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Homestead_Couts • STATE FORM AIN. l`,• vl ,TFASUPFA EOLM ialA AFFIRMED BY CLUE OCARINA WYINNIA PIIISCRMED BY nl(DEPARTME(r(R LOCAL r vrr'onaT FINANCE IC 0-1.1-2Z-1.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individual+and married couples are limited to one homestead aandard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than escr for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore. �\ HEA 1374-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the benefit and to provide additional identifying information necessary_ to allow county govermrlent to better monitor homestead filing..This information will be kept contidential and ran only he accessed by authorized county officials.The Depanntent of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY L\FOR11ATION Taxpayer Name Property Address Couts, Steve W/Pamela J RI Box 127 A Oakland City IN 47660 1848 S /Pamela J Couts R1 Box 27 State Parcel Number Legal Description Oak an its IN 47660-8524 I rlu llu t1r11ur11u11u t1nlnitiutlr 1r1u1t11ut1u11u 1rl 26-13-34-300-000.203-006 003-00203-00 PT SW SW 34-2-94.99 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. PART 2: TAXPAYER INFORMATION Owner I First Middle Last ei WRYM& CIF ig Address(number and street.city,state,and ZIP code) ❑ Same as property address *26,4- 5 S5-06 O ctnan d e iiy rev. 4-7(06o Spouse First Middle /� Last Dan e/i J e eotrr- Mailing Address(Number and street,city,state,and ZIP code) Dante as property address 402o4s Rsae 021/041 C,;/ .� �7(oQ - -- ---- - - --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 JI • Uuili 1 FM ilu Lolu -U i iU u�i 1 i!-v Ui.�l 1 1 U1, JLJu LJ_ / SEE BACK FOR FILING INSTRUCTIONS _ �( ;�) (1%ZO` L,aOJ ' certify that on the 1st day c, A a ch, 19 I, ('rle) occimie} as our Principal olace of residence the .follaainq described real i)ro;:erty for which a'lbiiaatA._ad Property Tax Credit is hereby being claiiiod: Z,� a.Yriei �O3' Oa°Ca3.:✓ � are. buying urrler contract have a beneficial interest ii e taxpayer proc•_rty Dzscription_ in �/u1n -tny ! 1a,ai :hi t Ta--ing District (City, Town, Tawnsliip): u iI parcel }lwlnr or legal description siiovm on tax statamJit: ( Swyy Sway 3g -a -9 a•SDAC- 1 I= bu %ina on- contract: Owners rkuTl° (fee si ole a. +•ner) Con race recorded in Recorder's Office - Record Ib. Page I` afiy portion of the residential structure or the land, not e>rexiing one (1) acre tliat iim- -'CLately sL curds thzt structure_ is used to produce inane -, describe the use aid portion of the Drop =.rty utilized to DrcdllC° inconL pi.), other cow:ties in vrhich individual of ns or is buying real pro party: - FOR ASSESSOR `S USE ONLY - True Cash value L i i not evicee^. ing 1 (one) acre Dwediately (1) surrowriing residential innrovL9ents Other Land (2). Total Land (3) Residential Irprovernents Ot_he= 1mrovements Dwelling (4) Garage ivily i I h^sehn r certify the above staterent is true, correct and conplete. ?%4v'& (® AUDITOR Street Actress city, State and Zip C.cu-. FSianature . *Individlial either a,•ris or is Wying uner a contract tltiit provides he is to pay the D-o rty taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR `S USE ONLY - True Cash value L i i not evicee^. ing 1 (one) acre Dwediately (1) surrowriing residential innrovL9ents Other Land (2). Total Land (3) Residential Irprovernents Ot_he= 1mrovements Dwelling (4) Garage (5) Total (6) (7) IFcq- -overir,-lts - Line (6) plus (/)..equals (8) (©) T,"-Tab C°r' ±f'y 'the above is trU ° -, Correct, and CCiRDlete. Slanature o= ?ssesser m - ACTION BY GUDiTnR - Date: Assessed Valuation 1 ON 0 Valuatic: Date Qy AUDITOR