Homestead_Rexing (16) I I MATE rani 4 IR'r laNI 1RFUl:IEA TORY i}la .VFRIWEO By mar B[i orw M�?R.Xrx._ow r.r_SLAIBm BY nil DEMRT1ENTOF LULL r aXMrM FINANCE In l.t-r4.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1344-2009 requires taxpayers who recei'e the homestead standard deduction to verify that they are eligible to recei'e the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kept cool:dential and ran only be accessed by authorized county officials.The Depannteni of Local Government Finance will use this information to create was that will help county officials eliminate homestead fraud. PART 1: PROPERTY ECFORMATION Taxpayer Name Property Address Rexing, Mary Jo R2 Box USA Haubstadt IN 47639 11046 Mary Jo Rexing • 12685 S 200E State Parcel Number Legal Description Haubstadt IN 47639-7949 • 26-237,16:3007000.811,024_004-00811-00 WARRENTON OUT LOT-2� — —JiIiiIlaftLIIiiii161fIiili iII lirl IIilsl�rLiliIiIuIitf — PTI3PT D-9 PART 2: TAXPAYER INFORMATION Owner I First Middle p X I N /' Last MAPy_ so "( (y _ •ig Address(number and stteet,city state,and ZIP code) -- - _ - Sartre as prupeny address - — (IIg .54goog H4 as 5771 PT, JAI, X7439 sane Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sole PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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 Telephone 5. - f 5-5-�dO ( •civ„L ,face ten47 a t,rcz 04 - 2- WI nut-vat-iv • FOpM ML 10 1979 RescriDeU By State BoarE of Taz Commissiancrs To & Fi1W in Wplicate CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAA 19� SEE BACK FOR FILING INSTRUCTIONS �(We) �-N-•� � -� ���-�+ l�� • certify that on the 1st day of arch, 1�, I, e) occu�ied as our principal place f idence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficial inter t in Property Description in----,�^-C.�� Taxing District (�'�Tnaw, Township): Parcel Number If buying on contract: Owners DD �-o o �l/- o� �� -�3 /� -3oo-oc�. 2ii-a�s� taxpayer ^ � Township or legal description shown on tax statement: P�. .t/E.�i Scv;r /G � s�-/o a.s-�s'a.�.-, Contract recorded in Recorders Office - Record 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: ,�hereby certify the above statement is true, correct and complete. CountY Township Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - True Cash Value Land not exceeding 1(one�re im edi� surrounding residential imp e t �� (�) J�o � Other Land yl1M fi 1979 Total Land ' Residential Improvements � (,j ng /j'� AUDIT arage I/ Total Other Improvements Tr'�' Improvements - Line (6) plus (7) equals (8) �.;�by ceriity the above is true. correct. and complete. ol . . i� � . � . � N � - ACTION BY AUDITOR - j9 Assessed Homestead Valuation Valuation / 70 //�j�j��/ ../,',,. �,.i„ . ����jjj�j _ S-�?3-?9 Dare - Approved: � �! / � � i Date: /� //�