Homestead_Jones (8) STATE f(*si .01 /4M) TPFASntLR FORM TMA
APPRISED BY MATE BOARD OF AIM-NM Zino PFIYRtBW BY THE DEPART e4T OF LOCAL GOvell.FXT FTABYE R'Vl.l-L'4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEADIPROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sanden'deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1343-2IX9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county gmemment to better monitor homestead
filings.This information will he kept confidential and can only he 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
Taxpayer Name Property Address
Jones, Karl G/Christine A
R2 Box 400
IEIberleld IN 47613
3472
Karl G/Christine A Jones
R2 Box 400 State Parcel Number Legal Description
Elberfeld IN 47613-8400
I I I atIII
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I I III I I III I I I I I I III 26-23-13-400-000.358-024 004-00358-00 PT S SE 13 4 10 1.283 AC
-- rat rI — n I non na Inv n n n rI
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.
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- _.__,._,,..,1,%_:,._-,_,-„_ P.�RT 2;_TAXPAYER INFORMATION i',. a', • _
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Owner I First Middle - - Last
`
;40.(--;40.(-- Glean 3 on e s
dikg Address(number and street,city.state,and ZIP code) ❑ Same as property address
5 �� 130o S i bet (0( =.0 47i
Spouse First Middle Last
CZD /�rr5i✓t V llI/7 c6 es
Mailing.Adiress(Number and street,city,state,and Z11'code) Same as property address
6t1Li8 1300 S . Fiber-relot g76I3
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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 rack taxes and substantial financial penalties.
Owner I Si e / Date
•
I
da i`\„i
a� `°, CLAIM FOR HOMESTEAD PROPERTY TAX
;•�'= CREDIT/STANDARD DEDUCTION '
.. .��� .,��� State Form Sd73 (R2 / 5-92) -
�u� .
INSTRUCTIONS: See reverse side Ior tiling instructions.
FORM
HC10
��
1"Ne) _L_/[,(/L,JL I - V t��+� certify that on.ihe 7si day of March, 79! !
�) occ�pied as our principal place of residence the following desc ed real prcipeity for which a Homesiead Property Tax Credit is hereby daimed:
�
� I(We) owned ❑ Are buying under coniract
❑ Have a beneficial interest in the entity ihat is liable for ihe property taxes on the pwperty and that owns the prop y or.��� �r�ract.
li buying on contract. Fee Simple owner's name
Recorder's oHice where contract is recorded
Coumy
Township
PROPERTY
Recortl
;�v�-uv��.�0'u V t-_�� �� /� = �- /m
It any portion of the residential strucmre or the land not exceedinq ne (1) acre that immetliately surmunds that struciure is usetl ro produce
of the pmperry utilized to produce income.
�'� -�3 -/3 - �o -oa�. ,35�- Da�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
above statemenis are irue, correci and complete.
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surrounding residential improvements.
Oiherland
Total land (line 7 plus line 2�
Dwelling
Residential improvements
Garage
Other improvements
Total improvements (line 4 through line �
Total value (line 3 p�s line �
I hereby certify the above is tme, correct, and
wmplete.
19 _ Pay 19
Lesser ot 7/2 Homestead
Valuation or 52.000
TRUETAX ' ASSESSED I HOMESTEAD
VALUE VALUE VALUE
lll
12)
(3)
(4)
(5)
(6)
l�)
IB)
Signawre ot Asseswr
STANDARD DEDUCTION ALIOWANCE
�
I�
Paqe
tlescrihe the use ai
NON-RESIDENTIAL
VALUE
Date signed
Date signed
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.