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Homestead_Bruce (16)
• STSTL FORM•ae. ,R_/AWI TRFASURIR FOtS"NIA ArrRm'Fn BY STATE n5RO OF AOC(ti.\Tx.N.FP PLENTRIFIED BY TIE OEFARTNENToF LOCAL tOVSLNMFNT FINANCE IC VI.I-r.$.I 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 thi3Tdeduction becomes ^v. more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are elig%le to receive the Fbenefit and to provide additional identifying information necessary to allow county government to better monitor homestead 1 This information will be kepi cnnfdential and can only be accessed by authorized county officials.The Depanntent of nalGovcrnmcnt Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION NOV 1 2011 Taxpayer Name Property Address C Bruce, Rodney A/Michele A R2 Box 69 GIBBON COUNTY AUDITOR Oakland City IN 47660 2133 Rodney A Bruce R2 Box 69 State Parcel Number Legal Description OAKLAND CITY IN 47660-8123 IJttlltttllllrttllttlltttlttlrtttlLlLlrtlLJltttLllttlltl 26-14-19-400-000.239-006 003-00239-00 PT NW SE 19-2-82AC 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 h? N IA 4 2ueF_ Olin Address(nuer and street,city,state,and ZIP code) ® Same as property address (9/1 .21 (, 14 Senth t 2,00 En 61- ( ,.,kla r,01 (L.f1 ,5_,-1.1 476(o `7 . Spouse First Middle Last 1`t'%WO h P le A /1 Irk 12u C P A Mailing Address(Number and street,city,stale,and ZIP code) © Same as property address (4n A DDeess, at Li r.)otitl. tabo Cast (UAle1140C'a' tst . 1t-1 Yfl9 U . ' --- , -— 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 • s CLAIM FOR HOMESTEAD PROPERTY TAX I (We) certiEope he st da f M r CREDIT /STANDARD DEDUCTION ❑ I (We) owned ❑ Are buying under contract JUN 2 7 2002 State Form 5473(R51 10-01) - � `� Prescribed by the Department of Local Government Finance If any portion of the residential structure or the land not exceeding one (1) acre that im edi ely� surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. Q. INSTRUCTIONS: See reverse side for filing instructions. YEAR FORM - -I HC10 - 'CERTIFICATION STATEMENT " -_ - - - County I (We) certiEope he st da f M r I (We) occupied as our principal pl of residence the following described real property for which a HomesteartTit is ereby daimed: ❑ I (We) owned ❑ Are buying under contract JUN 2 7 2002 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 u1t er a conirac - � `� t If any portion of the residential structure or the land not exceeding one (1) acre that im edi ely� surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. Q. ONTRACT!RECORDED a. - •�.�,:_ - If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number Page "`'n -£ •....�." 4 -1-,. ,, ,;: `-,. .z— ,. YY. . P,ROPERTY.OESCRIPTION=`' County Township Taung district (city, town, township) Pa I number � ,j '3^ jVO aJ( {„i/ Le Qes ' tipn 1 S y�! W \V�� r - � `� Is the property in question: ❑ Real property ❑ Mobile Home (l.C. 61.1 -7) If any portion of the residential structure or the land not exceeding one (1) acre that im edi ely� surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. Q. €��ROP.ERTYOWNEU!BY CLAIMANT mbTHER ".COUNTIES „' td County Township County Township I her by certify the above statements are true, correct and complete. V to imant ess (num e� n street, city, state, ZIP code) 's .� ,v:,„" -: err -':1 �.`• #` TAN DARD'. DEDUCTION ALLOWANCE ,r, t�- ix -� t*' TRUE TAX f v ASSESSED VALUE HOMESTEAD < °J NON_RESIDENTIALI"-ra - :� <ASSESSOR yALUE: w m AT 100 %OF?TV VALUEfi, ',_ iVALUE�,1'ir"'`• Date signed — -ys �} Land not exceeding 1 (one) acre immediately surrounding residential improvements. L j1-MA; _ v Other land . Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements Garage (6)t'4�c r "s�,� Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) 1 hereby certify the above is true, corned, and Signature of Assessor Date signed complete. ' Verifying action - Signature of Auditor Date signed 's .� ,v:,„" -: err -':1 �.`• #` TAN DARD'. DEDUCTION ALLOWANCE ,r, t�- ix -� 20 Pay 20_ Lesser of 1t2 Homestead $ Valuation or $6,000 Signature of Auditor Date signed