Homestead_Weis srcntn BY STSTE •VtDnW•CrOUTS.''aN PRr3MIm BY 1111'.DEPARTMENT(FLOCAL CAT2P31MO1.7 rn:&SCElca—m-_J.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc 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 tax bills for all;therefore.
• HEA 1344-2009 requires taxpa-.en who receive the homestead standard deduction to verifr that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to batter monitor homestead
tilings.This information will be kept confidential and can only he accessed by authorized county ofcials.'rhe Depanntent 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
Weis, Paul J/ Debra S
•
RI Box 261
liaubstadt IN 47639
11147
Paul J/Debra S Weis
12686 S 40 W State Parcel Number Legal Description
Haubstadt IN 47639-8714
�r�tt��rtr�t��rttt��t�r�tr�tI�I11111111llt'Itl'lllttl'tt ltd 111 26-23-18-300-001.084-024 004-01084-00 PT SW 18410 35 AC
PART 2:TAXPAYER INFORMATION
Owner I First /h Middle Last
_ P a� e • L c
� Jos _ � ei s
erg Address(number and street,city,state,and ZIP code) ,$ Same Iss prdpeny oddrec;_ _ — • __ .. __ ____
I a RG S. 10 W .
Spouse First Middle / Last
Debra 5 � 2 Wei s
Mailing Address(Number and street.city,state,and ZIP code) time tic proproy address
PIGS> 6 S. y 0 (2'
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
,
FOFM HC 10 1979
PresuiDeO By Stare Bwrd ot iac Commissionea
CLAIM FOR HOMESTEAO PROPERTY TAX CREOIT FOR YEAR 19 ��
io Be file0 In Dupliwte
SEE BACK FOR FILING INSTRUCTIONS ,p� D���/Dj7�/ D�
L/ o T"—
�(We) ��'`-"�• �`�-'"-Q- � � �-A--e"ti-n—� certify that on the 1st day of
Nlarch, 19 $� I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: /L
I. (We) �n owned ��-G7�� �� 3��-�Q�Q��a.�7
❑ are buying under contract
❑ have a beneficial inter�esjt in the taxpayer �� �
Property Description in �°'�`—�-4—�^' County %F'`�"""`ti-�-��- Township
Taxing Disirict (6f£y, TewR, Township): �"`-°--� ^-� �.A� •
Parcel Number or legal description shown on tax statement:
PL- e5 LcJ ��� / J' - S� -� o SS �-.
If buying on contract: Owners
Contract recorded in Recorders Office - Record No: Paqe
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: County Township
�iereby certify the above statement is true, correct and complete.
�.. _. � � � �nD.n�. S %/Jn.'. � k'�� �i
Sueec naaress
Scate ana 21p Coce
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 ihe taxpayer.
- FOR ASSESSOR'S USE ONLY -
land not exceeding 1(one) i�m�diat� D
surrounding residential improv�en ,J
Other Land �r�t
Total Land MAY 11
Resitlential Improvements
�� oUO`jQR welling
Garage
Total
Other Improvements
�Improvements - Line (6) plus (7) equals (8)
I hereby certi(y the above is true. correct, and complete.
Sgnamre of Assessor
True Cash
Value
(i) Soo
5'�63q
Assessed Homestead
Valuation Valuation
/70
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- ACTION BY AUDITOR -
oa:e
ved: Date:
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