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�
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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 (
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•
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.
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- ACTION BY AUDITOR -
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Assessed Homestead
Valuation Valuation
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Approved: � �! / � � i Date: /� //�