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Homestead_Staples (3) SLATE FORM'3It it ILMI T'Fl3UREA ROLM ZIA .Srrn'EO BY ASTt BOARD Of MYr*BM.Ian rutoLBm BY Tit BEPMn c'r(iLOCAL GARIYV.rr.T FP:LACE IC 4-1.1.214.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS • PRINCETON IN 47670 Individual and untried couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes _ more beneficial,there is more incentive thin eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. ® HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he Ina conlid ntial and can only be accessed by authorized county officials.The Depanment of Local Goveminent Finance will use this information to create tools that will help county Official.eliminate homestead fraud. PART 1: PROPERTY LNFORMATION Taxpayer Name Property Address Staples, Meltina CRI s dt IN 47639 10919 Meltina Staples 4049E Dogwood Way State Parcel Number Lezal Description Haubstadt IN 47639-7857 26-23-11-200-002.026-024 004-02026-00 WHISPERING WINDS SEC n II nr Ir II use'It I ul I set II III III r I to I t I o IIt I III 1 LOT 1/2 - X __ _ ` --._. PART 2:TAXPAYER INFORMATION - Owner I Last //1 //''5 First '�J Middle La �tg Address(number and street,city,state,and ZIP code) ©-Same as 134 perry address - ' - t. Woad-- /1UL • . 1-11-7 3 9 Spouse First Middle C Last Mailing Address(Number and street,ci s city,,state.�and ZIP code) R.4hte as prapeny address ee - — - - 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 • ; CLAIM FOR HOMESTEAD PROPERTY TAX ' CREDIT/STANDARD DEDUCTION � � State Fwm Sn77 (R6I403) Prescnbed by t�e DeOartmenl of Local Govemment Finance IN57RUCTIONS: See revasc side /ni lilinq insVUC(ions. � � -� CERTIFICATION �� FORM YEAR HC10 FILEI� �(We) � certify that on the 1st day o( March, 20_ I(We) occupied as our 'ndpal pla o( reside e the follovring described Homestead Property T��s�daimed: (/'� ❑ I(We) owned ❑ Are buying under wntract GIBSON COUNTY AUDITOR ' Have a benefidal interest in lhe entity Nat is liable for the property taxes on the properry and that owns the property or is buying under a contract. rr.�i+�•�n �:'?sT'i'., .�'_ � .n.�" _ .r.v_x.t-.. ; .,h�,:��. _'=� CONTRACTiRECORDED'�':' r" • . - . - If buy'vig om m�traa, fee Simple ownefs name Recordefs ofice where wnVad is recarde0 Record number Page Counry Parcel - _-_ . .�y2y_t... Tavnship le9al descnption � _3,. ' - ... ... . (city, town, rownship) the �� y^ ��,�,Le • Q� I �teal pmperty ❑ Mobile Homo (I.Q 67.1-7) II any porlion ol the resiEenUal strucWre or the land not exceetling ona (7) acre that immediately sunounds that sWCWre is used to D��uca income, tlesaibe the use and ponion ot the property ulilized m produce inwme. Counly - �3 -//- 0300 -Oo�3. Q�G -O� -' �''�-PROPERTY�OWNED���BYCLAIMANT�IN��.OTHE Tornship Counly I hereby certify the above statements are W e, covect and complete. (number and slreef, city, sfa(e, ZIP cotle) �C. y�- ,� �u-!C S 7 3 Signawre ot claimant F��.,,�� 1x' ASSESSOR USE ONLY .- � TRUE TAX ASSESSED VALUE : HOMESTEAD �� NON-RESIDENTIAU.. ?,.rui?'SY<.}Y�..,...- ;:ars�';.- - � . �� VALUE AT100/aOF�.TN' � VALUE . .r'. VALUE'. . Land nol ezceeding 1(one) acre immediately '�:`�'�°>_;-�''"�"'�=< �� surrounding residentlal improvements. (�� . •� ' ' - � Otherland (2) Tolal la�id (line 7 plus line 2) (3) I Owelling (4) ' `.i? �':�.-. ' , �: Residentiel improvemants or Annually � �' �` �'` '��"'��`"°'"`� � �� �, � Assessed Mobile I Manulacmred Home (5) �:.i�''a;�."_;�:.:.- ' - - - _ Garage ; �s.-�� Olher improvements (6) I � Taal impmvements (line 4 fh�ough line 6) (7) Ttial value (line 3 phs line n (g) 1 hereby certify the above is we, cortect, and Sigwwre o( Asseswr Date signetl complete. Verityinq actbn - SignaNre oflwditor Date signed . `---;STANDARD.DEDUCTION 20 _ Pay 20 _ Lesser of v2 Homestead vauauoo or $35.000 Synature ol Audifw 5 te signetl 4l-lR <