Homestead_Fuhs (3) STATE 1051,1 5.'it/viol TR ASURLK IOPN IS-IA
APPROVED BI>IVE AOSRC OF.UL IN IS.20N roue IIGnI O IL DIPARLVrTT OF RCM.GOVERNSRSt IL K+i let-51"-C.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS"
101 N.Main ry Street Individuals and married couples ale limited to one honk-stead stapitml deduction.As the receipt of this deduction becomes
Pn a o`�-761J more beneficial.there is more incentive than escr for home>t ad fraud.Homestead fraud causes higher tax bills taw all:therefore.
1 IIFA 1344-2009 requires taxpayer who receive the homestead standard deduction to lerify that they are eligible to teethe the
benefit and to provide additional identifying ir,lormarion neeavry to allow county government to better nxmnor homestead
filings.This information will be kept confidential and can only be accessed by authorized county ollicu6.The Depanmect of
MAY 7 Local Government finance will me this information to ernie tools that will help county officials eliminate homestead fraud.
2012 PART 1:PROPERTY INFORMATION
C Taxpayer Name Location Address
Fuhs, Sarah Elizabeth
GIBBON COUNTY AUDITOR 4326 W SR 68
FT BRANCH IN 47648
9515 C
Sarah Elizabeth Fuhs 1111111111011/1I110i II [IIIIiII. III 0110 IL i1 illOLIIII_I ll011011J0101111
4326 W SR 68
FORT BRANCH IN 47648
State Parcel Number Legal Description
26-22-04-300-000.038-024 PT W 4 4 11 2 AC
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.
_-__ _PART.2:T,?�XPAYER INFORMATION Y/!_1/
<r 1I -_ First Middle /� "x� '" Last _ __._
Mailing Address(number and street.city,state,and ZIP code) O Same as property address
g302 IQ Q3 3e 1i 5 440,,/,/ h/ W� ctP
Spouse First Middle / Last
Dye tits
Mailing Address(Number and street,city,state,and ZIP code) d X' Same as property 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 and substantial financial penalties.
Owned Ignamre ,I `,t--�T" Dam
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SEE Lu1CK FUR FILII•' ltdSTr�UCTI0i�7S /yt..�"`��'"'
�ve ��. � ���11 ctrtif}' tliat on the 1st c]��,
, I, (t•1�) eccima�3 zs our pri�zcioal olace oi residence tii_ follo.:ing descrit�d rsl
�•;hicn a Hc�rnst .a� �v��ty Tax C��3it is h�seYr�� i�_inq clairr�sl:
Z, (ide) � o.ansi � ��(/ �O - � �
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� are b�r��inct ut�3er contract � n�p
� have a b=1�e�icial ii�terest in � he : a.ti�ayer
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Proc.�rt}� D=scription. in �Q?CY�J�'1 ���7' Tv.7es!
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'Pa.::inq District (City, Ta.n, 'Ibs.T�stup) :
��r.�l tyt„-nc�r ' or le�al descriotion st�»n on tare statEarent:
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Z: bu�ino on o�n�ract: U:��iers narrA (fe� sv�le Q�-ner
Con�ract rE:ord_3 u� Pe��3er's Office - R-�cord tb.
Fage
I` an}' mrLion of `he r°siden�ial s;ructure or the 1an3, not °�T'�7ing or.s (1) a�e t}�t
i:,�rv�iately surroi.vi3s �hat structure is us� to prociucs ulca�, ciescri� t�ie w� arrl c�r�a�
tiie oroFert}= utilizecl to preciuce ii�otre
i:ny o`her c�unties in ;ahich uxiividual a.ans or is bul�ing real promst��
}7_i°hj� CSi1i}' i�l°_ ��XJJV2 S`�dt�ilPl1� 15 `Sll°r W1Z'2:.'t 31"C�{ C`•.JIi�7�.°_t.°.
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ty , S ta t� �tr1 'L � F� Ci
*Incii��idual ei�]'�r o.+°ns or is b�ying imer a o�ntract that nro:'ids t�� is :n gay `�i_
DfOF>'1"tj' t3.:°S OI] i.}l,°_ TS1C�°_I1C°_� Oi r1c15 d�—Tl°_T1Cld.1 lflt?S°5� 1il �l°_ td::C3Y1•
- FOR HSSESSCNt�S USE 0�•;LY -
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Valu°
L.��d not e.�:���g 1(one) acre inm�diately . �p.o
surrourriu�g residential irr,�rova�ents �l)
ot>>er Land (2) So 0
7b�1 Land (3) � o 0 0
P� sid �t ia 1 Isrpb«ren s
i�,•elling
Garaae
Total
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(5)
(6) 3SL-3o
Ott�:s Itr�arovanents �7) —
Tc � Irc»�-�ralts - Li�-:e (6) plus (7) a?uals (8) (8) _
7}�oLe17'�+ C°S�1L'y' il1°_ c�.�X7C? 15 u�L°r COLT°_C�� 3I'i� CL1iin1°_L°.
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