 recorded
Tnvnship
I Ne residentlal atrucwre or Ne lantl not exceedinp one (1) aae
uGT¢ad to produce i�ome.
Tacing tlisvict (rity,.tawn. lownsAiP)
Ne GmPertY in 9uesUon:
❑ Real Grop
Remrd number
❑ Mob�e Homo
Page
aurtounds Nat sVUqure is used b produce inmme, desaibe Me uae end portbn