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Homestead_Sisk (6) MATE FORM 53NaI M_r 54N1 rarASU&LR 107 TS-1A APPROVED MPORTANT NOTICE TO HOMESTEADrP OPERTY OWNERS1i-L1-2:4.1 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 l«onics 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 receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necesstuv to allow county government to better monitor homestead filings-This information will he Lein conlidential and©n only h aceeved by authnrieed county officials.The l)c annent of Local Government Finance"ill use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Sisk, Larry A/Yvonne 906 S Prince Princeton IN 47670 3822 Larry A/Yvonne Sisk 906 S Prince State Parcel Number Le 2a1 Description Princeton IN 47670-2628 _�t�n��nt�t��u�tu��nnr�t�t��nn�t��n 26-12-18-201�--002.615-028 019-02615-00 SS ADD 43/44PT . _ PART 2:TAXPAYER INFORMATION Owner I First Middle Last �-�1 _ _ Pc , 5 �� gig Address(number and street,rib),state,and ZIP code) Same as pmpem address — ( Spouse Last First Middle L \( Mailing Address(Number and street,city,state.and ZIP code) un address e as property addr ' — 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 elicible 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 S azure Date • !-0R6� MC 10 1979 PresaiOed By 9ate Boare ot iax Commissioners To Be FileO in Dupliwte CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19 `�� SEE BACK FOR FILING INSTRUCTIONS Q/(�— O�GI S'�� ;�'' ��c.a.�. o�a.-�..�,_ C��. . ,� ��-.�-..�..L (We)—� certify that on the 1st day of �arch, 19�—,�e) occupied as ur principal plac f residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) CJ owned ❑ are buying under contract ❑ have a beneficial inter in the taxpayer � Property Description in Coun� � Township Taxing District (City, �): Parcel Number If buying on contract: Owners name °� �'"'o1e °w"e0 or legal description shown on tax statement: 5 . S . �-�- • �.� Contract recorded in Recorders Office - Record No. Page If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: �hereby. certify the above statement is true, correct and complete. ,., a n S:reet naaress County Township Gry. State ana 2ip Cope Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in ihe taxpayer. - FOR ASSESSOR'S USE ONLY - Land not exceeding 1 ( �r�im surrounding residenlial i ro nts .. Other Land "° ��`�� Total �and ApR �, � 19°2 Residential Improveme ts �Dwelling �1. 0 . Ck�e� AU��TOft � Garage Total Other Improvements Tr•�^Improvements - Line (6) plus (7) equals (8) I�oy certify the above is true. correct. and complete. Sgwcore ai nssessor Approved:J�- - True Cash Value �� /Go 0 (2) _ (3) �Co a o (aj 5 �Soi ,5� ��s d ls) SL o 0 (�) �� g� S� �o - ACTION BY AUDITOR - Assessed Valuation S3o S3o Homestead � Valuation S3o . ,� ' � � ��j�jjjj ' ��jjjjj�� CC.�it. �/ /9 �� ..� _ Date: _��1� — �7/