Homestead_Reid •
MATE 10101 "12'/f.”1 TREAAI&[A FORM 11A
.APPROVED DV SLATE BOARD DEMltl\T5.1.v PArYAIDFD BY 11W DEPARINIEVTOF LOCAL rovttNMrwr racssrE IC6I.1424.1
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 ever for homestead fraud Homestead fraud causes higher lax bills for all;therefore.
HEA 1313-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to creche the
benefit and to provide additional identifying informaton necessary to allow county government to better monitor homestead
filings.This information will Iw kepi confidential and can only he accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create ttls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Reid, James A/Sandra K .!
RI Box 168
Fort Blanch IN 47648
3016
James A Reid
R1 Box 168 State Parcel Number Legal Description
FORT BRANCH IN 47648-8004
II III I II I I III II I III I I I I ' 26-19-19-204-001.281-02 007-01142-00 INDIAN HILLS 39
t o tat t nt n u t u l tat nun t o tat nt D-27
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First // Middle Last
Ifipzef /f/bcr f—
.erg Address(number and street,city,state,and ZIP code) ® Same as property address
_990 ;, 7n S. Fr+ BraA'cl , ziil 47141
Spouse First Last
Middle Q L
//
SQ�dra /t 41 Res
Mailing Address(Number and street,city,state,and ZIP code) ®Same as property address
J90 E, 7Po S. fir+ sera 4 1 Id 4(76I
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
unlawfillly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Si a Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5/73 (R6 / t-03)
Reaa�ed by Me Depaifiierrt d Lofal Govemmenl Finaxa
INSTRUCTiONS: See raw�aa dds b t9fip eb6uctip�¢.
/ � YEAR
FORM � �
HC10
I(We) W�► f1�.1� � �� �' p�ry,�Q� �e 1st day of March, 20
I(We) occupie s our principal place of residence the following described real property for which a Homestead Properfy T� Credit is hereby daimed:
❑ I(VJe) owned ❑ Me buying under cont2ct �z� � v
/� r
� Have a benefidal interest in Ihe enGty tha� is liable for the property taxes on Ihe property and �hat owns"tfie propeRy or is buying under a contraG.
G;eSU;: COUNTV e��nrrno
If buying om m�Vaq. Fee Simplo ownefs name
conVaC is recordeA
Tuvnship
If any portion ol lha resitlential SW cWre w the land nd exceeding one (1) ace
ot Ihe proparry utirze0 b produce iMOme.
r
/ —
fa�ing district (riry, town,
♦
Is the property
atey wrrounds that swc
Record number � Page
Real v�apeM ❑ Mobile Hwno (/.C. 6f.7-n
ire is used to produce incwne, deuribe Me use and portion
�- ' �A �'�����'�� � �: �'TRUETAX�>',� �ASSESSED VALUE tHOMESTEAD��� ''" -�NON-RESiDENTIAI �
�e-r';��SSESSOR�USE ONL������� ?� � � -sz VALUE
:�'��6, �.> ?�F' &.�3'S'.:�'�t.... �. �¢.'ni�VAIUE�,?`v^a{ ,�,�AT,c700%'.x OF�,TTY�r "�t.'�'�.fVALUE..�� �s�?5`4i..aK....Y�w��4�
Land not exceeding 1(one) acre immediately :�"E�?�-�'�',•!-�"�°- ��'��,;e�.�j
surrounding residenHal improvements. (�� '��� _ ���;p.�„�f:,`F�..��t�:s;
Other land (Z) ��A� '` ��
7.,+ay ��''�5s;
Total land (line 1 plus line 2) (3)
�,.� F,�- �, : ='��`�y. ��`i
Dwelling (4) -3 ,.-�� � ., ���'�� i
�Residential improvements or MnuaOy ��`����� '��-'�-�;"'-��•`��'�`�'
Asaessed AAobib / Manufac9�red Home Garage �5) ���.�'F�'�L�'� -s;?,2'*��°-•
'4���y1 .i�'v 3i
Other improvemenls (6� � 4�3�.'�.�-^"1 �'�
i"i��.��F��- i.t ,��.'�w'-'�,
Tdal improvemenis (line 4 through line 6) ���
Tctal value (line 3 plta line n (g�
1 hereby certify �he above i5 We, corred, and Signahire of Assessor Date signed
complela.
Vaifyiig action - Signature ol/wditar Date signed