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Homestead_Benefiel ! SLOE FORM M!v•1R:,'.o, IYFASUREP FOAM:S-IA
.APPROVED LIT SISTE BOIXDOE Mx4YtS.ION PRIS'RIIIM BY fir DEPARTMENT OF LOCAL no ERNMLM FINANCE M 6-1.1-E}4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
7 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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1744-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to rrceise the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filing.Ibis information will be kepi confidential 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 Ixsmeetead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
--- Benefal, David L/Sandra K
No Location Description
Oakland City IN 47660
4945
David L Benefial
a782,3e-S 1150E State Parcel Number Legal Description
OAKLAND CITY IN 47660
26-14-07-300-000.406-006 003-00406-00 PT SW SW 7-2815 AC
D-6 C-1
X
•
PART 2:TAXPAYER INFORMATION
Ow tt 1 First Middle Last
Yi ci 1 �c)y a �' 4,1 1 e.,
•Iag Address(number and street,city.state,and ZIP code) - — -- Same as.projrcrt0y�addres/s`,-- —"— . _
Spouse First kick.. Middle t..a Last
x(02 V
Malibu.Address(Number and greet,city,state,and ZIP tale) Same as properly address
� X c5 • i a --0 E Q4l< C c.J , -44 7(,,(\d•
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
-
OP'
•
l
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
` State Form 8473 (R8 17-07)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
M YEAR
HO
DEC 2 3 2008
I (We).CX,�N•C -N °y' I /t 7 cer6N that on theCist day of March, 20_
I (We) occupied as our principal place of residence the following described real property for which a Home stead Proppre' yrTar&at IsrAer,TQRdaimed
❑ I (We) owned ❑ Are buying under contract
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 •-r
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY
County 7own--sFp Taxin 'sinct (city, town, to• ship)
Parcel number Legal description i s A L Is the property in question:
pSO Sr) 7- a - 8 ❑ Real property ❑ Mobile Home (IC 61.1 -7)
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.
-6(-(, 0-7- 300 - ©DO. `fo!a - po to
ASSESSOR FA
USE ONLY
TRUE TAX VALUE
PROPERTY BY CLAIMANT
County Township
IN OTHER COUNTIES
County Township
I hereby certify the above statements are true, correct and complete.
S' re of dai era
-�s (number and sU@e4 ctty, state. and Z /PCOde)
d r a Est Ul C S #71,tc)
ASSESSOR FA
USE ONLY
TRUE TAX VALUE
ASSESSED VALUE
HOMESTEAD.
NON-RESIDENTIAL
..�er of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation
$
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
- ..
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
-
Assessed Mobile IF Manufactured Home
-.
Garage
(5)
- - -
Other improvements
(6)
•''':
Total improvements (fine 4 through fine 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
STANDARD
�_ pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
..�er of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation
$
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Data signed (month, day. year)