Homestead_Barrett (3) SIAM FORM 53.In1R:/s.Y1 LaEASIJrER FORM TS-IA
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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 • Individuals and married couples are limited to one homestead uandanI 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 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necrvary to allow county government to better monitor homestead
tiling>.'Ibis information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government rilunc<gill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Barrett, Stephen M/Mary B
9951 S250 W
Fon Branch IN 47648
7172
Stephen M/Mary B Barrett
9951 S 250 W State Parcel Number Legal Description
Fort Branch IN 47648-8145
� u F��t�n�t�t�n�t�un���nt�� 26-18-34-200-001.799-024 004-01799-00 PT NE 343112.50 AC
tlu11ru1t11r u1n11u 1r1nlr
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Sze�Jllen Mirk � 4v at
®Ig Address(number and street,city,state,and ZIP code) _ - - _ _ Same as property address — _
Spouse First Middle Last
/line E 714 8A-gR
Mailing Address(Nu ber and street,city,state,and ZIP code) f✓T'Smne 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.
OwnerI Signanue Date
.,.,,
; CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
`� � State Fortn 5473 (R4 / &00) �
•N INSTRUCTfONS: See reverse side fo� filing inshuctions.
I(We
1 ) ied as our prin 'pal place of residence the foliwring descri
I(We) owned ❑ Are buying under contract
�ave a beneficiai interest in Ne entiry that is liable tor the property
II OuyUg on conVact, Fee Simple ownefs name
Recorders office where contraC is recorded
Counry
' � Tpmship
FORM Y R
Hc,o p 6�,
rtify lhat on the tst day of March, 20
xope f r which a Homestead Property T�c Credd is hereby da"uned:
the propeAy and that owns the property or is buying under a contract.
�
SEP 0 6 2001
i number n
t%�iry pwti of ihe residential sWCWre w Ne Wnd �rot exceeding one (1) acie Ihat immediatey sunounds Nat struUUre is used to pmduce mmme, desttibe Uie use and portion
01 the property uWaetl to produce income. � . .
I hereby certify lhe above slatements are true, corred and complete.
AC�Oreu�num an�sheeC cijry,state, ZlPcodel�� �� �
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