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Homestead_Putt SIVE roANILMMlxn!-r1 TREASURER FOAM SIA • APPROVED BY STATE BMPD of riTT N?S.rN PAISCAMLD BY nir DEPARTMENT OF LOCAL:MEICOONT rEM1srr IC 44.1-224.1 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 become: more beneficial,there is more incentive than nee for homestead fmud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recene the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing'.This information will be kept cantdentinl and can only be accessed by authorized county officials.The IkpaMrnt of Local Government Finance'sill use this information to create tools that will help county officials eliminate homestead fraud. ,•/FA T 11,PRORERTYINFORMATION - - - r. -_ --- -- - Taxpayer Name Property Address Putt, William C/ Elizabeth A R3 Box 65 I) Oakland City IN 47660 1853 William C /Elizabeth A Putt R3 Box 65 D State Parcel Number Legal Description Oakland City IN 47660-7646 ltitt litttlt ilt rtllttlittt lttt ltlltt Llt tltli 0 ��t�rt��T�rr� 26-13-35-300-001.297-006 003-01297-00 PT SE SW 35291.60 AC " • 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 FFiiirrslt Middle Last n ig Address(number and street,city,state,and ZIP codey/ to 9/1 Ard69r,e557 ErSame as property address `7W 4 E , 10 6o• L —,4,_ '/7(4va Spoue First Middle Last /7GLh- ilk- 4n(1 i 44 Mailing Address(Number and street,city,state,and ZIP code) Ei-&tme as property address qice . , 4Sosb. Oo4& ewL0 rn60 c7(' 66 • ----� —_-__-___ ---- '— ---- - 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 • (rE R1)P e� CLAIM FOR HOMESTEAD PROPERTY TAX iE _ CREDIT /STANDARD DEDUCTION .:,�• yen State Form 5473 (R215 -92) bb _o t I - INSTRUCTIONS: See reverse side for filing instructions. Vil l I AID X171 I (We) _ L - certify that on the 1st day of March, 19 occupied as our rincipal place of residence the following described r property for which a Homestead Property Tax Credit is hereby claimed: (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 - Recorders office where contract is recorded Record number Page 1. - PROPERTY DESCRIPTION County - Townshp Taxing district (city, town, township) Parcel number Legal description bb _o t I - Address (number and street. city. state, ZIP code) A120.9 e It any portion of the residential structure or the land not exceeding 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. , Other land PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township eby certify the above statements are true, correct and complete. Signatur of aimant Address (number and street. city. state, ZIP code) A120.9 e ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. - (1) Valuation or S2,000 ' Other land (2) - Total land (line 1 plus line 2) (3) Residential improvements Dwelling (4) . Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 jobs line 7) (g) I hereby certify the above is true, correct. and complete. Signature of Assessor Date signed Verifying action - Signature of Auditor Date signed - - STANDARD DEDUCTION ALLOWANCE 19 —Pay 19_ Lesser of 112 Homestead S Valuation or S2,000 Signature of Audi tor Date . ned