Homestead_Ray •, • MATE IOR'I!!MIM_/t-YI TRFASLRFR FORM 711A
ArrMT'en BYAt ATE blARDOCAm*XTS._M„ eRFYNBID BY OW DEPARTMENT OF LOCAL C4nRRsMFt.T FLPA.`cEMfl.l-n-r.l
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 ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
® HEA 1341-2069 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.has information will he kept confidential and can only he accessed by authori/ed count'officials.The Ikpanntent 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 Propertv Address
Ray, James/Karen
• 807 F Strain ST
FORT BRANCH IN 47648
7883
James Ray
807E Strain St State Parcel Number Legal Description
FORT BRANCH IN 47648-1428
26-19-19-102-000.256-02611-00256-00 PT NW 13310.35 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
f4m . A-7/A-10 -Pa/
long Address(number and street,city,state,and ZIP code) ❑ Same as property
y obdt sa - -
807 S Ae v c5 /-. Foy-f "gra VC-4 .17‘li'8
Spouse First Middle Last
/7a r eu. Su a:z
Mailing Address(Number and street,city,state,and ZIP code) [] Same as property add
e07 , Sfr4 S4 Fov-f• &raSiC t, ..JAO • V 7G VS
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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
•
°' CLAIM FOR HOMESTEAD PROPERTY TAX
b-� . � CREDIT/STANDARD DEDUCTION
State Fwm 5673 (R8/7-07)
•� n. � Prescribed by Ne Departmeni of Local Government Finarxe
lNS7RUCTIONS: See reverse side for filing insWcfrons.
..., j .��-�
,� t •� '�
AUG 2 g 2008 �
J rv �. V rv I T � �{
�(�'�e) certiy U�a on t e 1 st y of a , _
I(We) oocupied as r prinapal place of residence the following described re rty for which a Homestead Property T�c Credit is hereby daimed:
''� I(We) owned ❑ Ne buying under contract
Have a benefidal interest in the entity Nat is liable for Ne property t�es on ihe property and that owns ihe property or is buying under a contrad.
It buying om m�Uact Fee Simpie ownets nama
Racordefe of4ce where conUad is recatled
Tavnship
le9al
Tadng
Is Ne poperty in
Record number ( Page
O( lo -i ti-� y-I D a�0.�6-(�,� � �i aroaam� ❑ Mabila Home I/C &f. f-7)
It any poNOn af Ihe residenGal sVUClure or Ihe land nol eeceeding one (i ) acre Nal immediately wrtounds �hat s�nicture is useL to pmduce inwme. describe Ihe use arW portion
of Ihe G�WeM triiGZatl In pmduce income.
�_ � � � .� • �
ii'. �
Land not exceeding 1 (one) aae immediately - � 'i` � - �- ��`
t; : ,
surroundingresidentialimprovements. (�� .` �;y��
ONerland �2� `-.,��.:. -;�_�"i'`
Tdal land (line 1 plus 1'me 2) (g�
Owelliry (q) -:�� � '"` � _
Residential improvements or Mnualty '' T"'"-;'� �1`� .. t� �`��
Assessed Mobile / ManufacWred Home �.: �
Garage (5� = � -.r
a t
-. i: �._ ;-.a �.
Oiher improvements (6) � - .
T�tal imprwements (lina 4 through line 6) �7)
Tdal value (line 3 plfa line � �g�
I hereby certify the above is We, correU, and Signawre oinssessor Date signea (ma�tn, day, year)
complete.
Veirying adim - SignaWre otAUditor Date signed (mmth. tlay. yea�
3 pay 20 _ qs ppp �or 2007 pay 2008 42,000 for 207 0 pay 2017
Lesser of il2 qq 000 for 2008 pay 2009 41,000 for 2071 pay 2012
Homestead ValuaCOn S
w 43,000 for 2009 pay 2010 40,000 payable after 2012