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Homestead_Bowd/ �•a CLAIM FOR HOMESTEAD PROPERTY TAX � CREDIT /STANDARD DEDUCTION I State Form 5473 (R2/5-92) I (We) INSTRUCTIONS: See reverse side for tiling instructions. occupied i(s our principal place of residence described real property for which a FEB 2 0 1999 is hereby claimed: [�'I (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 - - It buying on contract, Fee Simple owner's name - Recorder's office where contract is recorded Record number Page PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County PROPERTY DESCRIPTION - County Township Township Sign re of claimant �. Taxing ( ry. town, wnshi - Parcel number nj3--QG70;U'_� Legal descriptio Q.c� 4 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. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township •eby certify the above statements are true, correct and complete. Sign re of claimant �. Address number and st er, city, stare, ZIP - code %� /�/5eo�/o.vwraZao�l �4- ��avc�L 7 11 ASSESSOR USE ONLY - TRUE TAX .VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) - - Other land (2) 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 plis 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 19_Pay 19_ Lesser of 112 Homestead Valuation or $2,000 DEDUCTION ALLOWANCE S STATE FORM 53569(R3I3-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-21-8.1 IMPORTANT NOTICE TO.HOMESTEAD'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 an�auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead s andard 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. PA•T1: PROPER le INFORt11ATLON Taxpayer Name Property Address State Parcel Number Legal Description: James A/Bettye L Bow 422 BRADLEY DR 26-23-06-301-000.702-009 SUNRISE ACRES 20 HAUBSTADT IN 47639 11 0.9 RIP Complete and return to: . I®IIQpp®OQmm11O©f,IDl llH�mlmflii� �I®W GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 PART'2:TAXPAYER INFORINIATION . Owner I First Middle Last .AArne-LC R1, I _OW Mailing Address(number and street_city,slate and ZIP code) Xi Sang as property address First Middle Last _ge, Louis. eiok/ Mailing Address(number and street.oty.state and ZIP code) , Same as property 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. Ovmer 1 Signature Date - ka _ PART,4: ADDITIONAL INFORMATION `• //