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SGT:FORM 535e0(R3/8-10) TRFASI YEA FORM TS-IA
APPROVED BY STATE BMRO OF CO0,45,2039 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVTASNENT FNAY(£IC 6.1.1.324.1.
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPER7'Y OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 • more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore, .
_ HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
i FILED 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 1: PROPERTY INFORMATION
• APR 8 2011 Taxpayer Name Location Address
__ Foster, Kelly L/Melissa L
C n v f o 72936 S SUNSET DRIVE
GIBSON COUNTY AUDITOR IiAUBSTADT IN 47639
2959 pI
Kelly L Foster I II�I�IIh IIII�II I III�I II�IIII�II III II�IIQIII�II�IDII II I I��II�II�I�I�II II
12936 S Sunset Dr .
HAUBSTADT IN 47639-8670
'll'1191111"IltttllltP1111191LIILIroP11111111'11'11111"111 State Parcel Number Legal Description
26-22-14-300-001-638-024 COUNTRY VIEW EST 12
✓— � __s _.
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
1 • PART 2:TAXPAYER INFORMATION•Ov._ I First Middle Last
Mailing Address(m6bcr and Cstreet,
,city,state,and ZIP code){'-1{/; t . � / ,A ' e as property address
loci)� YU\ `d /r
Spouse t First Middle Last
•
�` \' �'Vk'1 k - ° I `
— Msiling AddresT(N sai:ek city,state,iid'LIP Vie)—T - r .-- —`-_ - -_ as pripertyaddras—.----___ — —__.
10-Q31,9 S • S( )(r`)e _ - -}-0,01,f ,1.0. ) ��/'' co . 9 ,
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 l Signature Date.
•
�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
'� � State Farm 5473 (R4 / &00)
�n.
INS7RUCTIONS: See reverse side for 6fing instrucFions.
FO �g �
HC �
OCT 03
I(We) lJ� V � certify Nat ai4hg�,jg�� T�/�
� I(We) occupied as our principal of residence the folimving described real property for whirh a Homestead Property Tac Credit is here�y dalir�
n I(VJe) owned ❑ Fve buying under contrad
�ave a beneficial interest in the entity that is liable tor the property tazes.on the property and that owns the property or is buying under a contrad.
It buyifg on contract, Fee Simple ownefs name
Recorders ofice where contraG is recorded
Counry
Pa I m '
It any poNOn f the resid
of Ne property uGlized W
�
Rwnship
Legal descriplion
38-�
swaure w t�e lantl irot ezceedinq
ce income.
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IRecorO number
!ROPERTY�ESC RIP�TIO N���?',����?�-��
- � � Taing disirict�(ciry; town, townshiP)
�(�.�.�/���e�l- � �
afie Ihat immediatey rtounds that struUure is used to prod�ce incame
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descriDe Ne use and portion