Homestead_Ballard ' I• sTxTE Font!)!MIP`/�dt TREASURE,M1MV 711A
APPROVED BY STATE BOARDtp AmAA%Tc. WM rREYRIBFD BY THE.DEPARTWE`IT OFLrx:AL tOt1.'ME1_'T FINATEM VI.I_raI
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 tier for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
• RCA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information oettasary to allow county government to better monitor homestead
fling.This information will be kept confidential and can only be accessed hg authorized county officials.The Department of
Local Government Finance will use this information to create tests that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ballard, Bruce A/Kimberly G
R2 Box 89 F
Haubstadi IN 47639
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10939 - - . — -- - — — -
Bruce A Ballard
4969 E 1150 S State Parcel Number Legal Description
Haubstadt IN 47639-7916
I I III V I I I III I I I I I I I I III 26-23-12-300-000.536-024 004-00536.00 PT E SW&PT W SE 12 4 10
r u ut t nu t l u nt t t ut n l tar I
2 AC D-10
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
orucP, Allen met IIe�rc
�g Address(number and street.city.state,and ZIP code) -- - -- — --®-Same as property y adder - -— ---' --
'AL,Da E 1 150 S
Spouse First Middle Last
'f�lmherIu C cPNP, Eali0rdd
Mailing Address(Numberandstreet,city.stale.and ZIP code) Same as property address
14Q E H50 S
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
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�-� � � � �;a �
e� �"n a CLAIM FOR HOMESTEAD P PERTY TAX FORM IQ U YEAR
}��': CREDIT/STANDARDDEDUCTION �� • � HCio
�,� � - State Porm Sa73 (R2 / 5-92) �. ((��//�� �+-(-���Q
�ai. . �ia.�% _ (i �.Kl..y. �'<'�_. ' :''
� vv�i� �l VY`� G';!: i:.� : Y;;;UITOR
INSTRUCTIONS: See �everse side /or filing instructions. .
I(We) ,�9 y�_t�v. lj�.�M �c��j' ' certify-that on the 1 st day of March, 79_
�I) occupied as our principal place of residence the following described real property for whicha Homesiead Propeny Tax Credit is hereby claimed:
(We) owned ❑ Are buying under contract � -
� Have a beneticial interest in the entiry that is liable tor the property taxes on the property and ihat owns the property or is buying under,a contraci.
- CONTRACT RECORDED - � -- �
If buying on coniracC Fee Simple owner's name ' . .
Recorder's oHice w�ere contract is recortletl Record number . Page
PROPEflTY
Counry . I Tawnship I T�cin�fisVic� (crty. town, rownship) � ''"
Parcel num er Legal desCriplion D
pb� • o(�S3Ce-
If any portion of the resWential structure or the lantl not ezceedirg one (1) aae that immediatety surwunds that siructure is used to produce income, describe the use and ponion
ot Ne property utilized to proCUCe income. _
S/i fif�1I/IOII/:/!�!�►/�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry Township Couniy Township
certify ihe above statements are true, correct and complete. � Sg1amre a� ciaimam
�/
Address (number and sbeeC ciry. state. ZIP code)
3
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding residential improvemenis. (�) � '
Otherland (p)
Total land (line 1 plus line 2� (3) �
Dwelling (4) . . �
Residential improvements
Garage� (g) �
Other improvements (6)
Total improvements (line 4 through line � (7)
Tota1 value (line 3 p6s line 7) (g)
I hereby certify ihe above is true, wrreci, and siqnamre oi nssessor Date signed
complete.
Verityirg action - Sgnamre ot Autlitor Dare signed
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� � STANDARD DEDUCTION ALLOWANCE
19_Pay79_ .
Lesser of 1/2 Homestead
Valuation or 52,000 5
Sgnature of Autlito� Date sy=ed _��
\Z _
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