Homestead_Marx • MATE FOR't aa,R-'/HMI TREASURER Po0.V TI-IA
.APPMwED BY STATE BOARD M'RMVtNfl.9w PRrw,InED BY TIM DRMne4T OF LOCAL rAWEIINNIFN7 FIANCE 1e4-1.1'4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homesead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fatal Homestead fraud causes higher tax bills for all:therefore.
HEA I344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying infornauon necessary to allow county government to better monitor homestead
flints_This information will he kept confidential and can only he accessed by authorized county officials.The Ikpannsent of
Local Government Finance will use this information to create tools that will help county officials eliminate humeacad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Marx, Brenda S/Gerald
RI 13ox 350 B
Haubstadt IN 47639
9565
Brenda S/Gerald Marx -
2083 W 1200 S State Parcel Number Legal Description
Haubstadt IN 47639-8735
1r1tt11ntltlluttlltIri 26-22-14-100-000.688-024 004-00688-00 PT E NW 14411 1A9 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
666/4 EDI/042 d /4nex
tg Addresi(number and stmt.city,sate,and ZIP code) - - -_ LL v me es property oddre --- - - - --
da3 td / ,ao S /frJa 66SrRor /,J 476 3?
.
Spouse i First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) [Same as property address
ac3 W laoc s *gtois7 9or /id 47437
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 I Signature Date
•
FORM ML 10 1979
PresaiUetl By State BoarG al 7a. Cammissioners
To Be Filea in Uuolicale
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 ��
SEE BACK FOR FILING INSTRUCTIONS
� n
�(We) ��—t°-"�— •���—a--Q--k- � ��J certify that on the 1st day of
,rch, 19 g� I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned DDT � ���(p�— �-
❑ are buying under contract �G �a_�,�j�_Q�.����a�
❑ have a beneficial interest in the taxpayer �}�
Property Description in ��B-^� County %'1� r`'�'�Ori-� Township
Taxing District (Git�ewn, Township): ��r�s-e—s� �'-�'�f'•
Parcel Number or legal description shown on tax statement:
t�.z �''z Nc.v�%- i�—y--�i i.�9�.
If buying Ofl contract Owners name ��ee s�moic ow�eq
Contract recorded in Recorders Office - Record No. Page
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:
I hereby certify the above �tatement is true, correct and complete.
����j/r //�/,!�/� n�j ��/' 2�
/ A%�/lA'il' �% /n n i/i �� /1 _ / /')%�'l"��LJ��i
County Township
iNre / — — / �Sk¢2�/AQpR55 ' � / Ciry. Scaie anE Zip Coae
` y��3i
` Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneticial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash
�' � � E D Value
Land not exceeding 1(onek acre i ne iat ly
surrounding residential imp�oveme (�) �p o
Other Land
Total Land
Residential Improvements
Other Improvements
MAY 11 1QO�
�� OpUpITOR Iling
Garage
Total
(2)
�s� Sa o
c4> a�� o0
�s> —
�6� a 3 / o v
(�) -
Tot I Improvements - Line (6) plus (7) equals (8) �8) a 3 i o0
I�y certity the above is true. correct. and complete.
Assessed
Valuation
.
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Date:
Homestead
Valuation