Homestead_Dewig (9) : t1 VE FOAM SNSIRfl!-Y1 TAFAAiflR FORM TS-IA
- AFFMT'ED BY SMfl BOARD III MxraJ"R.9v PIFAWBED BYnIrnEP/alNE.Y-cc LOCAL ott'n1rsTFDNcE MH.1:]-tI
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 h more incentive than met for homestead laud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necesan-to allow county government to better monitor homestead
filing.This idbrmatinn will he kept tont:denial and ran only It accessed by authorized county officials.The Ikpanment of
Loral Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Dewig, Raymond A/Chartyne
— R213o.x to fl
l laubstadt IN 47639'
8119
Raymond A/Charlyne Dewig
214 W 975 S State Parcel Number Lezal Description
Haubstadt IN 47639-7804
Itlnllnrllllnu11t1r1n1ntliult lInulnitrr llrlu11rrF11 26-19-31-100-000.234-024 004-00234-00 PT NW 31310 1AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
RAY inog A E) vv 1 6
Illig Address(number and street.city,state,and ZIP code) Same ns praperty address -— - ` - -
-2' `fw, 9/ 75S, f7 /ill45 i /! -/ / ✓76 Z ,
Spouse First Middle Last
e�l4RLVNF .J Dew i
Mailing Address(Number and street.city,state,and ZIP code) Same as property address
C71‘ 'fw 97 S . A/,4v85iib i /AId7632
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
•
FORN HC 70 7979
ReuriEed By Sta�e BaarO ol Tax Commissioners
To & FIeO in DuD���ate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAA 192�
SEE BACK FOR FILING INSTRUCTIONS
�(We) � ��" certify that on the 1st day of
� arch, 19�� I, e occupi as our principal place of reside ce the following described real property for
which a Homestea Property Tax Credit is hereby being c�aimed:/� 3� �� _�� �3,� ���C
I, We ❑ owned �� I O y.n �
( ) ❑ are buying under contract D � _ �� " " � �
❑ have a beneficial interest in the taxpayer
Property Description in County �/� ' Township
Taxing District (�ty, ��+** Tnwnshiol� �
Parcel Number
If buying on contract: Owners
or legal description shown on tax statement:
J i � �� i '
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
� n � D . � , . „ _�_ r..
sveec naaress
County
��
Township
.,t as, :��6;9 �-�z-,y
City. State ana Zio �e
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer. _ __
- FOR ASSESSOR'S USE ONLY -
True Cash
Value
Land not exceeding 1�g ) imA�at�
surrounding residential�pr�e�s� j (i) So 0
Other Land (2) '—
Total Land
�} i�,� 1=1979
Residential Improvements
welling
�� Gar�
r� AUD170R 9e
Total
Other Improvements
provements - Line (6) plus (7) equals (8) .
�eciity the above is true. correct. and complete.
Siguwre ol
Approved
�s� S—v o
(4) /(o .2�s-a
(5) —
cs� ��
(�)
(8) /(0 2.S—O
- ACTION BY AUDITOR -
Assessed
Valuation
/70
•
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Homestead
Valuation
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Date: ` '