Homestead_Reed HATE FORM!mow IRA/>AM TREASURER FORM TS-IA
' .APPROVED BY RVE MMR.130r Arow: .9n PPESTnBFO BY 91E DEPARTMWT OF LAS rIAaNMEAT FINANCE MH.Iral
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead(mud.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 receive the
benefit and to provide additional identifying information neceswy to allow county government to better monitor homestead
filings.This information will he kept conlidential and can only lid accessed by authorized county officials.The Department of
Local Government Finance will use this information to create wails that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property.Address
Reed, Michael D/Connie K
705 S Center
Fort Branch IN 47678
7921
Michael D/Connie K Reed
705 S Center State Parcel Number Legal Description
Fort Branch IN 47648-1703
Itilllltt tlt lltttltt llt flit ttlilt ttl li Iltlittttltilrititl 26-19-19-103-000.629-0211-00629-00 PT NW 19-3-10.28 AC
PART 2:TAXPAYER INFORMATION
Owner I i First Middle Last
P\ kilad bewcute_ seed
�g Address(number and strcc[,city,state,and ZIP code) -- - - 0 Same as propcii address -- —__-- -- - — -- —
105 St Ce-nine 31-r Fir Bhcrhcik i Tot q76118
Spouse First Middle Last
Connie Aafhlene 'deed
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
7o5 S. Cen- ey 5f, r+[ 81-,n pc"-, ` III. q7.1.1-18
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.
Owns I Signature
�� Date
•
FOPM HC 70 1979
RescriDeG By S�ate BaarO o7 Tax Commissianers
To & FileG in Dupliwte
CLAIM FOR HOMESTEAD PflOPEflTY TAX CREDIT FOR YEAfl 19�
SEE BACK FOR FILING INSTRU
�Q_ i n
��(We) ����� t���' `"�--�:•. �, certify that on the 1st day of
arch, 19 �D , I, (We) occupied as our principal place of residence the following described real property for
nich a Homestead Property Tax Credit is hereby being claimed: �
I. (We) �Owned ��/ �Q��O � ! '�v
❑ are buying under contract ,
❑ have a beneficial interest in the taxpayer
Property Description in' � Cro�unty �-<-n-^- Township
Taxing District (City To , Township): �>/� •/ti+'�-a-.�-c-e�-
Parcel Number or legal description shown on tax statement:
�� .vz,� �i� /9- 3- io , a 8/F
If buying on contract: Owners name �'� "'np1e °"ne•r
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income,'describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
;I hereby certify the above statement is true, correct and complete.
n
$�rp¢t Ad�r¢55
County Township
� . g�i,a,-n,cji �y,� 41 � 4�
City. State ana Zip Code
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
�i1:�F�9�XY�L•16�i�9�iLIA!
�'IL��
Land not exceeding 1(one) acre immediately
surrounding residential im��,g�1980
Other Land
Total Land �
�� AUDITOR
Residential Improvements Dwelling
Garage
Total
Other Improvements
Total Improvements - Line (6) plus (7) equals (8)
I��by certify,the above is_true. correct. and complete.
SignaNre al
True Cash
Value
c>> %�o
(2)
(3) '�S6
c4� � 9�'.
�s> !�-�o 0
(s) �
Assessed
Valuation
a �-o
a ��
(7) —
�8) � " �
�
3- .3- �a
�����J\�C��t�������i�
Date
Homestead
Valuation
a�o
�-_�.
Date: /OIG,c •�a /g�b