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Homestead_Bowen SLATE TORN 53S.ile/•Wt T EASUWr KIM(7S-IA .APPROVED KY CTATE YMPDOL MTTat\TS.ZMN PLESUBW BY THE DFPARTMEVT OF LOCAL IX3t<LNM@T FINANCE MHb-kI Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS n PRINCETON IN 47670 Individuals and married couples are limited to one 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 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying. information necessary to allow county government to better monitor homestead filing.This information will he kept confidential and can only he accessed by authorized county officials.The Dryunntcnt of Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Bowen, Billy R \ 417 Ii Kentucky / Princeton IN 47670 3787 Billy R Bowen 417 E Kentucky State Parcel Number Legal Description Princeton IN 47670-3019 �t�n��nt�t��u�nr�ll ��t�� 111,1 Mullikin n 26-12-18-201-000.685-028 019-00685-00 SS ADD 219 PT PART 2:TAXPAYER INFORMATION Owner I 3 1 1 L First (]. Middle '3 0 �v� I� Last tg Address(numooer mid street,city,state,and ZIP code) /-1 --- a5mne hs ppfo ���/�' —^- _. — - Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below) Stare 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 ` CREDITlSTANDARD DEDUCTION . `�. � State Fortn 5473 (R2 / S92) '��' T'ra r rv..r �; —:�—_ . � M ; F:iYEAR F�l 6_� > �o . r��„ 1 � 1999 INSTRUCTIONS: See reverse side for filing instructions. C � lI, n � CERTIFICATION STATEMENT w� !�'�iW-{Q-�;� ° GIBSO;� - '� `TY :!'C!1C:t ! I(VJe) �L'�1..L7'�S�17 3 R.� � certify that on the 1 st day of March, 79_ ���I(VJe) occupied as our principal place of residence the �ng described real properry for which a Homestead Property Tax Credit is hereby claimed: �(We) owned ❑ Are buying under comract . � _ � Have a beneficial interest in the entiry that is liable for the property taues on the property and that owns the property or is buying under a contract. CONTRACTRECORDED If buying on contraU, Fee Simple ownefs name Recarders oKce where contraci is recortled Record numher Paqe � PROPERTY DESCRIPTION Counry Township Tan�tlistrict fciry, fown, fownship) ' Parcel number q�� Legal tlescnption ^ ' W It any portion of the resideniial structure or Ihe lantl not ezceeding one (7) acre ihat immetliatety surtountls ihat siructure is used to produce income, tlescnbe the use and ponion ot Ne Oroperty utilized ro produce income. PROPERTY OWNED 8Y CLAIMANT IN OTHER COUNTRIES - Counry Township Counry Township Signature ot claimant .,reby certity the above statements are true, correct and complete. Atldress (number antl street, ciry, sfate. ZIP code) �1i7 E ks..Tw�i< ST• ?/NC�fTON �r��e. ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL VALUE VALUE VALUE VALUE Land not exceeding t(one) acre immediately (�� . surrounding residential improvements. Other land (2) Total land (line 1 plus line 2) (3) � Dwelling (4) Fesidential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7J (8) I hereby certify the above is true, cortect, and Signamre of 0.ssesor Date signed wmplete. Verifying action - Signature of AuAitor � Date signed � STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 _ . Lesser of 1/2 Homestead S � Valuation or 52,000 Siqnature of Auditor Date signed � �S? 5 � 1 -