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Homestead_Ott (3) I STATE FORM aaaM I R_f aryl 11W StRIA FOAM Y IA - APPROVED BYCr.STt&tsRD OFAfl*J5.TS.!nr, PtifllBEW BY r1Ir DEPARMENTOFLO L:aG vER`IMrK-TFQ:A4cElee-l.t-L-rest 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 ner for homestead fraud Ilomestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires aspavers who receive the homestead standard deduction to verify that they am eligible to receive the benefit and to provide additional identifying information necess'mx'to allow county government to better monitor homestead filing.This information will he kept confidential and can only to accessed by authorized county officials.The Depannunt 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 Ott, Rick D/Jeanie A . R2 Box 339. • ceton IN 47670 2130 Rick D/Jeanie A Ott 4428 E 100 N State Parcel Number Legal Description Princeton IN 47670-8947 t��ttt�rt�l�t�ttt�tt��ttr�t t�t��t t�a�tt�r� 26-12-02-200-000.572-004 002-00572-00 PT NE 2-2-101 AC ltlttllttrlrllrtltt C-1 PART 2:TAXPAYER INFORMATION Owner I First Middle Last ICJK Lv 0-Ek iii- e Address(rur..Fcr and strxt,city.=C;a.:dZIP code). - R.Seme as pmperry address __ t443T E 10o N , Q r∎v ,ce)r s t tIJ gmte1V Spouse First Middle Last - ).) e)oh∎e A- le i• Mailing Address(Number and street,city,state.and ZIP code) Same as property address 44a2 E too 14 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 atlu rx - Date • • ^�, CLAIM FOR HOMESTEAD PROPERTY TAX FORM Y d�e " -; CREDIT /STANDARD DEDUCTION Hcto State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEMENT 1 (We) PGA g- � Q P, -A-'k R-Y- -- certify.that on the 1st day of March , 19q0 'lipWe) occupied as our princi I place of residence the fool owing described real property for which a Homestead roperty Tax Credit is hereby claimed: I (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 El property or is buying it under a contract- CONTRACT RECORDED If buying on contract, Fee Simple Owner's Name Recorder's office where contract is recorded I Record Number I Page PROPERTY DESCRIPTION unty wnshi Taxing District (City, town, township) - Parcel Number L gal Description 1 o -005 - any portio e Mscture or the land not exceeding one_(1) acre that immediately surrounds that struc- t used p d cribe the use and portion of the property utilized to produce income. l.7JU PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES L ASSESSOR USE ONLY - TRUE TAX VALUE - ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE • Land not exceeding ljone) 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 112 Homestead Lesser of 1/2 Homestead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 (4) Signature of Auditor (5) (6) (7) (8) I 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 1/2 Homestead Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or $1,500 Signature of Auditor Date n W