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Homestead_Montgomery SLUE/ORM S)Y+IR_t'-rt TS:SULFA rn0.V Stn .APPROVED BY STATE WAR D OFMCOIXN.2u• PAF3111Bm BY PIE DEPARTMENT. OF LOCAL C VER:MINT FDcMCE IC 6-1.1-224.1 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 this deduction becoms more beneficial.there is more incentive than ever for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 an tp ovidet additional taxpayers identifying who rin in the home homestead standard allow deduction to verify met they are t elimMe or homestead s the benefit and to provide additional who receive information temvty to allow county veiemraerll to better monitor to cei-.ehe FILED flinty_This inanimation will be kept confidential and can only be accessed by authorized county officials.The Depanment of Local Government Finance will use thin information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION JUN 4 ZU1U Taxpayer Name Property Address Montgomery, Barbara 22r a2 9l./674 10949 1:125 S GIBSON COUNTY AUDITOR Oakland City IN 47660 1674 Barbara Montgomery 10949E 125 S State Parcel Number Legal Description OAKLAND CITY IN 47660-8643 26-13-13-300-000.177-006 003-00177-00 PT SW 13-2-9.894 AC IrlIl linrlulloilItllluIIIuLlllrnlluIIIIIultlIIl6rrrll,I x c-, 5 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 Barbara Maria_ Monl-gemen..-+ allAddress(number and street,city,state,and ZIP code) 121 Same as property address Ibg4R E l25 S Da1[-l.and. a 1 k -47(.,60 Spouse First Middle Lzst (3 ames _Nrere k cilork4 Diller/ I L-. Mailing Address(Number and street,city,state,and ZIP code) p Same as prYperty address -- 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 R n CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR CREDIT /STANDARD DEDUCTION HC7o State Form 5473 (RS 1 10-01) 1i Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for (ling instructions. I (We) \ certify t on the 1st d ofnW)arch, 20 I (We) occupied our princip place of residen e e following described real property for which a Homestead J�M�b d —40(We) owned El Are buying under contract GIBBON COUNTY AUDITOR `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. NTRACT'RECORDED' -`ia If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number Page �k..,....:. �%- �_--' �a�- � '.�S�v�}'`,t�f�'1re�f�`.::, -:,� �a PROP .ERTY:0E5CRIPTION�'+.r,.'"_•`.F �!- �n�;'aF^€�s. +;3iF��` - .t- ��`ra -,'"= County Township Testing district (' , town, township) Parcel number Legal description Is the property in question: nl� 17n r r :& TAXyI vA uc4x- /- al property Mobile Homo Q.C. 67J -7) 22- If any portion of the residential structure or the land not exceeding one (1) acre Nat immediatety surounds Nat is used to produce income. describe the use and portion of the property utilized to produce income. - 3 - -Q04• /77 -00� KV- ia`-'MM' - `�M!&7 N '��= PROP.ERTY OVYNED BV'CLAIMANT;IN OTHER` COUNTIES ., `;' „yt `� `:'' .�' `.. > -t! County Township County Township I hereby certify the above statements are true, coned and complete. 'gnature f claimant dress (number and street, city, state, ZIP code) n kk ! V74,40 x�ASSESSOR USE ONLY 2�' : r :& TAXyI vA uc4x- /- ASSESSED VALUE 'y'AT�100 %'�OF "TTV� +HOMESTEADS fir} VALUEr'�. NON = RESIDENTIAL a xn ..sx `� Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) rn•y"r'0 ' Other land .max • . Trial land (line I plus line 2) (3) Residential improvements Dwelling (4) . }y '} .�}' r e.3,t .' r• `"(�• -rz� Garage ( 6 ) Frti :-.rr Ti Other improvements (6) r «�= N,t"t��• "i '� Total improvements (line 4 through line 6) (7) Total value (fine 3 plus line 7) (6) I hereby certify the above is true, correct, and complete. Signature of Assessor Date signed Verifying action - Signature of Auditor Date signed Z- STANDARD '.DEDUCTIONALLOWANCE._q?E qW 20_Pay 20_ Lesser of 1/2 Homestead Valuation or $6,000 $ Signature of Auditor Date signed