Homestead_Dixon STATE FORM 52559(R2.7-09) TREASURER FORM TS.IAI
APPROVED$Y STATE BOARD OF ACCOUNTS,2005 PRESCRIBED BY THE DEPARTMENT OF I Mal GOVERNMENT FINANCE ICS-1.1-22-13.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS,' '
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
�auses higher tax bills for all; therefore, HEA 1344-2099 requires taxpayers who receive the homestead
st ndard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
PART': PROPERTY INFORMATION
tile Property Address State Parcel Number Leeal Description:
Linda J Dixon 310 E Delaware 26-22-11-400-000.731-024 004-00731-00 PT SE 11 4 11 81.85
Evansville IN 47711 AC D-2
X
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION .. .
Owner I First Middle . Last
- r
LitA/0A Jo V/ c- e D iAo Al
Mating Address(number and street,city,state and ZIP code)
Sarre as property address
alto up i aoo s ►Jais_u
First Middle Last
Malting Address(number and street.city.state and ZIP code) Same as property address
-
Social Security Nagar(last 5 digits) Drivers License State ID Hunter Nast 5 digits) Sw Other(please specify in Part 4 below)
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 Telephone •
Spouse Signature Date d Telephone
PART 4:ADDITIONAL INFORMATION
III
CLAIM FOR HOMESTEAD PROPERTYTAX
CREDITISTANDARD DEDUCTION
SteU Fortn Sd73 (R6 / d-03)
Presaibed hy Ne Departrnent a( Local Gwemment Finance
INSTRUC710NS: See raverse side lor filing inshuUions.
FORM ��� YEAR -
t +
.,,., $.. �_ _ �- �-,� a:,L. ; `-` _t,.,� __ _^GERTIF.ICATION STATEMENTk :. 'd',.e ' ., r q.i��`� i'Y � ;':. _,'
- -' 4r��-._ s�1¢._ .._:s_"wFi'�" w,:W_� ..kr
I(We) c certify that on the 15Fd y°6j_M�ch, 2U_
v
I(We) occupied as our principal place of residence the (ollowing descnbed real property tor which a Homestead Propert�T���d��bgr€tfy 914i�I�8R
�ij(We) owned ❑ Are buying under contract
Have a benefidal interest in the entity that is Iiable for the property taxes on the property and Ihal owns lhe property or is buying under a contrad.
If buy"vg on convaIX. Fee Simple owners name
Rearders olfice where conVad is recorde0
a�r � .X3�3 �^5� �L...: :�... z' _
F'�IF3x`��•�X Vaxi�'`l'�::.J}� : jS:��'R
County Tovnship
-�-,—w, �,- v �
I( any portion ot Iha residenUal sWCWre w the
ot ihe prope+ty util'¢ed to produce incame.
-aa-ir-
�-.5 L // - y-//
not exceeding Gone (1) aae that
()�6S
Record number � Page
Tming
IIs/the pmpeM in quesGon:
� �eal propefty ❑ Mobile Homo (I.C. 6f.f-7)
wrrountls that sWCture is used b produce income, deuribe the use and portion
/- Da 5�
- . - ,-,�-��5=�- -s�u� - � - 2.;r�:-�
:y_ �-'r�'"`�.:t-.�..,�'�`Hx,.`�'�--"""-x?��`�-v�=�"�xP,ROPERTY OWNEDIBY CLAIMANT,IN��.OTHER'COUtJT1ES�c�.. �,..s„rs�..,,,.�_�t.�'�., �. ,�
County Tavnship County Tavnship
I hereby certify lhe above statements are W e, corred and wmplete. Si a o�aimant � �
i✓fl
Address (number aiM s(reet, ciry, s(ate, ZIP code)
��� �-�`� " �-��`�k}� �''� t ,.��-�'e: '��'-TRUE TAX.�� � ASSESSED VALUE "�HOMESTEAD!� `� NON-RESf�ENTIAL"�` '
H��;�ie �ASSESSOR USE ONLY 4 �, �y�y"� .�,VALUE,�f t �ATy700% OFiTTVR � ' VALUE�� � }s��,'�t�y's.VALUE " �',�'�,
�- .� �vJU'{T''s tS.�%�.'�C .. .3�' c d�f+ MM:':,:] Y�. L ...J✓..""F�.uL F........ �-.L+.�. .R � ��..._.... f!"+i�.� ...�� �
Land nol exceeding 7(one) acre immediately �, '�- �- ,� s,�`#��s-�
surroundingresidentialimprovements ��) .��fY'�'_ ,,?���s,.-!
Other land �Z) {`���'����' ,..-��'`'" �
r� }
.r,i :.f+ .r�3
Tdal land (line 7 plus line 2) (3�
°.� �.-3. -s �,ri :t*
Dwelling (4) :-r�i" � , �s"� � .'�_'� �`,,?�
�Rasidential improvements or Mnuaily ;���"�"� -
0.ssessed Mobile / ManuFacwred Home Gara e (� �� a< �k �� '� ._-'
9 5 ''��"ta.�"'-.�,"`�s'�'��+:3�tf��
� -��-'..:. � k ._
Other improvements (6) ��;'F}� �,�[y°�{����
' �'=..: �3�T ;:,-.'. ..
Tdal improvemenLs (line 4 through line 6) (�)
TUaI value (line 3 phs line � (g�
I hereby certify the above is W e, coved, and Signamre of Assessor Date signed
complete.
Vrrifyimj action - Signature oflwditor Date signed
..�s-,'�'-�.,'4*�r��''�.`+���;r,et7v"�s.9�'�.�4'`'y�,.�.�r~,'>`�''.k:i!�-iSTANDARD,OEDUCTION�ALLOWAMCE: i'i�ic:'Ti�.?��a��.'�x�'s`'-`�,�x,'.��i�!,'�"�i�x��.�'`�S �'-
20_Pay20_
Lc;ser of v2 Homestead
vewauon a E35.W0
5
SgnaWre oflwdha ' Date signetl