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Homestead_Burr 5LATE FOAM!)V'IR/HNI WARMER FORM:}IA .AMOVED BY STATE NMRD OFAIYTRLNIS 21,P. PtIJ@IBED BY nit DEPAAn Nr OF LOCAL GOVERNMENT FINANCE 1C 44.1-u-a 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 standard deduction.As the receipt of this dedunion'becomes more beneficial.there is more incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all:theiefa-e. HEA 1344-2009 requires taspayers who receive the homestead standard deduction to verify that they are eligible to receve the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing.This information will be kept confidential and can only be accessed by authorized county officials.The Depanment of Local Government Finance sill use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Burr, Kenneth C/Lisa K 510W State Princeton IN 47670 816 Kenneth C/Lisa K Burr 510 W State State Parcel Number Legal Description Princeton IN 47670-1346 �t�tt��ttt�t��tt�ttt��� IlrtII lFrI II 1111 ��� x 26-12-07-103-001.666-028 019-01666-00 DEVINS ENLG 3 PT 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 I Owner I First Middle Last ig Address(number and street,city,state,and ZIP code) FA Same as property address S/9 Oe$4 Y4�-4 S Spouse First Middle Last C 1.1 6 Mailing Address(Number and street,city,state.and ZIP code) © Same as property address 5/0 c 5 A - - ---_-� _— --_- - -- —--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 Si a Date • d�p•v CLAIM FOR HOMESTEAD PROPERTY TAX FoRM vena :� y ' CREDIT%STANDARD DEDUCTION Hcio � � ~ ����' State Form 5473 (R2/1-90) - �'°,• INSTRUCTIONS: See reverse side for liling instructions. CERTIFICATION STATEMENT I(We) ��,���h/�.�ij`a �%4�6Lf/_.�i�l �xl�IiC� certify that on the 1 st day of March , 19 I(We) occupied as our principal place of residence the foll ing described real property for which a Homestead Property Tax Credit is hereby claimed: I(We) owned " ❑ Are buying under contract � Have a beneficial interest in the ehtity that is liable for the property taxes on the property and that owns the property or is buying it under a contract. CONTRACT RECORDED on contract. Fee Simple Owner's Name Recorder's office where coniract is Legal PROPERTY DESCRIPTION Taxing District (City, town, township) � If any portion of the residential structure or tl!eland not exceeding one ( 7) re ihat immediately surrounds that struc- �ue is used to produce income describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES Couniy Township County Township 1 hereby certify ihe above statements are irue. correct and Signatur � � complete. - ' � Address (Streei. number. city, state and ZIP code) ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENiIAL • VALUE Land not exceeding 1(one) acre immediately � surrounding residential improvemenis (�) Otherland (2) Total land - line (7 ) plus line (2) (3) Residential improvements Dwelling (4) - - � - - Garage (5) Other improvemenis (6) Total improvements - line (4) through line (6) (7) Total value - line (3) plus line (7) (8) S;� ' hereby certify the above is true, Signature of Assesor Date Signed rrect, and complete `Veri(ying Action - Signature of Auditor Date Signed 1989 Pay 7 990 �esser of 1/2 Homestead Valuation or $2.500 STANDARD DEDUCTION ALLOWANCE 1990 Pay 1991 1991 Pay 1992 Lesser of 1/2 Homestead Lesser of 1/2 Homestead Valuation or �2,000 Valuation.or-51.500- 19 _ Pay 19— Lesser of 1/2 Homestead Valuation.oeS1;500 "- �ate-s;gned,;� � �