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Homestead_Brown (25)rMATEl OR4 AJK iRU'-P I nttsstlrA FORM YIA AlPROVEO BY Sr ATE BOARD Of ACTT TINT A URN Pugsmm BY nn DEPARTMENT OF LOCAL WVERNMFAT FINANCE icsr.t.r4 i Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead Anders'deduction.As the receipt of this deduction becomes _1 more beneficial,there is more incentive than ter for homestead fraud.Ilomesteal[mud causes higher tax bills for all:therefore. HEA 1344-2019 requires taxpayers who receive the homestead standard deduction to verity that they arc eligible to recent the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kept confdeuial and can only be accessed by authorized county officials.'Me 0.Tanment of Local Government Finance will use this information to create mils that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Brown, Robert E/Carrot J "'i 110 Delaware Princeton IN 47670 3898 S{..,, Robert E/Carrot J Brown 110 Delaware State Parcel Number Legal Description Princeton IN 47670-3426 j 26-12-18-300-002.024-028 019-02024-00 BROADLEIGH PARK 43 1111(1111ililltilisilll I I a I uI nI I I I I I I I nt I I nt I PT/44 PT • PART 2: TAXPAYER INFORMATION Owner I -rim Middle / Last 4i7I-9724-4-ali •g Address(number and street,city,state,and ZIP c e) I].Same as properly unarms - .- _ _ _ ____ 7�© D Social First Middle Last Mailing Address(Numbe - d street,city,state,and ZIP code) / ja Same as property address Social 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 Telephone �[ aa��°� CLAIM FOR HOMESTEAD PROPERTY TAX 3��e�?'= CREDITISTANDARD DEDUCTION .��m..q'� State Form 5473 (R2 / 5-92) � `Z � INSTRUCTIONS: See reverse side 7oi /iling instiuctions. � � � CERTIFICATI� -FORM HC70 YEAR � We) _ - � _ t� certify that Gn-ihejdstttla�! d7 �r� ) upied as our principal plac f residence the following d cribed real property for which a Homestead Propert Tax Credit is hereby daimed: 1(We) owned �❑ Are buying under contraci - �AY 1 O�993 ❑ Have a beneticial inierest in the entiry thai is liable for the pmperty taxes on the property and that owns the propetly or is buying under a contract. It brying on contraci. Fee Simple owner's name Counry Parcel number v/9� It any portion < of Ne property CONTRACTRECORDED Retord number ' � PROPERTY DESCfiIPTION � Township Tazutg dis �ci (�. town Iownship) Legal descri ' v 3 strucmre or the IarW noi exceeding one (7) aue that imm tety surmuntls that struciure is used ro produce ice income. PROPERTY OWNED BY CLAIMANT IN OTHER COUN'fIES Counry Township Counry eby certify the above statements are true, correct and complete. Signamrep.� claimam �� / / l.i Atldress (numberan�streel. dry. state, ZlPcode) n o M,_ Township Page the use and ponion ASSESSOR USE ONLY � TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL - VALUE VALUE. VAIUE VALUE Land noi exceeding 1(one) acre immediately surrounding residential improvements (�) � Other land (2) Total land (line 1 plus line 2� (3) � Dwelling (4) . � Residential improvements Garage (5� �. Other improvements (6) Total improvements (line 4 through lina � (7) Total value (line 3 p�s line 7� (g) I hereby certify Ihe above is irue, correCt, and Signature of Assesmr Date signetl comptete. �tyirg action - Sgnawre of Audiror Date signed