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SIAM FORM!3( ,le/'AO) TRrAWR('FORM 75-IA
Arrrrwst RTALsTE BOARD OFvn.'nrs.:Orr pnntamnY TIE DEPARTWEITOF LOCAL no sRYMrsT FINANCE IC 4-Lbr.0.1
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 tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying infomlatwn necessary to allow county government to Inter monitor homestead
filings.This infornution will he kepi conlidential and can only to acee sed by autharvM county officials.The Department of
Local Govcmment Finance will tae this information to create Coals that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Schoening,Alicia K
900 S Main
Fort Branch IN 47648
7061
Alicia K Schoening
900 S Main State Parcel Number Legal Description
FORT BRANCH IN 47648-1732
26-18-24-204-000.782-02/e/011-00782-00 LEGRANGE ADD 300PT
'nI on II OtIII tan I a II nI on III utI u II nl't III nt II nrI nI t I
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
-A1 ►c.iA Kay �SCh0 n ►��
ling Address(number and street,city,state,and ZIP code) IX d Same as property address
`� Can Soak- Man s w
$pouse LR-Vx First Middle Lust
�--r 1
•
Mailing Address(Number and street,city,state,and ZIP code) a Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please spetify in Part 4 below)
Scut
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 eliuible 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.
Own<r. Si "awn I
r
CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
t��� � StaU Fortn Sd73 (RS / 10-0t �
ww
Prasaibed by Ure DepartmeM of Local Govemment Finance
INSTRUCTIONS: See reverse side /o� filing insfructions.
I(We)
1(We) occupied as our prindpal place of residence the following descnbed real prope or which omestead ir` �c J i ifs�here i�d
� � ` .,py �:� .
I(We) owned ❑ Are buying under contrad
Have a benefidal interest in fhe entity Mal is liable for the property taxes on the property and that owns the property or is buying under a wnUad.
FORM YEAR
�H 10 ;�
�
certify Qfal on
If buy4p on conVact. Fee Simplo owners name
otfice where conVacl is recorded
Counry
Parcel numher
of ihe residentlel strucWre p
y uts¢ed to produce i`rcome.
Tamship
not exceediip ona
Record number � Page
Is Ne
I Real property ❑ Mobile Home (/.C. 61.f-� .
wrtounds Na� cNre is used b produce incortie, Oescnba Me une anE portbn
���,�?���`�a'-�`T � f `=°�-"`�-%�� ' ;STANUARD'AEDUCTION�AL[OWANCE�'���""-"' �" '" "' "�'
.� � . �'st-; �,�-�?�,�;�;��-z-�a�"�..��_���1'a���
20_Pay20_
Lesser oi t/2 Homestead
Valuation or $6,000 $
SignaNre of Auditor ' Date signetl