Homestead_Perry •
11AR FOAM 53M12'r NMI RLW:ULR F010173-1A
lrrnEn BY MAIL POMO OFMYY A ISM:4%M PAFANn[n BY OIF OErARTENTrf L(AAL n0'[AN•11.7 FINANCE IC 41.1.2'4.1
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
r more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all therefore. '\/
AliIII HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to.erify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
. filings.This information will he kept confdenlial and can only be accessed by authorized county officials.The Ikpanmenl of
Local GNenmment Finance will use this information to create tads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION '
Taxpayer Name Property Address
Perry, Marilyn J n
RI Box 158 /� Ti
G
Fort Branch IN 47648 ) p
799 n FLU
Marilyn J Perry 1
357 E 780 S State Parcel Number Legal Description
Fort Branch IN 47648-8004
Itlnlltu ltllutlndludrlu�tlln tllrurin lt�tir�nrliutll 26-19-19-204-001.290-026 007-00127-00 INDIAN HILLS 50
Spouse First Middle Last
SQ v/r/rh C-/ /'"e kr/
Mailin_'.Address(Number and street,city,stale.and ZIP code) Ei Smite as property address
3\3-7 E 78(9 5 El, Qra_ktc_4 fir. 4''618
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is tme 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
PART 4:ADDITIONAL INFORMATION
` CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
It Siate Fortn 5673 (R6 / 4-03)
Prestribed by tha Departrnent o1 Local Govemment Finance
� INSTRUCTIONS: See iaverse side for filing instnm.tions.
� (We) W / /U(� /
I(VJe) occupled es our rindpal place of residence Ne tollowing described I pr tor which
n I(We) owned ❑ Ne buying under contract
�ave a benefidal interest in the enUry Nat is liable tor Ne property teues on the properry and �
If Wrylnp on conVecl. Fea Simde ownafs name
Recorders ofice where contrea is remrded
1 `�
'
FORM YEAR
HC10
the 1st day of.March, 20_
y T�c Cradit is hereby Gaimed:
or is buying under a conVacl.
�� nR
Record number � Page
i'ei.:.�,°�,1;_r.:.'-�F';+-�Tt�-iiCiic'?r,ssrS�...4n•�ea5�';;`:i:=t-,"?ROP,ERT�Y,DESCRIPTION"�:.s'� . i. _,:...e�-'. s ,. _{,;:
� Tavnship Tmcing distrid (cify, town, to s p) `
♦
P u r O I��� Lepal d � t n Is ihe property in question:
/
/ eal D�Darty ❑ Mobpe Home (I.C. 6-7J-7)
If arty poNon W ihe residantlal sVUCivre a the lar�d rwt exceadinp one (1) acra Nat irtunediatey surtounds Net s cNra is used to produce inwme, describa Ne uu and portian
of 1he property utll@ed to produce income.
I'�;Y ;k,-,:r,.`. -S .�s:'s'.i- s:�::�-�x'ax•.`3T/WDARDDEDUCTIONALCOWANCE� � . . , . . .- • .. _ .. I
20_Pay20_
Lesser of 12 Homestead
Valuation or 535.000
S
�<�I���
. �