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Homestead_McKannan (5) - St UT£FORM!39.IR2/!ti'1 TRFASUPEA PORN YIA APPROCED BY MATE BMROOE'Miles/S.y.n PLEXTUBW BY THE DEPARTMENT OF LOCAL novaxmna FIaNCEIC 6-I.1-2'4.I Gibson County Auditor 101 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS :iV Main PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes IS more beneficial.there is more incentive than ner for homestead fraud Homestead fraud causes higher tax bills for all:therefore. HEA 13-14-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the benefit and to provide additional identify* information necessary to allow county government to better monitor homestead filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department 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 NLW McKannan, Darren SNalerie C 935 I s E9" +- Francisco IN 47649 1753 Darren S McKannan 6935 E SR 64 State Parcel Number Legal Description FRANCISCO IN 47649 26-13-20-100-000.797-004 002-00797-00 PT E NW 20 2 9 1.72 AC C-1 D-7 This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2: TAXPAYER I First• Middle Last ing ` „ Nc_15a �nCACA an ing Address(number and street,city,state,and ZIP code) Same as property address 1s935 E 5 lstl i can c� t_c) TI\t y-7(4 (1 9 Spoue First Middle Last 0 ON,,\ec.l. C - -loin rlGrl Mailing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address 14c13S E. 3R LR -CAxnCASCo TN 41Cn(19 . 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 • • ^� CLAIM FOR HOMESTEAD PROPERTY TAX y4. CREDIT /STANDARD DEDUCTION State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for filing instructions. I (We) CERTIFICATION STATEMENT 6 M R SEP_ 2 7 1"_ i 1 that on the 1st day�l,1 9 J,(We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:] 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 owns the ❑ property or is buying it under a contract. on contract. County CONTRACT RECORDED tract is recorded —1 ;� — Qn- %nn - PROPERTY DESCRIPTION Legal Description town If any portion of the residential structure or the land not excedding one (1) acre thaflmmediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County I Township hereby certify the above statements are true. correct and state and ZIP code) ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements Otherland Total land - line (1) plus line (2) Residential improvements Dwelling Garage Other improvements Total improvements - line (4) through line (6) Total value - line (3) plus line (7) (1) 1991 Pay 1992 19 —Pay 19— Lesser of 112 Homestead (2) Lesser of 1/2 Homestead Lesser of 112 Homestead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 (4) - - Signature of Auditor (5) (6) (7) (8) 1 hereby certify the above is true. correct, and complete Signature of Assesor Date Signed Verifying Action - Signature of Auditor Date Signed STANDARD DEDUCTION ALLOWANCE 1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 —Pay 19— Lesser of 112 Homestead Lesser of 112 Homestead Lesser of 1/2 Homestead Lesser of 112 Homestead Valuation or $2,500 Valuation or $2.000 Valuation or $1,500 Valuation or $1,500 Signature of Auditor ate Signed Lei