Homestead_Lemmons (2) STATE FORM:95S /s TREASURER FORM TIA
AFreovulnvA.VI&NRO('NYY.Nrs Now ERE3Nnm BY 771 DFRARTNENIT(F LOCAL GOVERNMENTrDANCE tt'HYr-l1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.homestead 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 recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confdauinl and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create owls that will help county officials eliminate li mescal fraud.
PART 1: PROPERTY INFORMATION
_ Taxpayer Name Property Address
_ Lemmons, AfTeresa L
402 N West
Fort Branch IN 47648
6765
402 N West St State Parcel Number Legal Description
FORT BRANCH IN 47648-1044
' I I I I I I I I I I I I III I I I I I 26-18-13-402-000.110-026 011-00110-00 CHRISTISON ADD 15 .
t o nt t tun ei nn nn n t n nt
Spouse First Middle Last
E 154 2.7,v4/ .n�CIS
Mailing Address(Number and street,city,state,and ZIP code) 0Same as property address
r'0.,2 N t es / , Poe/ /7eg, e.h -�.Rc/ V261/23.
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.
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Form Sr73 (R6 / 4-03)
RexribeE by ttro Departmeiri d Locel Govemrtbnl Finance
Have a benefidal interesl in the enlity thal is liable tor the properry taxes on the properry and that owns the property or is buying under a wnVad.
If buying om m�Vaq. Fee Simple owners name
Recwders ofice where contraq is
Ta.nvuv
Legal description
Ta�ing disirict
Is �he
If any poAion ol Ne residential sWGUre a tl�e land nat exceetling one (1) ave lhat immediatety surrounds
ot Na properry utiaed to produce income.
Record number � Page
D�oOaM ❑ r.lobile Hwno (I.C. 67.1-7)
is used b produce incrnne, describe the use antl ponlon
' c'�'S, �'�''�"�'_ - i*5--z5""�.�...i .��.' 'fi_ ?� . '�,a» . . ...-_..," � . .a,.Y, _.
�r . .� �ASSESSOR�USE ONLYx- � i TRUEeTAX�'�sj� �ASBESSED VALUE �HOMESTEAD�t` eNON-RESf�ENTIAL '�
�,��..} xq����x'.t �a '�t-�.},.... ' w .uVALUE -� "' v. VALUE"k.^.�����'
a,¢_ � � �z_:R�F'.'��Y...-..•. s�'�'.'.`.z�"t.��i �VALl1E.;,.�i,� AT�700%O�iYa'�r�L�c�t-4 ,,.r,+-�'���=... .�c�
�
�� a�_� �� ���� ��
Land not exceeding 1(one) aae immediatety Y�� �� ��
surroundingresidentialimprovemenLS. (�) �' '�'"'1� � r.-r"'d'r }n°,-�,.
1 r_ -c3��
Other land (p) i �'
��
Tdal land (line 1 plus line 2) (3)
� { ��e�t���75rnsrT;�� �`�
Dwelling (4) ��,�yy��+�� ��-a� .a=�1rt��
�ResidentiellmprovementswMnuaOy �'�"'`=�' ''�'=':�-�'3 "'�'
�.�'''� -r" �'.;.�-;3� x'i_ `,
Asvessed AAobOe / ManuFactured Hame Garage (5) �t''.3:�.�� �������
:
Other improvements (6) �� � ��'�
4, ;i�..,_�.�- '�
Tdal improvements (line 4 fhrough line 6) ���
Tdal value (line 3 plts line n (g� �
I hereby teRify Ne above is W e, coved, and Signa[ure of Assessor Date sgnetl
comptete.
Verifyinq action - Signature oflwAimr Date signeA
20_Pay20_
Lesserof 1/2 Homesread
vauat�on a f35.000