Homestead_Menke . Slate n1R■9wIR2IHYI IMMURE,'OLLV 31A
NIXm'ED BYSrUE NNRDM ACOUTS.bm pUSCRIBm BY nIC DrPARnff-Vr0FLOLALQ1rRNSirwrFAsCE ICH.I-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 es er for homestead fraud.Homestead fraud causes higher tae bills for all:therefore.
• HEA 1344-2IX9 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necrssalr to allow county government to better monitor homestead
filing:.This information will he kept cool.initial and can only be acre_sed by authority-it county officials.'I he Depanmrnt of
Luca!Government Finance will use this information to create amts that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Mayer, Lisa
401 S Main
Fort Branch IN 47648
7002
Lisa Mayer
401 S Main State Parcel Number Legal Description
Fort Branch IN 47648-1513
�I I 'I I II I IIII I) II II IIII I 26-18-24-202-000.157-026 011-00157-00 MCCRARY ETAL 84PT
I n ter t tit n u nu t t IIII ti t rut
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
i 1 ' (Y)1N1(
ng Address(number and street,city,state,and ZIP code) - -- — - — 0 Same as property address — .--— — - --- —
(101 3. m I - Tha Lived J Lit)Log 2
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Sane as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sue
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 properly. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
•
/
a%—� CLAIM FOR HOMESTEAD PROPERTY TAX �. � NEAR
xl�'i CREDIT/STANDARD DEDUCTION i ��� C� �.'-`��
�,� State Form Sd73 (R2 / 5-92) � i � �I "a
•``'• v J�
INSTRUCTIONS: See reverse sfde !oi liling insbuc(ions. � i�' . p,
��We� � '� �J��V / cenify �hat on the i3NdaYdflM�Fcn. 79
�a) occupie s our i cipal ace of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
1�,� Sln C\
�f� We) owned ❑ Are buying under contract 1—� — � O C-l'L-�`1
!J Have a beneficial in;erest in the entity ihat fs liable for the propeny taxes on the property and that owns ihe property or is buying under a contrac�.
CONTRACT RECORDED �
It buying on con;ran. Fee Simple owner's name
Rewrtler's ott�ce where mntract is rewrtled Remrd number Page
PROPERTV
Coumy � Township � 7a.ing district (city rown. townshlp)
Legal desaiption
�r71f�7O
It an/ portion ol ;he resitlenlial simcture or Ihe lantl not eKCeetling one (il acre ihat immetliatety surrountls ihal situcNre is usetl to protluce income. tlescribe ihe use arM portion
ot ihe propeny utilizetl to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry
eby certify the above statements are true. correct and complete.
s;ieet. ciry. state. ZlPCooe) —
ASSESSOR USE ONLV TRUE TAX ASSESSED MOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately I( � I I I
surrounding residential improvemenis.
IO;her land I (p)
Tota� land (line i plus line 2� (3) I
Dwelling I (4)
ReSideniial improvements
Garage (5� I
Other improvemeni5 I (6)
Total improvements (line 4 through line � I(7) I
Total value (line 3 p�s line 7� (8) I I
I hereby ceriify the above is true. correct. and I S�gnawre of Assessor I Da;e signetl
complete.
�yirg actipn - SignaNre of Autlitor I Da;e signed
STANDARD DEDUCTION
�9_Pay79_ �
Lesser of il2 Homestead
Valuation or 52.000 5
ol Autlim� va;e sgneo
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