Homestead_Parker (8) •
' • a uTE FORM 535r.r.i IC I'w+l TRF.aSnrra ro&M IA
1ertew En BY ST Al M\AA O M NCONTS.an.N PRESRIBrn BY TM DEPMMF.YT OF LOCAL COVERNMp"FINA•CE MN.I-1-A.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and hurried couples are limited to one homestead standani deduction.As the receipt of this deduction becomes
_ more beneficial,there is more incentne than e'er for homestead fraud.Homestead omeead fraud causes higher tat bills for all;therefore.
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HEA 1344-2009 requires utpa)ers who receive the homestead standard deduction to verify That they arc eligiNe to recehe the
benefit and to provide additional identifying information nece■sary to allow county government to better monitor homestead
• Mime..This information will be Lrpt confidential and ran only he accessed by authorized county onicink.The-Department-of—---
_ _- ___ - — -- - - -Local Govcroment Pinang will use this information to create tact.that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Parker, Donna M Life Est Etal
106 N Walters
Unionville IN 47468
7758
Donna M Parker
106 N Walters • State Parcel Number Legal Description
FORT BRANCH IN 47648-1124
Itlnlinrltilurinllnlnuliu r11u1t1t1n111nnllnlntll 26-19-18-303-000.587-026 011-00587-00 WALTERS ADD 332 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
iporAJR- Irl//�y 1()A-teee—
oat g Address(number and.erect,city,state,and ZIP code) -- - - --❑.Same its property adduces -- - --- — --
10 ((, P. LthtL7-ees lq. gelstuail , _mu C/7(eCrS'
-
Spouse First Middle Last
D-Q Cep6Qo
Mailing Address(Number and street,city,state,and"LID'code) 0 Same 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)
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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.
OwneyhSignature Date
III
���� i CLAIM FOR HOMESTEAD PROPERTY�TAX
i�,�
CREDIT/STANDARD DEDUCTION
State Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for7iling instruc(ions.
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��We) � ' � T.���i(U_� 1'� certify that on ihe 7st day of March, 79
�e) occupied as our principal place of resi ence the following described real property for which a Homesiead Property Tax Credit is hereby daimed:
�e) owned ❑ Are buying under contract , - . � _
❑ Have a beneficial inierest in ihe entity ihat is liable for ihe property taxes on the property and ihat owns ihe property or is buying under a wntraci.
� • • �� • -�-- CONTHACTRECORDED-��� � ' �
If buying on contract. Fee Simple owner's name . ' . . ,„ � •
Recordefs ottice where contraa is remrtletl Record number Page
If any portion ot the resitl
of the properry utilized to
' � Township+
strucmre or the lantl not
ice income.
PROPEflTY DESCRIPTION
one (1) acre that immetliatety
rown,
structure is used to
the use antl
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL-.
VALUE VALUE- VALUE VALUE
Land noi ezceeding 1(one) acre immediately '
surrounding residential improvemenis. (�) �
Oiher land (2)
7otal land Qine 7 plus line 2� (3) �
Dwelling (4) . . �
Residential improvemenis
Garage (5) �
Other improvements (6)
Total improvements (line 4 th.ough line � �7)
Total value (line 3 p�s line � (g)
I hereby certify ihe above is irue, correct, and Signawre of Assessor Date signed
comple[e.
`�tyirg action - SgnaWre of Autlimr Date signed