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Homestead_Lloyd t S TATE FOAM t.19.1 '/fwd l lASutLR FORM Slit•e • An IMPORTANT NOTICE TO HOMESTEAD rP PROPERTY OWNERS 6-1.1-22-1.1 Gibson County Auditor 101 N Main PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead saandanl deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who teethe the homestead standard deduction to serif),that they are eligible to reecho the benefit and to provide additional identifvin_ information necessary to allow county government to better monitor homestead tiling.This information will he kept confidemial 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. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Lloyd, Andrew C/Janice E 525 N Hart ST Princeton IN 47670 774 Andrew C/Janice E Lloyd 525 N Hart St State Parcel Number Legal Description Princeton IN 47670-1447 1r1rr11rrt 1t11tt1rt till 26-12-07-102-001.368-028 019-01368-00 OLD PLAN 110 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 A-,o DR6u) o& Li_ov0 g Address(number and street,city,state,andd ess ZIP code) 11 Same as property addr 5.z.5 N. MRT Si' MbAc6-rant 1,r) 971,74) Spouse First Middle Last 1 r e .ELAINE 110 y Mailing Address(Number and street,city,state,and ZIP code) rf Same as property address 125 �fl. A R7-Sr a Al '(4-7 0 —1A) 41470 P -- 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 S 1-=-.�` d�p a CLAIM FOR HOMESTEAD PROPERTY TAX P'-� y : CREDIT/STANDARD DEDUCTION r�� State Form 5473 (R2/1-90) ' '°�• INSTRUCTIONS: See reverse side lorJiling instructions. �� , 1 a� FORM �VI AR HC10 AUO� CERTIFICATION STATEMENT - I(We) ��ivu.t/�-�t/ l.. . 9L /��- CJLnc-l.-�°.(. �� c y that on the 1 st day of March , 19 � I(We) occupied as our principal place of residence th following 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 entity thai is li ble for the property taxes on the property and that owns the property or is buying it under a contract. RECORDED. If buying on contract. Fee contract PROPERTY DESCRIPTION Township Taxing �i trict (City, toy.m, township) Qa�e� NO I 3�e�'%�b I Legal Descripfyo�� ,(J� //� �� u cr � If any portion of ihe residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture is used to produce income describe ihe use and portion of the property•utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Townshi� Coun�— �a+uask�+�— �� I hereby certify ihe above statements are irue. correct and �}g at re � , .�� n (SireeL number. city, �te and ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE . NON-RESIDENTIAL VALUE Land not exceeding �(one) acre immediately surrounding residential improvements (�) Otherland (2) Total land - line (1) plus line (2) (3) Resideniial improvements Dwelling (a) Garage (5) Other improvements (6) Total improvements - line (4) through line (6) p) Total value - line (3) plus line (7) (8) I hereby certify the above is true, Signature of Assesor Date Signed correct, and complete Verifying Action - Signature of Auditor Date Signed 7989 Pay 1990 Lesser of 1/2 Homestead Vatuation or $2,500 STANDARD DEDUCTION ALLOWANCE 7 990 Pay 1991 1991 Pay 1992 19 — Pay 7 9_ Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homes[ead Valuation or �2.000 Valuation or 51.500 Valuation or $7,500 Signature of Auditor �� _ � Da[e