Homestead_Walker (3) MATE FORM'KNIRrrI s-eq MIASULEA FORM ASIA
ArPROCED BY ST OE anon or Am'was.zing PtflRSED BY rt1E DEPARPFEJTOE LOCAL CM'ER.MMQ.l FINANCE IC 6-1.1424.1
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 mote incentive than no'for homestead fraud.Homestead fraud causes higher tat bills for all;dxrefore.
HEA 13442009 requires taxpayers who receive the hotnestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings-This information will he kept cnnlidential and can only he accessed by authorized county officials.The Ikpannient of
Local Government Finance will tic this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Walker, Sheryl L
403 N Math
Fort Branch IN 47648
2510
Sheryl L Walker
403 N Main St State Parcel Number Legal Description
FORT BRANCH IN 47648-1054
Illlllllllllllllllllllllleure11111reilllllltll ll 111111111 26-18-13-402-000.796-026 280PT281PT288PT289PTFRENCH
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
SoptcyL YNN f VJRLKE
erg Address(number and street,city,state,and ZIP code) [41 Same as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZII'code) [] Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
44214=a44 ----
o- 1 1l?
sent
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-
mgr Signature Date
•
R;� CLAIM FOR HOMESTEAD PROPERTY 7AX
CREDIT/STANDARD DEDUCTION
♦ � Slale Porm Sa77 (R6 / 403)
Prescnbed cy Ne Departmem ol Local Govemmem Finance
INSTRUCTIONS: See �evcrsc side /oi Iilir � insfrur.l�ous.
. _....-, :... - -.:,.. -- --_
ti -� -
FORM YEA
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�`'�'i` il i:-�::.:.: _...,,.. .r... _:,� - ..... ,. .� CERTIFICATIONSTATEMENT" . -.r,: � ,.. .. _ _ _.. .
�(�"1e) certify� e� o( March, 20
I(We) occupied as our n ipal place of residence the following described real property for which a Homestead Prop��,¢r�' '�by daimed:
,❑ I(We) owned ❑ Are buying under contract
OIBSON �ou
�� Have a bene5cial interest in lhe entiry that is liable tor the property taxes on the property and that owns the property or is buying under a contract.
"'CONTRACT.RECORDED�'�^
If buy'u�g on contrad. Fee Simple ownefs name
Remrdefs otfite where coniraIX is recordetl
Counry
1l����(/ ��%lo -� � �iL � D`��/
It any ponion ol lhe residential swcture w the WnE not axceeding one (1 acre
af Ne property uGlized lo produce inwme.
O�
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Record number Page
tIP.TION�?: � -- .. _,.... . � . - - _ � . 7�-- -.,..-,..�...
i i city, f rownship)
Is ihe pro� queslion:
Real property ❑ Mobile Homo (I.C. 61.1-))
surzounds Ihal wctura is useC b protluca income, describe Ihe use antl portion
7xi»a�u���'+`� - ?'.-�.� - '�P.ROPERTYOWNED�BI'ClA1MAHT:IN�OTHER"COUNTIES��'` � ���� �+�w - '
County Twvnshi0 County •Tavnship
/ /�I
I hereby certify lhe above statements are We, coned and comp�ete. Si a' e cFaimant
Addres (number and stree(. u, s(ate, ZIP � �
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lLn'si��'"` �+'.�-� - ��..:;�' � �..:- . , . .. . ._ .. . .
'"^i��r� ��'��:ASSESSORl1SEONLY . . TRUETAX ASSESSED.VALUE HOMESTEAD" NON-RESIDENTIAC;,,
;i^T"• 1Y2j.1 . - .� ; ". ' . , VALUE � � AT 700°/a�OETN :.,.; � " VALUE , }' � . . ::'''s-_.VALUE:� -
�->,?sx_. .<_. .,... : _.s _s:= � .: �
Land not exceeding 1 (one) acre immediately —' - "'— " --� � '
( � ) ' �i'�-" ��'-, .
surrounding residen6al improvemeNS. , .. • - ,
Otherland (z) •� . 1
TUaI land (line 7 plus line 2) (3)
Dwelling (4) . "' - - .�. .. . . . . :
:: , : i:�ti<<:>.��{-.� ..;�-
Residential improvemant5 or Mnualty �
Pssessed MaWle / Manufactured Home Garage 5 � �' � � -.<': ;_, � �..,. �-. . . .
( 1 .�_ _i;: '. ,
.. '= v� _. .
ONer improvemenis (6) �-
Tolal improvemenis (line 4 fhrough line 6) I(7�
Tdal value (line 3 phs line n (g�
I hereby certify Ihe above is true, correct, and Signamre ot nssessor oate signed
complete.
Venfying action - Si9naWre oflwditor Date signed .
20 _ Pay 20 _
Lesser o� t/2 Homes;ead
va�uauon or 535.000
� -�STANDARD.DEDUCTION
S
SgnaWreofAUditor ' IDatesignetl