Homestead_Blankenberger SLATE FOAM!FYBYi/C 'APB TM-ASMLER FORM 31A
APrRm'Eo BY S[UE.nammof MTTtl]Ts.9n PLl'YTInm BY TIE BFPMFNLVNF LOCAL rovERNMrFT FB:A%CE II'61.1-11-$.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and harried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefor&
HEA 1344-2009 requires tatpasers who receive the homestead standard deduction to verify that they are eligible to reecene the
benefit and to provide additional identifying infonnamon necessap'to allow county government to better monitor homestead
filings.This information will be kept confidential and on only he accessed by authorized county officials.The Depannent of
•
Local Government Finance will use this information to create tools that will help county officials eliminate hnnesaead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Blankenberger, Frederick J Alice M
RI Box 478C �t
Fort Branch IN 47648 Q
7178
Frederick J Blankenberger
10488 S 290 W State Parcel Number Legal Description
Fort Branch IN 47648-9103
u�L��nr�r r��nl•l iluuu���� ��t�n�r�n�rn�t ll 26-18-34-400-000.118-024 004-00118-00 PT SW SE 34311 1.04 AC
ltln11r
D-2
- —_ _ _ _ - - _ _ . __ _�_ ___ __ _ _ _ _ _ __
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
l'2L-�E2tC K SLANK6rJ8E2-GE2
ig Address(number and street,city,state,and ZIP code) - - - Same as property address -
iOYSS S, 290 I. .COI '3/AJcu , HrzpAB
Spouse First Middle Last
AL/CE r7-1 62.Ak)/ BE 6 goz
Mailing Address(Number and street,city,state,and Zll'ccode) fl'Sante as pmpeny address
102-10 S s, a€0(,), Got- 6 2A,oabi ) 1ti q i co LI B
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 1 Signature Date
-
CLAIh1 FOR HO'`�STEAD PROPERlY TAX CRmIT FOR YEAR 19_ 3- �-�9
I, �•z�e) / dX���
r+�rch, 19 , I, (we
,��erty for which a
SEE BACK FOR FILIN INSTRUCTIONS
ti��ju.a��•LGC�.�� • oertify that on the lst day of
as our princioal _ ce of residenoe the following described real
?ioperty Tax �edit is he�eby being claimed:
_, �We) � owna3
� are buyinq urrier oontract
� have,a beneficial interest/in the taxpayer
Pmoerty Description_ in C� //b an✓ �
Taxing District (City, Twm, 'Ibwnship) : - (
�D fG-4�l/�-oa
�B �t'n/ �S n�/
o�rcA1 ilw�r or legal description shown on tax staterent:
��- . �-W �Y- �T � ���F � 5�' S - i / /. o �
If buvina on �ntract: Owners rr3me (fee si.c[role oomer)
Contract reoorded in Re�x�des's Office - Record Db. Page
Zf any portion of the reside�tia]. structure or the land, not e�eding o� (1) acre that
irtrt�ediately surro�s tl�at stn�ctise is used t� pmduce incmie, describe the use and pnrtion of
the oxoperty utilized to produce income
Pny other �unties in 'ahich i�ividual owrvs or is buying real property: � 'I�anshiP
I hesPhy certify the above staterent is true, oorrect ani co�lete.
*Individual either owns or is buying imer a oontract that provides he is tn pay the
property taxes on the residence, or has a benefieial interest in the t�vcpayer•
- FOR ASSESSOR�S USE ONLY -
Trve Cash
Val�
Ianl not ex�ing 1(one) acre inmediately
sisroiuriing residential i�roverents (1) S�o 0
Other Land (2)
Zbtal I,and
P.esi.dential Iimrov�rp-nts
Oth=s I�rovenents
Ix,�ell i nn
Garaae
Total
(3)
(4)
(S)
(6) 38 5/ 80
!7)
� '. 7��ov�pnts - Line (6) plus (7) s3uals (8) (8)
I hereby certify the above is true, correct. and curmlete.
- ACTION BY Q.UDITnR -
�e�vved: Date:
Assessed
VaZuation
//////�����/
����////��/ .
Date
Hanest.ead
Valuation
.�o
������i
����/���