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Homestead_Schooler STATE FORM 535ARryJ/MO) MEASURER FORM TSIA APPROVED BY STATE BOARD Or ACCOUNTS,301 rxEscR1m BY THE OFPAR'MEAW OF LOGLLCOVEA'MEYT FINANCE IC 1.1.1-224.1 "Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS _ 101 N. Main Street -Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher Lax bills for all;therefore, -HEA 1344-2009 requires taxpayers afro receive the homestead standard deduction to verify that they are eligible to receive the ii T T benefit and to provide additional identifying information necessary to allow county government to better monitor homestead TT LI \ filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of - 1 L L L Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. o PART I: PROPERTY INFORL\IATION JUN 6. 2011 Taxpayer Name Location Address C.9.n Schooley, Terry M I 309E Main GIBSON COUNTY AUDITOR - Francisco IN 47649 4631 Terry M 9chooler .I 1111Di:1 II liii 111111111 mill t hi ittiiiiII_11111 I11 hIlI.hiltiI�Iii III PO Box 52 Francisco IN 47649-0052 - IIItItI1llll'1111'Ill'III"I'I'ICI'll'11II1IIII1I1II"'lll1lllrl State Parcel Number Legal Description 26-13-20-101-000.116-005 /PT NW 20-2-91.33 AC 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. P�1_RZ?;_lA ,)y \PAIFRI\FQRATIO\ — — -- — •Ow..... 1 First Middle Last ------ .6- Ra.% 1Mk0-14 Sc Hoe Le. & Mailing Address(number and street.city,state,and ZIP code) © Same as property address P.0 .IS0xs? L3O9 1-17 sr Maly ST- R?/14-ctSco ,Ti. L17t54 7 ,.., '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 Si _ p - Date CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR CREDIT /STANDARD DEDUCTION HC10 State Form 5473 (11215 -92) - INSTRUCTIONS: See reverse side for filing instructions. T.1T I I �.cn nn�,wr vn arHlcmcnr - ((— -- - ''QQOo�,�^— �1 _ _ _ certify that on tWRd1y1f;ffl9 r 19 �.,��) occupied s ur principal sidence the following described real property for which a Homestead Prop ny Tax-Credit is hereby claimed: 2 I (We) owned ❑ Are buying under contract Ciee ((��7'(�%p�ytr.� ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or ARAM a contract. CONTRACT RECORDED It buying on contract, Fee Simple owners name Recorder's office where contract is recorded Record number Page ' PROPERTY DESCRIPTION - County - Township - Taxing district ity, town, township) - ce n tuber = Legal description - /- 5 GLc It any portion of the residential structure or the land not exceeding one (1) acre t at immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES - County Township County Townshi $eby certify the above statements are true, correct and complete. I Signat re of claimant tio Address (number and street. city. state. ZIP code) 5Z A ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding I (one) acre immediately surrounding residential improvements. (1) Other land (p) Total land (line I plus line 2) (3) Residential improvements Dwelling (4) , Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plrs line 7) (g) I hereby certify the above is true, correct, and complete. Signature of Assessor Date signed - ing action - Signature of Auditor Date signed Signature_ _G 19 _Pay 19_ Lesser of 172 Homestead Valuation or $2,000 DEDUCTION ALLOWANCE S Date