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Homestead_Jenkins (7)
%IVE FO0.4!)'M I Cl 41.1 TAE_Yn%&ER FORM 71-IA APPROVED BYMAIE BOARD OF MYVMEYII a,n PEr9(NBFD BY iM DEPARTtDT(f LOCAL O(wERYMnrn&'a E M41.t-r4.t Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple arc limited to one homestead standard deduction.As the receipt of this deduction becomes 40, more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. HEA 1344-2009 requires tatpaten who receive the homestead standard deduction to verify that they are eligible to rescue the benefit and to provide additional idendtyine information nemary to allow county government to better monitor homestead filings.This information will he kept confidential and©n only be accessed by authorized county officials.The Benannunt of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Jenkins, William D/Helena M 311 E Brumfield Princeton IN 47670 899 William D/Helena M Jenkins 311 E Brumfield State Parcel Number Legal Description Princeton IN 47670-1707 26-12-07-203-001.766-028 019-01766-00 OLD PLAN 78 PT (7.-y 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 tez 40- _D.TeNK / N5 Lg Address(number and street.city,state,and ZIP code) ® Same as property address 3 (f E _ )3r aMPick/ 5'% Pr;NceiGr3 z&. 4,76 en &LuJ Spouse 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 spwcify in Part 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 ,�'���••`° CLAIM FOR HOMESTEAD PROPERTYTAX ��° CREDIT/STANDARD DEDUCTION ' � ��� Stare Fortn 5473 (R2 / S92) '�� , . . 6 INSTRUCTIONS: See reverse side lor liling instructions. - !�`� FORM YEAR �d . ..� C1�0 � � �i 7� MAY n n �nnn • "�� v cl WJJ , RTI CATION STATEMENT � , „ / uj !/ i . iJJe) /�i Q- _ i �Mn`the 1st day�of'Ma�cti--79 -tcsanr.�r�"• -�.�m,T�-� � I(We) occupied as our principal place oi residence the following scdbed real property for which a Homestead Property Taz�Creditis hereby claimed: ❑ I(VJe) owned � Are buying under contract ❑ Have a beneficial interest in the entity that is liable for the properry taees on the property and that owns the property or is buying under a contraci. CONTRACTRECORDED ' - If buying on conVact. Fee Simple ownefs name Fiecordefs oflice where conVact is recorded � Recortl number Page PROPERTY DESCRIPTION Counry TownsNp � Taning tlistrict ('ry, to ouns � Paicel number Legal description � O If any ponion of the residential siructure or the IanO not exceedin one (1) acre that im etliatey sunounds that structu is used to produce income, tlescnbe ihe use antl poNon of ihe property uGlized to produce income. PROPEHTY OWNED BY CIAIMANT IN OTHER COUNTRIES County Township _ Couniy Tovmship Signature of claimant /� � �=reby certify the above statements are true, correct and complete. � � 4% , Address (number and sfreeG ciry, s�afe, ZIP code) �/ ASSESSOR USE NLY TRUE TAX A SESSED HOMESTEAD NON-RESIDENTIAL , VALUE VAWE VALUE VALUE . Land not exceeding 1(oneJ acre immediatety (�) surrounding residentlal improvements. Otherland (2) Total land (line 7 plus line 2J (3) ' Dwelling (4) Residential improvements � Gara9e (5) Other improvemenis (6) � Total improvemenis Qine 4[hrough line 6) (7) Total value (line 3 plus line 7) (8) I hereby certify lhe above is true, coveCt, and Signature of Assesor Date signed complete. Venrying action - Signature of Auditor Date si9ned � STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 _ Lesser of 1/2 Homestead S . Valuation or S2.000 Signature of Autlitor Date signetl .