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Homestead_Beck STATE r0101!)50•01.:/fwd UTASULEU FiaV:SIA • .APPROVED BY STATE BMaD OF MY'YF'.A1x.9v PRESCRIBED BY lIIE DEPARTVEVI OF LOCAL tO42R`THIXT FINANCE IC 4E1724I Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to out 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 seal to provide additional taxpayers identifying xho receive iin on anon neae standard to flow deduction to verify that they are eligible monitor homestead the FILE benefit and to pmeidc aJtaspa c identifying information homestead necessary to allow county veify that to better monitor homestead t; filings.This information will he kept confidential and can only Fe accessed by authorized county officials.The Depanment of local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION APR 9 LULU Taxpayer Name Property Address Beck,Arnold W/Crystal D 'noa.4' 1901 S Main GIBSON COUNTY AUDITOR Princeton IN 47670 1566 Arnold W/Crystal D Beck 1901 S Main State Parcel Number Leal Description Princeton IN 47670-3407 �t�n��nt�t��u�ut��� ��u�n���ut�ut���nnu��nt��� 6 26-12-18-300-001.696-028 01�ROP6-DO BROADLEIGH PARK 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 INFORMATION Owner I First Middle Last Arnold Wcuone__ Becc .tg Address(number and street,city,state,and ZIP code) Same as property address /90/ S . /01a- VI SfjP4— Pr; tri c e4cvt T4/, y7G7n Spouse First Middle Last • Cry5+4 Down Beck__ Mailing Address(Number and street,city,slate,and ZIP code) "Same as property address I90/ S, /1/la1n S-1reJ Pr ; nc ton 'itJ g767r - — - ------ 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. OwneTrIature Date 0 � s..,E ..a�� <��i �', 1 6 CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION State Fortn 5473 (R2 / 5-92) . INSTRUCTIONS: See reverse srde /or liling instructions. FORM HC10 YEAR �� � CERTIFICATION STATEMENT I(We) � � ce�yytlp•��t�� t" m e 1s f r 19_ � 1(We) occupied as our principal place of residence the follo ng described reai propeRy for which a Homestea�p� Cr �' � F e� yF imed: ❑ I(We) owned ❑ Are buying under contract ❑ Have a beneficial interest in the entiTy that is �iable for the propeRy taxes on the property and that owns the prpqg�ty o�i�.pyy��nder a coniract. �YUY i/ 1 CONTRACTRECORDED / If buying an conVact. Fee Simple owneYS name ��7,`' GiBSON :.Y%"P`TY AUOITOg � Recortler's office where comract is recorded Remrtl number Page PROPERTY DESCRIPTION � Counry � TowrtsNp Taxin9 tlisirict (ciry, town, rownship) � Pa I nuyye = I —� Legal description � � � C.� O 0 It any portion of �he residential structure or the land not exceeding one (1 � acre that immediately su un s that s ure is usetl m p incane, de cribe the use and portion of ihe properry utilizeG ro produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES Counry Township Caunry Township Si9 ature of daimanl ereby certify the above statemenis are true, correct and complete. ' Address (number anC st2el, dry, state, ZIP oode/ " � � N Q ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL VALUE VALUE VALUE VALUE Land not exceeding 1(one) acreimmediately ��) surrounding residential improvemenis. Otherland (2) Total land (line 7 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 fhrough line 6) (7) Total value (line 3 plus line 7) (8) I hereby certify Ihe above is tme, torteCt, and SignaWre of Assesor Date signed complete. Verifying acGon - Sgnature ot Audimr Date signed • STANDARD DEDUCTION ALLOWANCE 1 19_ Pay 19 _ Lesser of 7/2 Homestead $ Valuation or 52,000 Signature ot Autlilor � Date sign�d /D _^ ]t 7