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Homestead_Summers 'MALE FORM J!!MIR_f YNI 11tF.SULntrMIL4 StA • .APPROVED BY ST HE WARD OF ArrOILN'R.3m PRLARIsEDUY tilt DEPARTMEITOf LOCAL ex ttNNrsr FINANCE IC 6-I.t14.t Gibson Co_;nty Auditor 101NMid IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS • PRINC fON IN 47670 Individuals and hurried couple.are limited to one homestead standanl deduction.As the receipt of this deduction becomes more beneficial.there is more incentive dun ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 1344-2006 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to pnavide additional identifying information necessary to allow county government to better monitor homestead tiling This information will be kept mnlidential and can only be accessed by authorized county officials.The Ikpannmt of Local Government Finance will u.e this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address • Schleter, Lewis E Re Box 123 LL,, Princeton IN 47670 5 4183 - - - Kathy Summers d 1 frf S 439 o t C , E 453 3 • FRANCISCO IN 47649-9101 State Parcel Number Legal Description IIIIIIIIIIIIIIiiuleillileilll 11111 IIIIrrtilullutioIliiill ttl 26-12-35-400-000.634-004 C l p6o-00 PT SE SE 35210 .25 AC K.PART 2:TAXPAYER INFORMATION Owner I First Middle Last ) s.A4\ I Zr2,,nf. . ov.v. on et^5 alp g Address(number and feign,city,state,and ZIP code) - —— — © Same as property address - - - - - y3Alo E. 1-lO S. (rw.c. 4-crr, zlv L+7 toy 0 �First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) See 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 • • FM CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION rth PCEM ` State Form 5673 (8817 -07) • Prescribed by the Department of Loral Government Finance INSTRUCTIONS: See reverse side for filing instructions. JUL 1 2009 I (We) • cerdfy th.4L% l A 9Qjf iAAW W R I (We) occupied as our p' pal of residence the following described real property for which a Homestead Property Tex Credit is hereby claimed: I (We) owned Are buying under contract I, 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 under a contract. CONTRACT •-. . If buying on contract, Fee Simple owners name Recorder's office where contract is recorded Record number Page PROPERTY DESCRIPTION County Township Taxing district (city, town, to mslup) Parcel number I LRgal description e1- S A G Is the property in question: Wr SE :56 35- L - Q ❑ Real properly ❑ Mobile Rome (_C 6- 1.1 -7) If arty portion of the residersial structure or the Land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property W lized to produce income. a6- /a -35- yoo - 000, ASSES ,, . USE ONLY TRUE TAX VALUE ASSESSED VALUE I HOMESTEAD NON-RESIDENTIAL AT 100% OF TTV VALUE VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1)5 - ...,.e*_r :--r; . ..- `.5. -.r, r•; Other land (2) Total land (line 1 plus fine 2) (3) Residential improvements or Annually Assessed Mobile I Manufactured Home Garage (5) Other improvements (8) Total improvements (line 4 through fine 6) (7) Total value (line 3 plus fine 7) (8) I hereby certify the above is true, correct, and Signature of Assessor Date signed (month, day, year) complete. Verifying action - Signature of Auditor Date signed (marith, day, year) 20_pay 20_ Lesser of 12 Homestead Valuation or 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $ 43,000 for 2009 pay 2010 40,000 payable after 2012