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Homestead_Oneal • I''MI FORM DS OU rfwl TREASURER FORM MIA .APPMA'm BY MATE NMRO or A TT!tTS.Ds PRISMS/DOT TUT DTPARMENT OF LORAL GOVEPRMrsE r c%tt le 4.1.1:24.1 Gibson County Auditor 901 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead suodani deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than eser for homestead fraud.homestead fraud causes higher tax bills for all:therefore. ® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead lilinf,.This informatinn will be kept confidential and can only be accessed by authorized county officials.The D epanmem of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Oneal, Amel 570 S 1225 Ii Oakland City IN 47660 5118 Amel Oneal 570 S 1255E State Parcel Number Legal Description Oakland City IN 47660 26-14-18-202-000.639-006 003-00639-00 PT NE NE 18-2-8 1.92 AC \x/ C-1 ''��1� PART 2:TAXPAYER INFORMATION . Owner I 1 First Middle Last •rg Address(number and stray,city.sate,and ZIP code) _-- --- - — -- —— ®,Same as property address - S7o5 , l,-,.CCU-(1— y2I,fo 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 Matte el drp, CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for filing instructions. I (We) CERTIFICATION STATEMENT FORM I YEAR HC10 9 J certify that on the 1 st day of March , 19 '(We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: �We) owned ❑ Are buying under contract El property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying it under a contract. CONTRACT RECORDED If buying on contract. Fee Simple Owner's Name Recorder's office where contract is recorded Record Number Page PROPERTY DESCRIPTION County Parcel Number Legal ription C_ 3 -�39 N& S -a- 1 9aR If any portion of the residential structure or the land not exceeding one (1) acre that immediately sur tat s ture is used to produce income describe the use and portion of the property utilized to produce inco 0• CO�7— zv4 Ann ., _ ... -- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I County Township �— County To AUUrMR- �ereby certify the above statements are true, correct and complete. Si nature Address (Street, number. city, state and ZIP code) ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements Other land Total land - line (1) plus line (2) Residential improvements Dwelling Garage Other improvements Total improvements - line (4) through line (6) Total value - line (3) plus line (7) (1) 1991 Pay 1992 Lesser of 112 Homestead 19— Pay 19 — Lesser of 112 Homestead Valuation or $2,500 (2) Valuation or $1,500 Valuation or $1,500 (3) Signatu of Auditf>r (4) Date ane�b (5) (6) (7) (8) hereby certify the above is true, correct, and complete Signature of Assesor Date Signed Verifying Action - Signature of Auditor Date Signed STANDARD DEDUCTION ALLOWANCE 1989 Pay 1990 Lesser of 112 Homestead 1990 Pay 1991 Lesser of 1/2 Homestead 1991 Pay 1992 Lesser of 112 Homestead 19— Pay 19 — Lesser of 112 Homestead Valuation or $2,500 Valuation or $2.000 Valuation or $1,500 Valuation or $1,500 Signatu of Auditf>r Date ane�b V