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Homestead_Deputy (2) • MATE FORM 555S illI'"-Y1 TREASURER FORM 75-IA kP trn'EO KY STMT.DOARDtW.RTRNTn.law PRIMED BY MT bFPMTffrC(f UEI GOVERNMENT FINANCE We-1.1-224J Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to roe homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than eta for homestead fraud.homestead fraud causes higher tax bills for all:therefore. ' al HEA 1344-2004 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying. information necessary to allow county government to better monitor homestead filings.ibis information will he kept confidential and can only be accessed by authorized county officials.The Ilepanntent of Local Government Finance will use this information to create tools that will help eolmry officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Deputy, Mark A/Kendra N RI I1ox 212 Ab Oakland City IN 47660 4748 Mark A Deputy 2621 S SR 57 State Parcel Number Legal Description Oakland City IN 47660 26-13-26-200-000.032-006 003-00032-00 PT NE NE 26 2 9 1.4223 AC C-1 \^V/ PART 2:TAXPAYER INFORMATION Owner I First Middle Last - �g Address(number and street.city,state,and ZIP code) - - -- - - /1�l Same as property address '- Spouse VI First Middle j Last enolfQ n► coke. �u I�1/( Mailing Address(Number and street,city,state,and ZIP code) Same as property address 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 • CLAIM FOR HOMESTEAD PROPERTY TAX FORM CREDIT/STANDARD DEDUCTION State Form 5473 (R71 5-W Prescribed by the Department of Local Ciovernrnerd Finance INSTRUCTIONS: See reverse side for Ring instructions. T) CIERTIFICA110ti:STATEM 1 W I (we) A VO"kO— certify that on ftj "q odMNR7eQ_ I (We) occupied as our principal place of rasi8ence the fof&ng described real property for which a Homestead Property Tat Credit is hereby claimed: "(we) owned El Are buying under contract eve a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prol%?W"Rt e rtw . . . . . . . . . . . -RECORDF URN; �WWDIWIWRI� teln"RIN" im4l-AtRWRVINT ONTRAC�T, if hryvv on contract Fee Simple owner's name Recorders office . where contract is recorded Page Record number PROPERMOMED BY-JUMMANTMIO114ER COUI(Iil]ES !y? Ks;" PROPERWOESCRIP.TION county Tor hlp Township Taxing district (ci�K fo�. township) Parcel number Q4- 13-4-40-WD- 03a-664 Legal deskrIption PL-nc ro c Is the property in question: I [] Rest Property ❑ Mobil. H.. (LC. 6-1.1-7) portion of the residential stiruckee or the land not exceeding one (1) that immediately surrounds that structure is used to produce knoorne, describe the � arx! portion a5ra-01 of the property utilized In produce iioarnrr. �9 i-.L1993 Ac PROPERMOMED BY-JUMMANTMIO114ER COUI(Iil]ES !y? County Township County Township I hereby certify the above statements are true, conect and complete. re of dairtuurt FT�m I urm (n aw street star �g M I ja 0-1 Z ku pg' ..... . �,-A'-TRUErTAX%J"rRN '4699iiz,0 ';gNON4;MSlDENTlA6-- WOZ Ell FT�m -R, Land not exceeding I (one) acre immediately surrounding residential improvements. 6, Other [arid (2) W, I, t"' Z'l . TcUd land (fine 1 ptus [no 2) (3) Dwelling (4) Residential improvements � Annually .0-- Assessed Mobile I Manufactured Home Garage (5) Nv z , -I- 'M4 V R A Other improvements (6) ME, Q TctaJ improvements (roe 4 through fine 6) (7) Total value (toe 3 pis one 7) (8) 1 hereby oerfify the above is true, conrecL and Signature of Assessor Date signed complete. Vaifyingaction - Signahr, ofAucfftr Date signed DMUCTION'AL-COINANCE low 20 _ Pay 20_ Lesser of 12 Homestead Valuation or MOOD $ Sgnature of XAtor Date signed