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Homestead_Dewig (7)CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION Stale Form 5473 (Ra 17-07) Prescribed try the Department of Local Govemment Finance 1 3 2009 INSTRUCTIONS: See reverse side forfifing instructions. I (We) certif`y'fIiai on the 1 si Gay of March, 20- I (we) occupied as our principal place of resid th folbwing d bed real pro for which a Homestead Property Tax Credit is hereby claimed: (We) owned C) Are buying under contract V .� Have a beneficial interest in the entity that is liable for the property taxes on the property and that awns the property or is buying under a contract. CONTRACT ••r It buying on contract, Fee Simple owner's name Recorders office where contract is recorded Record number Page County Parcel number a,&- � 3-0-61 If any portion c„ -A resides of the property uIll zed to p To,mship Legal d` /esscrriiipptiioon rctore a the land not excc Wing income. Is the property in question: LCP Reai property El Mobile Home (IC 6.1.1 -7) acre that immediately surrounds y su thatstructure is used to produce income, describe the use and portion SaalSE ASSESSOR USE ONLY TRUE TAX VALUE ASSE �SED'VALUE HOMESTEAD NON-RESIDENTIAL AT 100% OF TTV VALUE VALUE Land not exceeding 1 (one) acre immediately'' surrounding residential improvements. Other Land (2) Total Land (line 1 plus free 2) (3) Dwelling ( 4 ) Residential improvements aAnnually Assessed Mobile I Manufactured Home Garage 5 Other improvements (6) TcW improvements (line 4 through lure 6) (7) Total value (line 3 plus fine 7) (8) 1 hereby certify the above is hue, correct, and Signature of Assessor Date signed (month, day. year) complete. Verifying action - Signature of Auditor Date signed (month, day, year) 20 _ pay 20 — Lesser of 12 Homestead Valuation W Sgnaarre of Auditor 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $ 43,000 for 2009 pay 2010 40,000 payable after 2012 signed (month, day, year) - I �� ... STATEFORM:WI.00/YMI nEistilrA 101124 SIA `• .ArrrrTED Br ST ATEal\RD OF Ant..\"R._an PIUS-MUD BY TIE DFPARTwd"IT6 LMAL C VER.YMIT'r FIANCE K 6-1.1-r 4.1 Gibson County Auditor -ji 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 eter for homestead fraud.homestead fraud causes higher tax bills for all:therefore. HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing..this information will he kept conlide.ntial and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to cream tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Conen, Eloise M 425 Bradley DR Uaubstadt IN 47639 3429 Daniel C Dewig 425 Bradley Dr State Parcel Number Legal Description HAUBSTADT IN 47639-8157 1r1r r11trtlrlIt rrtl'tliliiltrli.iillt�ritlttt Itr�tltitltrtlltl 26-23-06-301-000.046-009 pt900046-OO SUNRISE ACRES 10 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 First Middle /n� �j Last ©a4le j C Ste i �g Address(number and stmt,city,state,and ZIP code) as pro address YZ S 3rae /Cy D f/a/e A st4 Al 1,1/ -'l 76- ? C Spotsc Firstl Middle // Last Mailing Address(Number and street,city,state,and ZIP code) Same as property address _ _ Social Security.Number.11asL 5.digirs) Driver's License/State ID.Nlnnber_llast.5.digits)_ _Other.Plcasc±pecify in Part 4 below) NIII [; %PART 3:CERTIFICATION -_� -- ----- -- - 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 w Date ( ) i'PART 4:ADDITIONAL INFORMATION •