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Home My WebLink AboutHomestead_Larson (2) ■ tl.\RE mR\tY SIAM NNCE r..M� 14FA FORM 73-1A APPROVED NOTICE TO HOMESTEAD PROPERTY OWNERS a BrI1110 OF Am* c. PR/SORBED BY Illr DEPARTMESTOF LOCAL tovER,Nmna FINANCE IC Gibsti County Auditor 101'N Main PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes mote beneficial.there is more incentive than ester for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to reecho the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings,This information will be kept confidential and ran only he accessed by authorized county officials.The De anmem 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 Larson, David UJiII G /� No Location Description 7x'}� Vincennes IN 47591 J S.' 11 2117 David L Larson 1098 N 450E State Parcel Number Legal Description PRINCETON IN 47670-8978 �t�n��nt�t��II�nt��ur�lI�r�t�Il�nt��ll�t�t�ll�tl�t�tt t�� 26-12-01-100-000.245-004 002-00245-00 PT NW 1-2-104.50 AC C-1 D-7 PART 2:TAXPAYER INFORMATION Owner I ' First Middle Last LA vt n /./4-,e-roc' �gAddreas(number and stray:c ity;sate,and ZIP code) --- — rill Somalis property address_ _ 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 Telephone 5,S la ( ) Spouse Signature Date Telephone ( ) PART 4:ADDITIONAL INFORMATION CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION t State Form 5473 (R5I 10-01) •°° Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for filing instructions. I (We) occupied as our principal place of residerMe the following described real property for which a h ❑ 1 (We) owned ❑ Are buying under contract Have a beneficial interest in the entity that is liable for the property taxes on the property and that If buying on contract, Fee Simple owners name Recorders office where contract is recorded FORM YEAR HC10 ertitth on thl!.st dap of tprch, 20_ lead Property Tax Cr its ereby claimed: NOV 2 12002 the property or is,buvinq under a contract. Record number I Page F( tOPERTYsOWNE09 *,CAI "lit INOTHER' COUNTIES "`.nrr;,."�°' P.ROPERT,1f OE$ CRFP. TION� "s'a:.a..`a,..,',~'$4`�,*a6' County Township Taring district (dry, town, township) P umber r L "p6 � Is the property in question: J ❑ Real property ❑ Mobile Home (I.C. 61.1 -7) . If any portion of the residential structure or the tend not exceeding one (1) =a that immediatety surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. • V D surrounding residential improvements. F( tOPERTYsOWNE09 *,CAI "lit INOTHER' COUNTIES "`.nrr;,."�°' County Township County Township I hereby certify the above statements are true, correct and complete. I t f claimant Wss (number and street, city, state, ZIP code) t — 1`Y°-�. USE ONLY 5 TRU NC -11 rASSESSEDVALAIEsHOMESTEAR °/...OF?TV �� 't.VALUE"LUE HON�tEStDENT1AL�r 5E ASSESSOR yA_LUE` ATz100 Land not exceeding 1 (one) acre immediately surrounding residential improvements. Other land (2) ° +_ =- �. " Total land (line 1 plus line 2) (3) Dwelling (4)� Residential improvements Garage (5) ; :`_ T1°.:�' Other improvements (6)e §3 Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed 20 _ Pay 20 _ Lesser of 1/2 Homestead Valuation or $6,000 signature of Auditor