Homestead_Cox - r
STATE FORM ne a_/awl IPl.W1IEA 10X.47-IA
APrarwW BY(TAIL[lawnF ACCTENrt9r• runaway nil DEP.kRTMENT OF LOCAL rovBtNMrxT FE&SCE IC&I.1-224.1
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
I_1 I �{ / F' D HEA 1344-209 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pnxide additional identifying information necessary to allow county government to better monitor homestead
filing:.'Ibis inlormation will be kept confidential and rm only be accessed by authorized county officials.The nepanntent of
Local Government finance will use this information to create tools that will help comity officials eliminate homestead fraud.
APR 2 3 tutu PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
/p� Cox, Donald L/Judith /9f S G SR 6
a� N R2-I3c..: I73-16- \L
GIBSON COUNTY AUDITOR
Haubstadt IN 47639
10895
Donald L/Judith Cox
1885 E SR 68 State Parcel Number Legal Description
Haubstadt IN 47639
26-23-09-100-001.390-024 004-01390-00 PT NW 9 410 1.21 AC
x D_9
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
J_O�lfl Lo LEE CD y
-- �tg Address(number and snccL city,start,and ZIP code) - • - _ - _ lU~/ Same as pmpem address - - - - - -— - _
1 Sg5 E 5XflTt (C,C1 6% HAu.is—rAtD7' _-i—.40 (1-1l 09
Spouse First 1 Middle Last
ftl sO 11-14 ) -AIv �
C-05(..,
Mailing Address(Number and street,ciy,state,and ZLP code) ❑ Same as property address
/°ASS 6 6 (-61--(- 2.D, 6 %J l4-*1/295(-1 Vf1 L/t7b3
Each undersigned certifies,under penalty of perjury•.that the above and foregoing information is true and correct and that he or she is eliuible 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 Ilse Uatc
ip/
�-,\_,a_�' "��----
�,E .,,,�
� °� CLAIM FOR HOMESTEAD PROPERTY TAX
;��= CREDITISTANDARD DEDUCTION
�.,,�y .,,�� StateFOrm�5473�R2/5-92)
ieu
INSTRUCTIONS: See reverse side lor liling instructions.
CERTIFICATION
I ' ' � :`�a`�?
APR 2 81993
YEAR
�
�.F1Y�.6�Y �. °G �lA.� l.l ' 1.�. --• ceAll�tKa� b�t'tA� �st day of March, 19�
occupied as our principal pla ot residence ihe following described real property for which a Homestead Property 7ax Credii is hereby claimed:
I(We) owned ❑ Are buying under contraci '
Fiave a beneficial interesi in ihe eniity thai is liable for the propeny taxes on ihe property and thai owns ihe property or is buying under a contract.
CONTRACTRECORDED � � � - �
I II buying on contrau, Fee Simple owner's name
�
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
Counry
Parcel number Legal vcription
�o'�-0��90 Q� N� Q- -io I�ai ��
It any portion ot ihe residential structure or the lantl not exceeding one (1) aae ihat immetliatety surmurWS that strucNre is usetl to produce income, describe ihe use arW portion
of Ne property utilizetl to protluce incame.
-��_�9-%0- aa/. ,�90- oa
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE .
Land not exceeding 1(one) acre immediately
surrounding residen�ial impmvemenis. (�) � - � -
Otherland (p)
Total land (line 7 plus line Z� (3)
Dwelling (4) � ' �
Residential improvements _ .
Garage (5) -
Other impravemenis (6)
Total improvements (line 4 through line � (7�
Total value (line 3 p�s line � (g) '
I hereby cehify Ihe above is true, corrett, and Signature of Asseswr Date signed -
complete.
ying aaion - Siqnamre ot Auditor Date signed
79_Pay19_
Lesser ot 1/2 Homestead
Valuation or 52.000
STANDARD DEDUCTION
S
SignaWre of Autlimr Da;e signed
,�,,,� � `�'l.� � � �- a 8 -