Homestead_Weber (15) AArE FORM awn Ile/"ml TREASURIA FORM TS-IA
AFPRtwEnnl'STAFF.BOARD OFACYYRi:RA._1.v Ptf]YAInm BY ntroEPARne fOr LOCAL r1wttNMrK'TFTA\CE II'6-1.1:_43
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 e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-3009 requires taxpayers who remise 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
i filing..This information will he kepi confiential and can only be arty:sed by authorised county officials The Depanmern of
Local Government Finance will tae this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ • Weber, Larry P/Terri
704 S Center
Fon Branch IN 47648
7913 — - ' - - ---- - - -- - - - - _
Larry P/Terri Weber
704 S Center State Parcel Number Lesal Description
Fort Branch IN 47648-1704
II III I II I IImIII IIt III I III VIII 26-19-19-103-000.363-026 011-00363-00 LOWES ADD 27
III IIt t t,I II II I ttei ie tett tt I t t PRITCHETTS ADD 245PT
PART 2:TAXPAYER INFORMATION
Owner I First' Middle Last
®Im6 Address(number and street,city,score,and ZIP code) -- ----- -I!I Satre as property address - ---- - - -
t - 1 0y `3 e ?CTc1) c F'*L \cc>\vI\e-\C\qtr 147L24
Spouses First Middle Last
Itcf_.■V-\-<\ tat� F_--
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
70L\ C Z v c:-NC QcB ccc\1 Zn 47 Ca 4�
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 I Signature Date
•
S��{ �,�
e� = ; CLAIM fOR HOMESTEAD PROPERTY TAX
a�'` CREDIT/STANDARD DEDUCTION
�. State Form Se73 �R2 / 5-92)
�eTS ' .
INSTRUCTIONS: See reverse side /or7iling instructions.
� � ' - � � CERTIFICATION
.o fl \ �
� �
a. �� �� ■��',!r �;�i
� � i f�
I �We) ly7 � . . certify thai on the lst dapX a�Trc/h�, 1�4 �
I(We) cecupied as our principal place of residen he following described rgal p perty for which a Homestead Property Tax Cre4iT��kby,[i�med
�I (We) owned ❑ Are buying under conUact � � � ` � ` �
Have a beneficial interest in the entiry ihat is liable for ihe property taxes on the property and that owns the pmperty or is buying under a wntract.
� CONTRACT RECORDED �
It buyirg on conirac�, Pee Simple owner's name � � ' . ' , _ . . . .
Recorders oHice where contract is recortled , Record numher Page
PROPERTY DESCRIP'fION ��
County Township � � - . Taxing tlistrict (city,.fown, township) , .
Parcel number Legal description .
.- O C� 3 -
If any ponion of ihe resitlential stmcmre or the lantl not exceeding one (71 acre ihat immediately surwunds tha[ siructure is used to protluce income, tlescribe the use and portion
of the propeny utilizetl ro protluce income.
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
sunounding residential improvemenis. (�)
Otherland (p) �
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements .
Garage (5)
Other improvemenis (6)
Total improvements (line 4 Ihrough line 6� (7)
Total value (line 3 p�s line 7� (g��
I hereby certify the above is ime, CorreCt, and Signature of Assessor Date signed
complete. -
Verityi(g action - Signa;ure of Auditor � Date signed