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Homestead_McDonaldCLAIM FOR HOMESTEAD PROPERTY TAX ° CREDIT /STANDARD DEDUCTION State Form 5473 (82 / 5-92) 1 1Ir 1. • INSTRUCTIONS: See reverse side for filing instructions. ' CERTIFICATION STATEME r✓ .v n n JJ J �;NO) atbn the 1st day of March, 19_ /e) d as our principal place of residence the following described real property for which `s•liomestead Proper ty Tax Credit is •hereby claimed: I (We) owned Are buying under contract :Ji, El El .. GIES�'� ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. CONTRACT RECORDED If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number Page PROPERTY DESCRIPTION County Township Taxing district (city, town, township) P I n ber Legal descripdo If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that swcture i u to produce income, describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES County Township County Township I hereby certify the above statements are true, correct and complete. Sig a of claim nt dress (number and street, city, state, ZIP code) r I-}o ( W. "Ili ?.0, aox \(9q ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON - RESIDENTIAL VALUE VALUE VALUE VALUE Land not exceeding 1 (one) acre immediately (1) surrounding residential improvements. Otherland (2) Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and Signature of Assesor Date signed complete. Verifying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19 Pay 19 _ Lesser of 1/2 Homestead $ Valuation or $2,000 Signature of Auditor Date Signed 'IAIE FOt%1 OC”.1M1 MEASURER FORM MIA APPROVED IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 61.1 -al Gibson County Auditor 101 N Main 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 net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA l344-2006 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filimy.This information will he kept confidential and©n 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 McDonald, Leo V III/Christine _ GENERAL DELIVERY Francisco IN 47649 4528 Leo V/Christine McDonald III P O Box 164 State Parcel Number Leeal Description Francisco IN 47649-0164 Irlttllttrlllltttlttllllllll Illllltlltllllllllllllllllll 26-13-19-202-000.221-005 012-00221-00 OLD PLAN 27PT eig PART 2:TAXPAYER INFORMATION Owner I First Middle Last - �FO �Pa WIC- t�Oran\� ---11111g Address(number and street,city,state,and ZIP code) Same as property address — — - --— 1401 U! 01V\1u ST . 0X 1b-) I cRR I.JCASc-o 110 U-1(0`-1^k Spouse First Middle Last Mailing Address(Number and street,city,stale,and ZII'code) e as property address 401 \I\) MA1n) Si lox ' '4 I FRRr,,USc.o , .LN `t(R)41ai 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 ignaturc Date