Homestead_Halli ■
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STATE FORM b c'
ioti /4M1 TRr:ASuIER PORN 11-IA
.APPROVED By Kett M-RDnf im(m'TS.21%w. EI£%RIDm or TIME DrPARnT6T OE LOCAL GM2RHMEFr W:A\CE M 6-1.1 1.24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples ate limited to one homestead standanl deduction.As the receipt of this deduction becomes •
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more beneficial,there is more incentive than ever for homestead frond.homestead frond causes higher tax bills for all:therefore.
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HEA 1344-2009 requires taxpayers 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
fling.This information will he kepi confidential and ran only be accessed by authorized county officials_The Ikpannumi of
Local Government Finance will use this information to create tools that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Hall, Dennis R/Denise R
— R3 Box 40
a,,,�
Oakland City IN 47660
�fl
2131 G gill 70J2 I'fs
Dennis Hall 2j w j irsd 6
Oakland City IN 47660-7629 State Parcel Number Leal Description
Itlullutltllu tllnllntlntitilnnitlltlntlln tit tlu ilt� 26-14-19-300-000.982-006 003-00982-00 PT NW SW 19-2-84 AC
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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
Dt;NNjS a � NA
LL
0 ng Address(number and street.cm,state,and ZIP codc)
�me as property address
�.i b'I s 11,x' 16 OA ►CL-4 NO eery /41 1 co & D
Spouse A First Middle Last
13 II) ISe Qe► lE N4I-le-
Mailing Address(Number and street.city,state,and ZIP code) 'Same as property address
24 64 S II SD e DAjLtAN° city -1^) y7 bL,v
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
0
CLAIM FOR HOMESTEAD PROPERTY TAX - veAR
CREDIT /STANDARD DEDUCTION C
p .;rte State Form 5473 (R2 / 5 -92) iu
SEP 19i 1994
INSTRUCTIONS: See reverse side for filing instructions.
`
ERTIFICATION STATEMENT - e S
OLI
certify that on the 1std Jj
11 a Do'March, 19
occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
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 RECORDED - If buying on contract. Fee Simple owner's name - - - -
r.
Recorder's office where contract is recorded Record number Page
- PROPERTY DESCRIPTION
County
Townshi
Mieby certify the above statements are true, correct and complete.
Taxing d' is
city, town, township) ,
Parcel number
3- W9`8
Legal of
N. oSu I q- a -9 14. go A
It any portion of the residential structure or the land not exc eding 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.
VALUE
Land not exceeding 1 (one) acre immediately
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County Township
Mieby certify the above statements are true, correct and complete.
Signatur f claimant
Address (rNmber qand street. city, state. ZlP code)
I
J
STANDARD DEDUCTION ALLOWANCE
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
ASSESSOR USE ONLY
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
Valuation or S2,000
Signature of Auditor
LMDID
surrounding residential improvements.
(1)
Otherland -
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4) -
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Residential improvements
Garage -
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
I hereby certify the above is true. correct. and
Signature of Assessor
Date signed
complete.
`®yirg action - Signature of Autlitor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or S2,000
Signature of Auditor
LMDID
Da q! oil —