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Homestead_Will (10) SI.ME FORM]!!•IR_!Yrl 1RElSntLR FORM 75-tA AllIttIVED BY MAIL MISRMMMmI':TS.9x PR19(AIBED BY no ormers -Yror LOCAL r.ovzsMyrsr rrA\Rw-iir-r• Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple are limited to one homestead standanl deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than ner for homestead fmtd homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who rceice the homestead standard deduction to verify that they are eligible to tecene the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead tiling,.This information will be kept confidential and can only he accessed by authorized county officials.The IXpanoent of Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud. APR 1 4 ZUtU PART 1: PROPERTY INFORMATION Taxpayer Name Property Address 71/0 de le, Will, Richard A/Kathleen L GIBSON COUNTY AUDITOR RI Box 53 ilaubstadt IN 47639 t/ 7270 Ala Richard A/Kathleen L Will 879 W 1000 S State Parcel Number Legal Description Haubstadt IN 47639-8601 1t1FF11tFF1F11FFtF 11t1t1Frit tlFtlltrll Illtttlltlttlltttl 26-18-36-400-001.093-024 004-01093-00 PTN SE 363111.33 AG X D-27 PART 2:TAXPAYER INFORMATION Owner I / First Middle last Ric-4a In A g Address(number and street,city,state,and ZIP code) -- - �Snme as property oddirtsa _- — - -- S79 u) 10005 ffa.ubs7 JF f& 47639 Spouse First Middle Last lees 011 Mailing Address(Number and street,city,state,and ZIP code) me as ptopenv address Sezme 45 etbove 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 S amrc/ Date • FOflM HC 70 1979 NescriDeE By State BaarE ol Tas fqmmissioncrs CLAIM FOR HOMESTEAD PROPEATY TAX CREDIT FOR YEAA 192� To & FiIW in Duplicate SEE BACK FOR FILING INSTRUCTIONS , j� D/Dy'�-O� �(We) J' -� � certify that on the 1st day of arch, 19 I, (We) occupied as our principal place of residence the following described real'ro'erty for which a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficial terest in the taxpayer Property Description int ��->-� Taxing District (6+Ey-Fowtr, Township):� Parcel Number If buying Ofl contract: Owners name �� ""o�e owner� nty Township or legal description shown on tax statement: �T �V R.S'E% �6 - 3—// /. o Qa�� 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 - /X ��3G - �`UG - GI�/. a 5'3 - O� Any other counties in which individual owns or is buying real property: �hereby certify the above state�nent i,s true, correct and complete. S"/� 9 /� 4 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 - �I.I, � � Land not exceeding 1 (p�g�a�rg ;mmediatety surrounding residential Ifff� o f�e19�9 Other Land Total Land � Residential Improvements A�� Other Improvements Dw� ng Garage Total Trr,(,_'� Improvements - Line (6) plus (7) equals (8) =`�by cert�he abo�e is true. correct. and complele. ol True Cash Value (i) S o0 (2) --�FJ (3) .�'$' (4) oZ� �� (5) — Assessed Valuation /70 �r� �s> �.z / s—o !d (�) � �g� �..Z / So ION BY AUDITOR - �-��C' �o-�� s'= � Daie L 3 Homestead Valuation � � rJ Approvetl: ��,�,� ��1j Date: _ 3I l 7