Homestead_Pate 5T.5TE FORM' te,RN Nrvl TAFAn1rLR MI73—is
.1rrRovEO BY SOM.&WOOF.MY(Rt\TS.1rm PAF1RIBED BY stir DFPAFm e.TOF LOAL roVERNMCM1T FB:n1t^!e i.1.1-2-c
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead s4andanl deduction.As the receipt of this deducion becomes
more beneficial.there is more incentive than exer for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1374-2009 requires taxpayers who receive the homestead standard deduction a verify that they are eligible to recent the
benefit and to provide additional identifyin_ information necessary to allow county goverment to better monitor homestead
lilings.This intnrnution will be kepi confidential and can only he accessed by authorircd county officials.The tklanment of
Local Govcmment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Pate, Thomas B/Cynthia L ,679 tO /c-04-5.
x 40
llauhstadt IN 47639
9547
Thomas B/Cynthia L Pate
579 W 1200 S State Parcel Number Legal Description
Haubsladt IN 47639-8723
I tIrtIItttItIIFtt tIItIt 1tr1t tIt Ittittlrltr 11t1tt t11t1tt1t1r1 26-22-13-200-000.174-024 004-00174-00 PT NE 13411 1 A
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
l Ito PkaS ?vet et
tg Address(number and street,city,state,and ZIP code) I__I Same as property uddres,
577 CO. raoo S. (16_01954-o + Ted . 4{703 ?
Spouse First Middle Last
C7itLf(A Lys. `;w7L-e.
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
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 ck t an substantial financial penalties.
Owner I Signature Date / /Q
I
1 3. � I ••,�•0• � y�� •�, , • • �
,� � -:` @ACK'fflfi Fl�UV 1HSTRLCT10�iS � �
� . ,.�.1 �sy�W�' �. , `� �, •�� orrtily th�t on .t.t» Lt d,y
r,.,�.�i�, ly . . d a� r p —ip. ao� o"� tir mllarir�p cbasc�i�d ua
�w�Y �� f��tQi+a�d �nopattY Ta�c cY�dit t� t�+�by bai��q c,_i�,••��
� ��., �� �G �a -Y3 -�oa -�����aa�
o��`�-=�� d'D.y�-�af7��
� n.r. .,.minatal 31�.s..i Sn t,,. C.�y.s
i, �,F,un Y �r�atlpClGn 1D � �� ODtr�ty Ladrl
i.,,.,�y tuacrioi bC1tY. '�. 'Doro�hlp) � S-�+��' - -
{ .,r�ul raa�[ T pr
� � _I
de�Qipticm at�wa m t�c st-•�-..• i
�«�4 �3- �'" �� (.90 F�C .
t r ��.�yi,�q on artsacse ::.:�a ,� 1lee aim�le a�+rier)
��.: "s�OL�i'sd lO IIs�o�Oa+ds[' • Of f1a� - Auoocd !b. irp� .
�� e��y �,orc.icm a[ tt:e sc�i..�+rinl aCS+�cuu�e ar th. land. roc �sading or� (l) .�+. cb.c
�nn.alletxlY ��!!a• tiL7L �ttWhRS la .Li��d Oo PID�iL��1f10Oh• di�QiS� t%M� 1M � j�'Sj01.G1
,�.. ,,r�.rs„ .,..'�'� f� a'e� taow • .
:•,�•; �u�..r aowtfas �u �a3a� L�iv�al w�mo or ir kxyinq n+osl pmp�'4Y� � Co,��� .�
i i�
i� ts+�, marcct aad .o�Ltr.
�.�
irC -, _r.. :Y�,. ..
�`.. `w` _ _ =
APR i 61987 - F°R ass�ssc�'a usF or�r -
n„a c..a
g� value
� �, .I rc�, ( acw loo�distely .
�.u-ca�ad,rrq,✓ � • (1)
uu.0 Lnd . � (11
•��,tal lard
w��,t,.l .�
. _ ,.
Garp�
�o�
(3)
(�l
(5) �,,,�,�
l6I .
„u.:r L��.ivu�ta , (7)
���: � L���..s+�. - �.t�,. l�� r� c�� ��a te� �e� '
, ��ru�y c�titAr ca. 1�oi� s. 1sv�, ca�s�.ac, erd aompl+�t�. .
:.�;�i�ni.u—�u o���C �
��
i iiuv...l:
..�..-�� � ......��
�.�.�.. �...,.-�.
• ::.._._. ,:
/: i �°�
�������/����
����:���/�/.!�/�
'//./i'/%%%�/4 %�'%/////%�
��������// � �/ . � � . : %// ' � // ��%
'I.
.
---- i/////Li!////�
��������
�•_ -
iCUO t