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Homestead_Simmons (5) SLATE FORM!)•..1s._/w', t1rS JLER FORM 13-IA .A/MOVED BY.MATE BOARDOF MTTT'.\TS.aN MU-SOURED BY nit DEPARTKcNTOF LOCAL IXK?RYMTT FQ:ANCE IC11-I.I-724.1 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 e'er for homestead fraud_Homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the benefit and to provide additional identifying information necessary to allow county gaemtnent to better monitor homestead filings.'this information will be kept confidential and©n only he accessed by authorized county officials.'lie Department of Local Government Finance will use this information to create tools that %sill help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Simmons, Ivan H Sr/Lunolia A 608 N Gibson Princeton IN 47670 863 Ivan H/Lunolia A Simmons Sr. 608 N Gibson State Parcel Number Legal Description Princeton IN 47670-1726 IuiFFllFFFlFlltuiFFFlli IllFt tltt ititlit tlltt tltt lu art ltll 26-12-07-201-002.596-028 019-02596-00 OLD PLAN 137 PT/120 PT IC 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 La noiCt7 /17uyuSta S1i -rkt-lions . ling Address(number and street,city,state,and ZIP code) Et Same as property address jooPA1 Gibson , r`/neefon, In, 1L '670 Spouse First Middle Last Deceased Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address Social Security Number(last 5 digits) I Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sQ 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 0. I F081.t :IC 10 19:5 lu tit Idct m Unt�6wcc Poesa�hte 2y S�a;e Boam o� ia. Ca�missiar.e�s � CLAIm FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� � SEE CK FOR FILING �NSTRUCTIONS � � : � ` . �o t9 - oas 96 - o0 t��) l�� ceriify that on the 7st day of 1���.,,n, 19� I, (We) occupied as residence the following described real property for which a Homestead ?roperty Tax Credit is hereby being claimed: I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficia,l�iRte�si in the taxpayer Property Description in �--�'�—''n'—' niy _ Taxing Districi (City, Town, Townshio): Parcel Number or egan If buying on contract: Owners name °eP Contract recorded in Recorders Office - Record Township shown on tax 5tatement: i � �/ i if any porti6�of the residential structure or the land, not exceeding one (1) acre ihat immediately surrounds that structure is used to produce income, describe the use and portion of ihe property utilized to produce income Any other counties in which individual owns or is buying real property: ACCr¢55 Counry Township 376 z� ana Zo eoae Individual either owns or is buying under a contract thai provides he is to pay the property taxes ;�����������the residence, or has a beneficial interest in the taxpayer. L�-�� - FOR ASSESSOR'S USE ONLY - JU:�� 2 ' 1:�:��1 Land not e ecx eding�;�£�one{La� re-rmmediately surrounding residential improf�2ments Other Land Total Land Residential Improvements Dwelling Garage Toial (�) (2) (3) (4) (5) (6) True Cash Value Other Improvements (�) Totz��rovements - Line (6) plus (7) equals (8) (8) I hereo� certify ihe above is true. correct. and complete. Sgnaiwc ot assessor - ACTION BY AUDITOR - Assessed Valuation � Homestead Valuation Date: v���_(