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Homestead_BenkerteE °, CLAIM FOR HOMESTEAD PROPERTY TAX FORM s� CREDIT /STANDARD DEDUCTION HC10 State Form 5473 (13215 -92) ii INSTRUCTIONS: See reverse side for filing instructions. YEAR v I (Wc� /� �U(x \ng described / j�Y certify that rt the 1st day of March, 19 'We) pied as our princi lace residence the following g d bed real 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 p pelf, XD contract. contract. faa�o � _ 144 CONTRACT RECORDED It buying on contract, Fee.Simple owner's name Recorder's office where contract is recorded Recor Page PROPERTY DESCRIPTIO County Township Taxing district (: to n hip ky i I m I� egal description I any rtion of the residential structure or the land not exceeding one (t) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utifized to produce income. I PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I County certify the above statements are true, correct and complete. and street, city. state. ZIP code) of claimant 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 $2,000 Signature of Auditor Other land (2) e Total land (line I 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 plus line 7) (6) 1 hereby certify the above is true, correct, and complete. Signature of Assessor Date signed Verifying action - Signature of Auditor ANIL Date signed STANDARD DEDUCTION ALLOWANCE 19 Pay 19_ Lesser of 112 Homestead S Valuation or $2,000 Signature of Auditor DatES ad- 31-25- e • MATE FORM ST•IB_/S&MI TPLASU EA FORM 75-IA AP ED BY 5351•01: BY MATE BOARUOFMRalsai9r PR/SCRIBED BY PIE DEPMTIENT OF LOCAL GOVEAVNner MA\CE IC 6-1.1_:4.1 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 becomes more beneficial,there is more incentive than mgr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serifv 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. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address _ Benkert, Bradley E/Laura L 408 Bradley DR 0 Haubstadt IN 47639 94 Bradley E/Laura L Benkert 408 Bradley Dr State Parcel Number Legal Description Haubstadt IN 47639-8157 I II III II I I I I III I III I I III 26-23-06-101-000.629-009 013-00629-00 SUNRISE ACRES 27 r n nt I uu r I u u uu r I I nI nI a nr r 0-9 PART 2:TAXPAYER INFORMATION Owner I First Middle "� + Last �rad�e-� � ene� J�2n \2Y I gong Address(number and;meet,city,lute,and ZIP code)- 9'Same as property address - ' - - --- 4o3' ?jraciley Hau_bS dt/ 1NI X743(7 Spouse First Middle Last Later a_ L e 3e.nl-e.rt Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address 4o 3radltL} 1Or. Ha hstod-I- it`1 L4 u .a9 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 PART 4:ADDITIONAL INFORMATION