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Homestead_Merchant STATE FORM!IY+IM_/P'NI MEASURER FORM ASIA APPROVED BY SL OE BMRDOFM-PRWri 1m Mt/SCRIBED BY IDE DEPARTHEIT OF LOCAL C RYNrKT FINANCE tc i.liYl1 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 dedunion.As the receipt of this deduction becomes more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HE\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc clicible to recehe the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can only he acre-sal by authorized county officials.The Depanment of Local Government Finance will use this information to create Cols that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Merchant, Joseph F/Laurie E \,.t ornflen DLL epp Oakland City IN 47660 5658 Joseph F Merchant 73/3 s Q OO /t1 OAKLAND CI IN 47660 State Parcel Number Legal Description 26-14-29-200-001.459-006 003-01459-00 PT E/PT W 29 2 8 1.20 AC C-1 5 PART 2: TAXPAYER INFORMATION Owner 1 bi Q , First F Middle Last • �� (' �PPC A?tra �QNrI e C ie.Address(number and street,city,state.and ZIP code) — - ..Same as property aidios-. . - — _— — • - - 73/C S. CR 2 o 0 ale s r Oa r/o-R,a0 Cl /I ) tl Al .V24 Spouse First Middle f _ Last Ca-u /L / C L /fiP Mailing Address(Number and street,city,stale,and ZIP code) 'Same as property address 73/5 S S O� ?CC W- Oak/a 2 C't*,5V V764 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 de rc Date CLAIM FOR HOMESTEAD PROPERTY TAX FIR EAR k CREDIT /STANDARD DEDUCTION State Form 5473 (8817 -07) w Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for filing instructions. JUN S 2009 I (We) lam ^ �-Ci C. rtty frcet®aa►w bYM�dPITfA�? I (We) o&pied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: 1 1 (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 ••D . If buying on contract, Fee Simple owner's name Recorders office where contract is recorded Record number Page ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD NON-RESIDENTIAL PROPERTY County TownshipToxin istricl (city, town, township) Parcel number Legal descdpbon L Is the Property m question: OW Fa 9 1- 8 ( ❑ Real property ❑ Mobile Home (IC 61.1 -7) If any portion of the residential structure or the land not Ong one (1) acre that Immediately surrounds that structure is used to produce trwvme, describe the use and potion of the property udfiied to produce income. a(- iq-d4- boo - ©o/. Ys9 -�o6 ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD NON-RESIDENTIAL 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 AT 100% OF TTV VALUE I VALUE Land not exceeding 1 (one) acre immediately•;.sT•.'xc..- $ OW 43,000 for 2009 pay 2010 40,000 payable after 2012 surrounding residential improvements. (1) ,1 c5 4„.,,,.- _:. ;,_�,.�,,_,_ Other land (2) Total land (time 1 plus line 2) (3) Residential improvements or Annually Dwelling (4) ... Assessed Mobile I Manufactured Home - -.- c" Garage (5) _ .- Other improvements (6) - Total improvements (line 4 through fine 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed (month, day, year) complete. Verifying action - Signature of Auditor Date signed (month. day. year) V r - STANDARD s r TO'_ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 1f2 Homestead Valuation qq 000 for 2008 pay 2009 41.000 for 2011 pay 2012 $ OW 43,000 for 2009 pay 2010 40,000 payable after 2012 Signature of Auditor ,1 Date signed (mont), day, year) V r -