Homestead_Mayfield SINE IOtSI'rt rR2/fml tAr■WLER/ORM 31A
APPRm'EO BY St R WARD Of Mn U..S.!uw PLLW1umm BY nn DEMR1W_Yr OF LOCAL CAIERNMENr FNAStE IC 4-1A-r4.1
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
_ more beneficial,there is more incentive than mgr 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 couny government to better monitor homestead
filings.This information will be kepi cantldential and can only be accessed by authorized county officials.The Depannmlt 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
APR 8 -Lulu Mayfield,William B/Melisa R
206 S Lincoln
72 V ,C,. _ Fort Branch IN 47648
2857 v
GIBSON COUNTY AUDITOR
William B Mayfield
206 S Lincoln State Parcel Number Legal Description
FORT BRANCH IN 47648-1409
1.1.l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l I l l l l l l l l l t t l l t n u l l 1 1 1 26-19-18-303-000.330-026 011-00330-00 WALTERS ADD 117
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
lea m
Ong Address(number and street,city,state,and ZIP code) Same as property address
iota S • 43 L+ nc 1N S�— e i F 4 tf3cznc(n n� Licito it B.
Spouse First Middle Last
Y�1 F LAS A
Mailing Address(Number and street,city,state,and ZII'code) Et Same as property address
a.oto S• tA r Fix @can& 2N tfl(cG'$
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 additionafhomestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner 1 Signature 'Date
•
----- _.._-- - - -'�`��
�, F' CLAIM FOR HOMESTEAD P.ROPERTYTAX FoRM YEAR
CREDITlSTANDARD DEDUCTION HCio �
I t Steta Fwm Sq3 (R6 / 4-03)
' Preacribed by Ihe Departrnent of Local Govemment Finance
� INSTRUCTIONS: See rererse side for filing instn�ctions.
��'%xF`�'.�§�sz,+kz_. b,r.. .�c �r�,:r� .stK�"�'—'�r'i.."_,;CERTIF,ICATON�.STAIEMENT��.� ?�ir ..:;._� �,.. ._y . .,k.0 r-' .';,.
..; ..... �._ ,�� ., . _,� . - :,�.:•
- -p� - _ . _ .. : _ .�,,:,. ,. -. _,._
I(We) r certify that on the 1 st day of March, 20
I(VJe) occupied es our prindpel place of residence the following described real p for which a Homestead Property T�c Credit Is hereby daimed:
� .T�{we) owned ❑ !ve buying under conVact
� Have a benefidal interest in Ne entlry that is liable for the property taues on Ne property and Nat owns Ne property or is buying under a contract.
�f buyin8 on wnvaq. Fae Simple ownafs name
Racordeh ofice where conUect is recorded
?i�"���v��:�-v:.""u'�.3«'v�T���,� °k��`v.':°,'��`••"`�PROP,EF
County Tavnship
Parcel number � Legal 'ption
6 -
u e�y pomon or ure resweona� swa�re w me �a�d ooc axceeaNe ooe (� � aae ma�
W the property utllized to produce income.
number � Pape
71ct ( - tawn. towns ip
Is ihe property In puestion:
�al property ❑ MobGe Home (LC. 61.1-n
und5 Nai cture is used lo produce income, des[ribe Na usa end portion
'���y����'�'"`�`��`�� ����4TRUETAX��; ASSESSEDVAIUE -HOMESTEAD Tu�`�NON�RESIDENTIAL"���
�*�'��j'..'"`��Eesbfis..`�C.R�<°,5:E+��?,sr�+�:z.?fF+�.. ��.Say�VALUEw'�;.`�'.'" 7AT1100%OF�TN> .n..-+;VALUE�4`��.is�vaf��'VALUE�'-�n'
�it � _ a � c: . _ ¢x`; _ � <c -z •.
Lend nol exceeding 1(one) acre-immediatery r;��L-'£; ,� 4� f".E..:gf��
surroundingresidentialimprovements. (�� ,-;�y���'�a�n� x+ � ' =�
Otherland �Z� , '�5 r-� -:
�.� £S:'.�eN.. .-s
TGaI land (17ne 7 plus line 2) �3�
Dwelling (4) "?�, �`�'x1`�'$?;.��4"�3�� ;�'i .
�ResidentialimprovemenLsorMnualy ;_�.�'�°wu�� �^c>=, �.*K;r�
hssessed Mobile I Manufaclured Homa Gara e � ���"= ���-��a++'L{'�3�'"�� `x
� ,-
9 �5� ..,�~�..l;a.�r.s�;;�.r,,>.,.,t�� .-,•�
� .F""S:� ^Y
4 `
O�perimpmvements (5) ����-� : � �
+ �e..d'.: ,
Tdal improvements (line 4 fhmugh lirre 6) (7�
Tctal value (line 3 phs llne n (8)
I hereby certify Ne above is We, correU, and � SI9�aw�e otnssessor � Date signad
complete. .
Verilying acUon - SlgnaNre of Auditar Date signad
'�.�".�,`"�ki .c+,","- .v �. .": -.�-,�1E."'.!-��'��w �i''i'x"-'.fiSTANDARD�DEDUCTION'ALLOWANCE - � �v. .•A�r:,:'h . .
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation w 535,000 S
SipnaWre otPuditw Da:e si d
�a�-a �