Homestead_Weber •
STATE FORM 53569(R3/8-10) TREASURER FORMTS-IA
APPROVED DV STATE BOARD OF ACCOUNTS.Ytlo PRESCRIBED BY THE DEPARTMENT OF IDCALOOVERNMEIT FINANCE IC 6I.1.2243
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
FILED 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 necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
_ Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 5 2011 PART I: PROPERTY INFORMATION t
C n, Taxpayer Name - Location Address
"" v"ty\ Weber,Alicia A
GIBSON COUNTY AUDITOR - 207 W WALNUT ST
FT BRANCH IN 47648
2163
Alicia A Weber 1111 iIII_ III .II IQDIII��III_�II�II�II II QII�II II�IIIDII I I III�IIIIII tI-IlIIIi II
207 W Walnut St
FORT BRANCH IN 47648-1335
III"ItjilII1'IttIIIIIII' 'I/PIIIIIII"I'I'I'llll'll'IllllI"I State Parcel Number Legal Description
26-18-13-404-000.511-02/MCCRARY ETAL 60/61PT
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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.
r • - - - PART 2:TAXPAYER INFORMATION
First Middle Last
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Mailing Address(number and street-ci state and ZIP ode) ame as property add,Tss
ao--7 wets{ 0 31-- F4 . ib1G., .4 Lt 7‘ ya
..
Spouse First Middle Last
-- Mailing Address(Number-aud street,city',staterand ZIP code) 0 Same as property address - - —
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
1 1 I I 1 1 1 1 L suer
PART 3: CERTIFICATION 1
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 1
nature Date
CLAIAA FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sfine Fortn 5�T3 (R7 / 5�0�
Ra�bed by tlia Dapertrtaq of Lo�l Gorermer0. Fmmwe
INSTRUCTIONS: See ieverse side Ioi fil6rg ins6tncGons.
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FORdI Y A
HC70
I(YVe) " 0 certify Mat on the 1 st day of Match, 20_
i�we> o«.,,�a 85 «� �a placE oi residence Me foBowirg desabed r�l poperly far whirh a Hm�estead Property T�e�t �s��'f �`"a°:
�I(We) owned ❑ Are bymg unda mntraU ��yy�� �y
Have a benefidal c�ffirest um Ihe Pnti y that is liade Wr ihe property �ces m Me property and tliat owns Ne poperty or's o(�gwg uw�a�.antracl
i di .r�o- ��. n . c �� -�S:�A�:i:� r,i � rs � �- ry• t rh .�sx.5 ,i r
.l �•: t.,. �s �-CONTRACT,RECORDm7.xr.�" t.Y„ .'.k{r a�. .,"S'..t>�,. : `le,�.,r:�
M hyf�8 m m�trati. Fee Sur�le a.rtefs rame-"� - '
(bmrdefa d6m Were mq�act is lauded RetRd numher Pepe
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:rva
. Taislup
(l��?"�!Y ��J� TvYZ.V����Lbb �/J
M arry portion dthe rmidmdial sWiAre w the I�d nol mcceedug we (1) me
w
d tl�a praperty utiFied b p�odra "v�mma.
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'vi question:
I Real praperty ❑� Madla Fioma (LC. 61.1-n �
eae is uaed fo pmtlica nmrna. deavLe Ne ime and pation
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Land rrot excee6ng t(one) aae irtrnedia�ly .� i d�.}��x Y,,rc n� ��' _:;*,� �r�r �?;
s�urumd"vg fesidenlial imp�vrenlerlt4. (� � :t F�'•'��✓ t:��.•+�'f:r '/�',t`yh,Y_:-y [��.�r�
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Tdal 12nd (lc/e 1 pkrs 6rre � (g)
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Resdential irnprove�:ients or Mmially :z � .x, ,...,F:�6- dcy.s �u„ 1`F' �,,:
�MohOe/Mar�u�Wr�Flmie r .++FO,wy� � -v..x .r�;j�,.��,f,r .y:
�' �` i'�'d �Nn�,
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unPrwrmen ( ) " `1u5 �
Otl�er' is 6 � .:I:�.-±`'r Y. �
Tdal vnprovan�s (Gre 4 Ww�h 6ne 6) (7�
Tdal value (lure 3 pks Gne n (8)
I hereby artify C�e ahove is true. cated. and Signm.e of � Da1e si{p�ed
�e
Veriyirg aNm' Si�a4ve oFM�dfv Date signed
` �7• - _i;;�:,:
20 _ Pay 2b _
Lessetof 7/2 Fbrnestead
Vak�etian or 535,000
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