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HomeMy WebLinkAboutHomestead_Performance Unlimited Enterprise LLC STATE HIRM,!'MIR=r}+M, ThFASULrR FORM TS-IA .APPROVED BY STATE erwtonF ACE(IU TS.bM PRISCRIBW BY flit OFPARTxtENT OF LIX:%1 GOVELNMIT'r FINANCE M611_'_$t 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 met for homestead fraud.Homestead fraud causes higher tax bills for all therefore. • HEA 134-1-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional idennfyine information necessary to allow county goverment to better monitor homestead filings.This information will he kept cnnlidential 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 Performance Unlimited Enterprise LLC R4 Box 40 Princeton IN 47670 1316 Performance Unlimited Enterprise LLC 573 W Old Hwy 41 State Parcel Number Legal Description PRINCETON IN 47670 26-11-01-403-003.797-028 019-03797-00 PARKVIEW TRACT 4 1-2-11 1.336 AC N PART 2:TAXPAYER INFORMATION Owner I First Middle Last _ ainit5 rFor thilaifip UNl.Ml/Jr,/ •t2 Address(number end street,eity,stiie,and GIP code) _ — —©-Same as property adds s — - .5"2.3 A) OLD W/ 9/ ?ri.o c eta)) LA) 4'7 G2 / - Spouse First Middle Last • Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sox 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 Signature Date • LD nip l7.1..a O jy-uct CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION Sfate Form 5473 (R614-03) Presaibed 6y Ne DepartmeM of Laral Gavemment Finance INSTRUCTIONS: See reverse side lw (ling insfiictions. ��e) certify Nat,�o ih/�s4d�61 March, 20_ I(VJe) occupied as o rincipal place of residence the following described real property (or which a HomesteaQ���c��er�y T�a�hC�di�i��epg daimed: �I(VJe) owned ❑ Are buying under coniract Have a benefidal interest in the entity that is liable for the property taxes on Ihe pwperty and Ihat owns the property or is buying under a contract. If buying on coniraG, Fee SimD�e ownefs name Recorders o(fice where conirad is recorded Counry Tamship Parcel numher L g scn tion Q/�-o3�9�- �, oo��o,� if any portion o( Ne residenUal sWCWre w Ne Wnd not azteeding ot �he proPe+ty WI¢ed tc produte i a?l�-//-0/�-�3.79� � C �/n;� L', �„ ��,.; � Tavnship Record numEer (ciry,YOwn, township) Page � y I Is the property in question: ❑ Real properry ❑ Mobile Homo (I.C. E7.1-� se that immetliately wrtounds Nat shucture is usea to produce income, describe Ihe use and portbn 3.�6 �, I hereby certiy the above statements are W e, corred and complete. cdy, s�afe, County Tavnship