Homestead_Jones (11) STATE FORM!"M it: Y,' TVASURrx TORN 3-in
APPROVED BY STML IMPJCIMF M.TtLXTS. Un PRLYTIBWBY TOE DEPAAMENT OF LOCAL CIn?RVMENT r PASCE M 6-t.t-24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 eser for homestead fraud.'tome-stead fraud causes higher tat bills for all:therefore.
• HEA 1344-7009 requires taepa)ers 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 government to better monitor homestead
tilint.r.This information will be kepi contidenlial and can only Iv accessed by authnritcd county officials.The Dryunment of
Local Government Finance will use this information to create rods that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Jones, Rodney W/Lisa M
OETCR 150W
Hauhstadt IN 47639
9537
Rodney W Jones
R1 BOX 369 2 F State Parcel Number Legal Description
HAUBSTADT IN 47639-8751
--— 26-22-12-301-002.123-024 Pt NW SW 12-4-11 1.289 Ac
Idttlltrt1111rttt111LLJtJtLt�I�GllIuIIIuIIuII1L�Mal — - -- -
p Lt-t'S,E c o R Iz-6-L I
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
R.0 et VI eV LJ TONE S
ling Address(number and stray,city,state,and ZIP code) - -- - -- Same as property addnss - - - — —"-
'� 11534 5 150 W 1-tau1s4-car to 4'7(039 ',:
Spouse First Middle Last
L /S0. M J &S
Mailing Address(Number and street,city,state,and ZIP code) Same as property address •
11534 S15o W )'-L6sf Jf, LN 117639
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
l
unlaufitlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
AJ G.r4 dl rt-SS e 1�e-Kew �1J1Rci S Los r`( c( [2.0.0./25 S. Y I cc-6 e e�-+A-g-e r tents +0
t In ell >1e 5 a.AA re5s l ,'.s1-eel f n P.Y-I— 2- . Tl w K S
�;' CLAIM FOR HOMESTEAD PROPERTY TAX '
CREDIT/STANDARD DEDUCTION -
� State Porm Sa73 (R6 / {-03)
Presrribed Dy Ihe Departmem o( Local Govemmen� Finance '
INSTRUCTIONS: See revcrse side !or /iling insfnicfions.
.Q . �� � :,�:�3�
/ f� -
DEC 2 7 2004
�(We) . W D vi certity th�hehat`e�]ddNta�.cqi4: 26T��9-A�
1(We) occu i d as our pri cipal place of residence th follovring descnbed reai property for a Homestead Proper����tlii�s��ierebytiPaim�d
�I (We) owned ❑ �Are buying under contract- � �
� Have a benefidal interest in the enlity Uiat is liable (or the D�operty taxes on the property and thal owns the property or is buying under a contraU.
If buying on contrad, Fee Simple ownefs name
Remrdels ofice where conVad is recordeA ��
Record number � Page
County � � Toxnship � T ing Iric� (tiry, lown, fownship)
Parcel n mber Legat description �s tne vroperry in question:
�� � ' � eal pmperty ❑ Mobile Homo Q.C. 6f.f-»
If any portion al Na rasitlentlal sWCWra w the Wnd not exceetling one (1) acre that immediatey sunounds Nat shu ure is used to produce income, desaibe the ose antl poNon
of the properry uUlized to produce income.
Tfs/'QL7/1C
r .,- .� 3.".•-� � xi s r i i�. a a 4u�. '4` .rs°.
�x„�:-n-,'���..,�. �,�„"�+'+�,A,ro�M``�'t.3;�'��,�#,��m"1'-.�`,s-.�STANDARU.DEDUCTION'ALLOWANCE;N`Y,»ti�''�e�si�a'�"�".�„z�r;'b;�m�.�.,"�`�'�?�,'�?�"' - :-ie
20 _ Pay 20
Lesser of 1/2 Homestead 5 !
Vawanon a S35.W0
�.
Signature olAUdHOr � Date signed �
' � �