Homestead_Huff STATE FORM 53569(R25-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE tC6-l.l-222-S.I
IMIPO ° klMf NO I « 1X ° 0 /MI1J a' D ' '•O • dR Y OIVSTAM. . •
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
uses higher tax bills for all; therefore, HEA 1344-2099 requires taxpayers who receive the homestead
s andard 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 be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
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ffiza ul0e , : 0 , ..RtT N ORI I O N
Taspaver Name Property.Address State Parcel Number Letal Description:
Jeffrey D/Lisa M Huff 520 W Christian 26-12-I8-101-000.982-028 019-00982-00 PRINCE PLACE
Princeton IN 47670 I/ 71t72/73PT
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Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
[PrZeRat TAXPAMMINFORMATION
Owner I First Middle Last
?AMEN Address(number ar
?AMEN sYeel,ray,state and ZIP code)
L Vj Same as property address
�20 Go ✓k 2: 5_4 Pi%Nc t ((,u 1-4.)
t 7 7O
Fast Middle Last
nicrp
Ma&rg Address(number and street,coy,state and ZIP mode) VC Same as properly address
59O to ar,-4 In Si' l hr[ce]n :7711 97670
Piu�Ciuu>l
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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.
Owns I Signature Date
. ;MN&ADDITIONAL INFORMATION .
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2l S92)
INSTRUCTIONS: See reverse side !orliling instructions.
FORM
HC10
YEAR
� - - CERTIFICATION STATEMENT
I(VJe) certiry that on the 7 st day of March, 19_
I(We) occupie s ou p cipal p e of residence the following described real prope r which a Homesiead Property Tax Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under coniract
❑ Have a beneficial interest in ihe entiry that is liable for the property tazes on the property and that owns the property or is buying under a conhact.
CONTRACTRECORDED
If buying on cantract, Fee Simple ownefs name
Recordefs office where contraci is recorded fiecortl number Page
PROPERTY DESCRIP770N �
Coun�y . TownShip Taring dis[riCt (city, fown, lownship)
Parcel number � legal descnption • �/ �
If any po � of e esi ential strutture or the IarW rrot exceeding one (1) acre thai immediatety surrounds that suucture is usetl to produce incwn , deuribe Ne use aM portion ot
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Si n e of clavnant
�areby certify the above statements are true, correct and complete. �� �
Add ss (numberarMstreeG ciry t e, ZIP.,rode) �
aa �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately �� �
surrounding resideniial improvements.
Otherland (Z)
Totalland (line 1 plusline 2) (3)
Dwellin9 (41
Residential improvemenis
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (B)
I hereby Certify the above is true, correct, and Si9�mre of Assewr - Date signed
complete.
Verifying action - Signamre of AuOitor Date signed
�� STANDARD DEOUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead $
Valuation or 52,000 .
SignaWre of Autlitw , \ Date signed �i�/�'
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