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Homestead_Benge STATE FORM 53569(113/S-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS,2009 • PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-8,1 1~ t;,^y • IMPORTANTNOTICE TO HO ESTEAD PROPERTY OWNERS";. individuals and married couples are limited to one homestead standard deduction. 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, 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 filings. This information will be kept confidential and can only be accessed by'.authorized county officials. The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. - j > ,°• . ,PARTI: PROPERTY INFORMATION Tasnase•Name Property Address Stale Parcel Number Leeal Description: Cherish Crane Renee 203 Lincoln 26-20-11-201-000.130-003 MEISER ADD Somerville IN 47683 I2/7PT/8PT/9PT/I3PT Complete and return to: GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 PART 2: TAXPAYER INFORMATION Owner l First Middle last S ceiwe- • '861)66 Malting Address(number and sinet,city,state and ZIP code) Same as property address J Firsl . Middle Last Mailing Address(number and street,city,state and ZIP code) Same as property address Sodal Security Number(last 5 digits) Drivers License/State ID Number(last 5 digits) State Other(please specify in Pan 4 below) vgag -x<=-> PARa>3:GE i:t keF10N T x.47 1,:k .+m.e.,.r. . :.;,-- , z�-yap... ,.,...,;:,.,�- 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 Signs ,jj:1 / Date ' = JAN 1 U •1U13 GIBSON COUNTY AUDITOR CLAIM FOR HOMESTEAD PROPERTY TAX \ FORM YEAR CREDIT /STANDARD DEDUCTION \ ` HC10 State Form 5473 (RB /4-03) Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for filing instructions. I (We) :tea certify that on the 1st day of March, 20� I (We) occupied as our principal place of residence the following escribed real pert for which a Homestead Property Tae Credit is hereby claimed: y,. _s.. -.t _s _s I (We) owned ❑ Are buying under contract 1�n` Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or isAjpg Znderra.dblltract. If buying on contract. Fee Simple owners name Recorder's office wham contract F.1 GI5SON Record number I Page - _ OP _ _ ES _ _ ., v hPRERTY DCRIPTION • „?30.,2 .,.,:} - ,�, t�,.. ,x,�'�t.* }?.�'�_.•e County Township Sign ainnz Taxing district( K ''''pppp,,,,,,,,,,,,,,,, a9 n th roperty in question: gHOMESTEAD`r V V KJ Heal property ❑Mobile Homo (1.C. 6- 1.1 -7) portion of the residenod ce structure or the land of exceeding pn(4� aaryxa iat yertoupoldyK ct a is used to produce income. describe Ne use and portion propertyf the re id produce income. /—,I. // 7J,A^f J I ' '-' `kP}..R`�' . ^P,ROPERTI:OWNE)°,BY CLWMAHT- IH'OTHER'COUNT1Efi. County Township - County ereby certify the above statements are We, correct and complete. Sign ainnz Address (nuryber and street, city, state, ZIP code) t K m+ i-.,• _= "''��''�'�-�+."- ++'.;"TRUETAX ASSESSOR USE ONLY'b- ASSESSEDVALUE gHOMESTEAD`r ' pNONRESIDENTIAL -< °u'F,yYALUE_`a Land not exceeding 1 (one) acre immediately �, pt„�}#r'r!i -EPj surrounding residential improvements. (1) Other land u�' ✓r"�'- Total land (line 7 plus line 2) (3) Dwelling (4) Residential improvements or Annually £'Ep- �ryFe:r�M.� Assessed Mobile / Manufactured Home Garage (5) _ ;JT? .�,r Other improvements (6) Total improvements (line 4 through line 6) (T) Total value (line 3 plus line 7) (S) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed of Auditor 20_Pay 20_ Lesser of 112 Homestead Valuation or 535.000 $