Homestead_Walters St.lE 1l1RM!!'MIR'IVYI IMAMItD FORM ISIA \
A1PMA'EO BY SI ME MV(DOf ArY}T4Yt19w Prb[WAtD BY THE BruARTMLVTOF tfTt IXTZLNMEWT FINANCE MH.I-Lit
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher has bills for all:therefore.
• HEA 1344--2OO)requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
lilintq.'Ibis information will he kept confidential and can only be accessed by authorized county officials The Depanment of
Local Government Finance will me this information to create Cols that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Prupertv Address
Walters, Donald R/Jill S
-7-- 3ff� E 1300S
R6 223
Evansville IN 4 I �Ua of I )Zu
10969 4179*--
Donald R/Jill S Walters
3999E 1300 S State Parcel Number Legal Description
EVANSVILLE IN 47725-7821
11 11 I1 1 11111 III I I 1111 11 III 26-23-14-300-001.062-024 004-01062-00 E SW 14410 15.998 AC
t o nt nt n t t t t nt n ut t ut t u t n a u ` , D-9
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Donald, R. Wci tiers
car Address(number and street,city,state,and ZIP code) at Same as property address - _ - - -
999 £ 1300 3
Spouse First Middle Last
.1-71( S. Al/fiery
Mailing Address(Number and street,city,state,and ZIP code) rvl Same as property address
39%i t 13co S I�
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 Date
•
I�r°scribed By State Board of Tax Comnissioners
CLA1P1 FOR H(X`'�STEAD PROPERTI' TAX CRmIT FOR YEAR 19_
�SEE BACK FOR_FILING INSTRUCTIONS
!� 5
3-�
�� 1
I, '•. �.�) ��/�t�. Y►�u�.a.. • �' �,(.Q. ' c�rtify that on the lst day of
�+� 19 , I, (t9e) oc�ied as our princioal ce of residence the follaring descri.Ued real
nr ty for which a Homestead Psoperty Tax Cr is hereby being claimed: CL
I, �S
(i�ae )�Q aansi � ��i - 03,� /`� o� QJ - 40/. Oloo� - 4� 7
Q aze buyinq unier contract DD j� ��/ �d�� `� D
� have a beneficial �/terest in the taxpayer . � /
Property Description in yEJ"/ Q aS o A� County V 0 H�! ��✓ Tcwnship
Ta�cina District (City, Tam, Zbwnship): �r
Parcel ihanber or legal clescription st��n on tax stataresit:
�-�� �'�'/y IY-`�-/o !S. 998�.
I= buvina on �ntract: O�mers name (fee simple o�aner)
Contract recorded in REmnier's Office - Record No. Page
If any portion of the residential structure or the land,• not e�eeding one (1) acre that
im�cliately surro�mis that structure is used ta oroduce incane, describe the use and portion of
`he prooerty utilized to produce income
F�ny otner c�unties in which individual owrLS or is buying real property: Countv �mship
�rel�y certify the above statemnt is true, o�rrect an3 co�lete.
'��
*Signature • Street Address City, State and Zip Code
*Individual either aans or is buying imer a�ntract that provides he is to nay the
property taxes on the residence, or has a beneficial interest in the tax�yer.
- FQR ASSESSOR�S USE ONLY --
Iand not excee3ing 1(one) acre 6red?ai�lY��
surn�urriing residential i�rv :s�[�
1" �,
otnar r�a .', �
Total Land ��C �
P,eside�tial 71mrov� OSU
6j`� Dwellinq
Garaae
o�� �����
� '� Impxw�ients - Line (6) plus
Z he eby certify the above is true,
�r�i
(7) ewals (8)
cl�
(2)
True Cash
Value
So a
/710
(3) .?�/O
(4)
(5)
(6) S G G o
c��
ca�
conect, and o�nu�lete.
- ACTION BY pUDIT�R -
�rot,�: Date:
Assessed
Valuation
/ %O �.-,..
- �7� �
. ���90
�R 3 3 �
a33ao
Date
fkmestead
Valuation
/ 989a