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Homestead_Gonyer STALE FORS S)'M IR_1 NMI TREASURER FORM 75-IA .APPROVED BY STATE BOARD OF'A(TVR\TS.205 PRFSCP.Mal BY 11If DEPARTHEYf Of LtXa C t'MPT FINANCE M 4-I.1='a.1 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 deduction becomes more beneficial.there is more incentive than ester for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. ® HEA 1344-7009 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 filings.This information will he kept confidential and can only he accessed by authorized county officials.The Department of Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Gonyer, Jason J/Luann E 410 S Hall Princeton IN 47670 962 Jason J/Luann E Gonyer 410 S Hall State Parcel Number Legal Description Princeton IN 47670-2316 Itfttl'ttt'tllRtlttt,••ttttr,t,tti,tttt,•t,, 1111 11t1 26-12-07-303-000.647-028 019-00647-0OHALLS 2ND 19 PT/35 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 Owner I First Middle Last 3gps) JEFF fay GoN len g Address(number and street,city,state,and ZIP code) ❑ Same as property address t{10 Soura PALL tRIPOLITO/0 I/) `- 1 1O Spouse First Middle Last AV N t I2A6€ f1 Gordy Mailing Address(Number and street,city.state,and ZIP code) ❑ Same as property address y/t) sovrj ?Pk/G & lal I-41670 ---�— —�— 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 1 Signature Date IIP �f RYi1 ( qE g CLAIM FOR HOMESTEAD PROPERTY TAX }�� CREDIT/STANDARD DEDUCTION .�y� SUte Form 5473 (R2 / 5-92) . �� e �su INSTRUCTIONS: See reve�se side tor /iling inshuctions. FORM HC10 YEA � I IWe) � _ � `I certify.that on the tst day of March, 79 �.�•) occupie as our principal place of resi ence the following described real property for w ti a Homestead Pr� Tax ggCredit is hereby claimed: ILJ I (We) owned ❑ Are buying under con[ract � . . � - , � � �� ❑ Have a beneficial interest in the entity ihat is liable for the property taxes on.the pmperty and that owns lhe property Q is n ntract. � � It Wyirg on contract. Fee Simple ownefs name Recorder'S otfice where contract is recortled Counry Township description RECORDED � � � � ESCRI TION Tazing is t (ciry ow , It ady po,tion Ot the re5idenDalStructure or the IarM not exCeeding one (7) aue (hat immediately surrounds that structure is used to produce Income, describe ihe u5e arW potlion of the property utiGzetl to protluce income � ' lC� rl-� . T Al'�— �� _ SG - Q 4� A ., _ _ � �, Il - - ,� - - (-' PROPERTY OWNED BY by certify the above siatements are true, correct and complete. ss (numberantlstreeG ary. sfare, ZlPwde) !U S FI ACL 5 T I��i�N� TDAI , ASSESSOR USE ONLY land not exceeding t(one) acre immediatety surrounding residential improvements. � Other land Total land (line 7 plus line Z� Dweiling Residentiai improvements Garage Other improvemenis Total improvements (line 4 through line � Total value (line 3 p�s line 7� I hereby cenify the above is true, correct, and complete. y�yirg action � Signature of Auditor IN OTHER COUNTIES ?� TRUETAX ( ASSESSED VALUE VALUE (�) (z) (3) (4) (5) (6) 1�) (8) Siqnature ofASSessor HOMESTEAD I NON-RESIDENTIAL �VALUE VALUE Date signed Date sgned � STANDARD DEDUCTION ALLOWANCE " � 19_Pay79_ Lesser of V2 Homestead Valuation or 52,000 S Signature ot Autlimr " Date i�/� ^��