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Homestead_Marshall • STATE FORM moincr fu0 TREasnery FORM TA1A APPROVED BY STATE BOARD NOTICE TO DEPAIIINIEVT OF LOCAL OPERTY ROWNERS t-4 Gibson County Auditor 101 N Main PRINCETON IN 47670 Individual and hurried couples are limited to one homestead aandard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive flan ever 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 arc eligible to receive the bent fit and to pros'de additional identifying infurm:tton necessary to allow counts goverment to better monitor homestead F g 7 filings This information will he kept confidential and can only be accessed by authorised county officials.The Department of Local Government Finance will use this information to create tads that will help county officials eliminate homestead fraud. APt 1 3 ZULU PART 1: PROPERTY INFORMATION Taxpayer Name Property Address 770-0 Marshall, Donald R/Karen L GIBSON COUNTY AUDITOR Sot Church Fon Branch IN 47648 2818 Donald R/Karen L Marshall 502 N Church State Parcel Number Legal Description Fort Branch IN 47648-1133 • I rlt rl�tt tlt�lttr ltt�lt tlt tut llt rtlltt l�t ttl ltllt tt rrlrlr rtlll 26-19-18-301-000.492-026 011-00492-00 HILLCREST 39PT 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 D 01\i Ai- ) R o 8 E+tr Wt iteSWALA �g Address(numbs end stns[,city,state,and ZIP code) ® Same as property address 5oa Mt crldAcH a% (re 6 -,✓e4 Ids 14.,th4 if re1€n ., # Spouse First Middle Last KAAEO Loaf S6 NA 51-i Lk L,I,. Mailing Address(Number and street,city,state.and ZIP code) fs Same as property address a u - cHw2e?f 61: Fie ®anJei{ /0DrAM I/764/g - 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 • • / / F9fIM HC 10'1979 -' Reunbe0 By $tate BoarE a� ia. Commissioners CLAIM fOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19� ia & Fil¢U in Duplfwte SEE BACK FOR FILING INSTRUCTIONS �// QO �92 -� i (We) �rb"`---�--a� �- �� '^ certify that on the 1st day of fCh, 19 � �, {�NB1 nccii�igri ac. ni�r �rinci�al �lace nf rasirienca tha fr,ii�Wing described real property for , ich 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 (GiLy, Town, Towrrsht(S): ��• /�'�°-�"�' Parcel Number or legal description shown on tax statement: ��-2-�� ..39�,� If buying on contract: Owners name �'� ��"'o'e °^"et� Contract recorded in Recorders Office - Record No 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 comptete. n Sneet Aaaress County Ci�y. Township /�✓. y%� ana Lo Coae 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) acre immediately surrounding residential improvements Other Land Total Land Residential Improvemenls �� g : Other Impr�m�s 19�� T '��Improve�� - L�e (6) plu I��by certify"tTie� ve is �t t1e t � �% ! Signaw�e o� (�) (2) (3) True Cash Value �So � (o SU Dwelling �4� � Garage �5� ��3� Total �6> �� (�) (7) equals (8) (s) � ;orrecl. and complete. - ACTION BY AUDITOR - Assessed Valuation �.�o .S �O Homestead Valuation � s'�'�jj�j�jj� " `�jj�jj�jj/ ri _ � Approved:�� 1-�� Date: � S—/�)