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Homestead_Wall STATE FORM:WM nC'I,+YI TPl15ULFA RAN 79-1A APPROVED BT'TATE TO55O M'MYy,\'I5.now PLI`lTJnrn BY THE DEPARTME1T Of LOCAL rIwrxNMCOT FINANCE M 6-1.1-22-11 - - 'Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead iandard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. ® HEA 1344--2004 requires taxpayers who remise the homestead standard deduction to verily that they are eligible to recene the benefit and to provide additional identifying infumoton necessary to allow county government to better monitor homestead tiling..ibis information will be kepi conldential and can only he accessed by authnrired county officials.The I)rpannamt of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION FILE Taxpayer Name Property Address z�i all, Roberta May 307 W Strain MAY 5 — 2010 Fort Branch IN 47648 . 6992 v((// Roberta May Wall te 307 W Strain State Parcel • Legal Description Fort Branch IN 47648-1331 GIBSON COUNTY AUBIfi6U Legal �r�rt��ttt�t��ttt�tt��rr�rt tr��nr��t lt��tt tt��ttt t�r rr�n��t t� 26-18-24-201-000.875026 011-00875-00 LAGRANGE ENLG 211PT PART 2: TAXPAYER INFORMATION Owner I First Middle Last Re/7eht.) M wy Vl/ L Ong Address(number and street,city,state,and ZIP code) -- —(— - - - — 11— t/ Same as property address - - — —- --—' r3d1 U Si;I'D Sr c:. 07- (3 ram ci Fnff ti 7cg8 Spouse First Middle Last Tit 5 L \ALL.L Mailing Address(Number and street,city,stale,and ZIl'code) acme as property address 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 ISienawQ`Ire,�") Date 5/1 n' FORM ML 10 1979 Piescri�ea Bv Sta�e BoarO al ia. Commissioners To & FileO in WDlitate CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT fOR YEAR 19 � 9 ✓ I,.�� SEE BACK FOR FILING INSTRUCTIONS 0�� OO b�S'� W � �(We) • /C�-.L-+-�-�_ iarch, 19�`� I, (We) occupied as our principal place of siden� which a Homestead Pro`per/t�y/�Tax Credit is hCereb eing claimed: I, (We) ❑ owned " � ` � _�r� � ❑ are buying under contract ❑ have a beneficial intere,t in the taxpayer Property Description Taxing District �Giiy- Town, Ta�crnsbip): � Parcet Number If buying Ofl contract: Owners name �� sima�e owneq certify that on the 1st day of the following described real property for Township or legal description shown on tax statement: ��,� (�—s�.�C 2 // LCJ /z �Z! Contract recorded in Recorders Office - Record Ii 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: hereby certify the above statement is true, correct and complete. Stteet Aoaress County Township �I 7 l� �! g I(, � Gro. Sta:e ana 2io Coae ' Individual either owns or is buying under a contract that provides he is to pay the properiy taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - � � True Cash � Value Land not exceeding 1(one) afte i�edia surrounding residential improvements (� ) � � 4 ° other �and ,1UN 7 �979 �2� l Total Land Residential Improvements �� i ��.�i'�1�� {�D�TO�R 9 Total Other Improvements T�'�' Improvements - Line (6) plus (7) equals (8) I.by ceriify the above is true. correct. and complete. Signawre ol Assesm� (3) l/ 90 (a) L$i-a' (5) �_� (6) f�'� (7) _� (8) / o - ACTION BY AUDITOR - Assessed Valuation �J a o � � � Homesiead Valuation �� /�/j�� L�/j j�j/��j/ �jjjjjj/�j/ � — 3/— 7i oa:e Date: —(��/_.�