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Homestead_Scott (3) ,} • ' • STATE l 0551 ssrei es.q.I TREASURER FOAM TS-IA 'nova,sy st AlErinsarsorszoKINTS.20,14 PRrflEEU BY 111E DEPARIS2`tr If LOALtsfttNMral FIANCE ICH.Ir-LI 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 ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. IP HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.this information will he kepi confidential and ran only be accessed by authorized county officials.The Ikpanment of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Scott, Margi L Trust of SIG/ 4) /f.2ss Haubstadt IN 47639 9485 Margi L Scott Trust 2561 W 1125 S State Parcel Number Legal Description Haubstadt IN 47639-8745 111.11111111111111111111.1111111111111111.1111111 11111 111 26-22-10-200-000.886-024 004-00886-00 PT NE 10411 1AC X PART 2:TAXPAYER INFORMATION Owner I First Middle Last NI.Ok r � L L . 5La ( ( (i st1 1 •Ig Address(number and street,city,state,and ZIP code) © Same as property address - S& / IA) /l2. 5 S Spouse First Middle Last 1z lc oLx /4 t St_ Mailing Address(Number and street,thy,state,and ZIP code) ® Same as property address a5Gt ,4) iii 5 IS 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 back taxes and substantial financial penalties. Owner I Signature Dale wRn+ xc �o �s�s Prescrihed By State BoarE af Tax Commissioners Ta & FileE in DuO��e CLAIM FOA NOMESTEAD PROPERTY TAX CAEDIT FOA YEAR 19 ?� SEE BACK FOR FILING INSTRUCTIONS � � , �(We) �� '�L^'� ,�- �� T- certify that on the 1st day of v�arch, 19�,� ccupied as our principal plac of residence the followin9 described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned poy�-ao��6-00 ❑ are buying under contract �G_�,o_��_��, g�� _ 6as� ❑ have a beneficial int rest in the taxpayer Property Description in � County Township Texing DiSt�ict (F,i�y; Inws� Townshiol: Parcel Number If buying Ofl contract: Owners name �� s�mo�e owne.l or legal description shown on tax statement: �r, /i/E�� !0-5�—// / .�as/ 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 AEEress 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 - t� True Cash Assessed � � � � � Value Valuation Land not exceeding (o ) ac im at surrounding residential improvements (�) S�o /70 Other Land Prp,y 3 �!97S (2) — — Total Land Residential Improve�s ��/�a�� Dwelling � AUDITOR Garage Total Other Improvements To' Improvements - Line (6) plus (7) equals (8) I�y cerji#� the above is true. correct. and complete. Signawre ol Approved: (3) .5'Z� O c4� � v�s�o �s� — (sl �0�5�0 (�) �s� �a�S�o - ACTION BY AUDITOR - • �/�%�%/�%�% �� . .Jc � � . � Homestead Valuation. -- - %%%/ _ : i , . Date: � � Q � � � 7