Homestead_Epperson (4) —
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VPN(UED BY STAIR B,HRpn nn—UsTS_`ni+ rnnn,lniT BY TIM DEPARTMENT OF LOCI&GOVERNMENT raMANCE M,-1.1--_a.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
1 more beneficial,there is more incentive than eter for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they ate eligible to Meth e the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only Iv accessed by authorized county officials The Depannenl of
Local Government Finance will u< this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Epperson, John L/Nancy G
RI Box 97 6:-.
_ _ - _ - .. - __ - _ —_ — Ilaubstadt IN 47639 - - —
9476
John L/Nancy G Epperson
11088 S Owensville Rd State Parcel Number Legal Description
Haubstadt IN 47639-8641
It�ullnrllllnn11l 1I1u lu'nllulltllrll111ll1llnllllltrl 26-22-10-100-000.307-024 /004-00307-00 PT NW 10411 3AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
� 0IA (A Le5be E aasa1A
r _ __ _ __ _ - _ __
tg Address(number and street,city,s m t c,and�ZIP c o d e) e m c as pmperry o d d r e c; . - - -
u 0 c% 5 . 0 c u Eh S Ur tits 0 S tiaAa � d+2j �-- , 7 , .
Spouse First Middle {� Last
ko an C
Mailing Address(Number a street,city,stale.and ZIP code) Same as to ny address
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 fi ancial penalties.
Owner I Si na 11 r�yir Uatc/ /
S
fORh1 HC 1� 19i9
Presc�i�e0 By Sta;e BoarE af ia. Commissioners
To Be Filea in Duplica�e
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
� SEE BACK FOR FILING INSTRUCTIONS �
�(We) �-�-�-�-�-� ; �"�- � `t' �_ .�/ • certify that on the 1st day of
arch, 19�1, y(We) occupied our principal place of reside e the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned �� (,� - 0� 3�� QQ
❑ are buying under contract � �J
❑ have a beneficial interest in the taxpayer � -���� ��� - �' `-5U / � ��
Property Description in ,� -`!�--- =-� County ��"^�a-m,� � Township
n , n
Taxing District (f,ii�-�ewn, Township):
Parcel Number
If buying on contract: Owners name �'� �""o1e °w"e"
or legal description shown on tax statement:
Y�.t /✓Lv ��'f /O- �-F - i/ _? Cl�.
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:
-�
above statement is true, correct an complete.
��� .�R�l � ���
County Township
r� •
atreei noa�ess cny. sia�e ane z�o �e
se.w-c�-- �� l B c�c 9 � C�a � ��,,,, 4 � 63 q
er 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 -
Land not exceeding 1(one) acre immediately
I surrounding residential improvements
Other Land IL�D
Total Land �
- _Residential Improvements AY 11 Dlvel�ing
N:
G
�i� Q�O`j�(�TOt I
OthPr Improvements
T mprovements
I Lcreby certify the
�
Sigeamre o1 Assessor
Line (6) plus (7) equals (8)
�ove is true. correct. and complete.
True Cash
Value
�i� Soo
(z) / 9 0
(s� G 9v
�a> a -� o �o
(5) —
�gJ a �fo � o
(�)
�8� a �o <�o
- ACTION BY AUDITOR -
Assessed
Valuation
i7v
,, o �-
r St o �-�e-
Homestead
Valuation
i7v
$-s-i-�-
�
oa��
Date: