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Homestead_French • SI.ME 1 flflIJ t.',R f•r11 TREASURER FORM 75-IA ,rrnln'ED KY\1.1II.IXMRDr1EM1a:\tt.b r rRFYR111EDBYnhr DEPARTMENT If LOCAL GOVERINITICT FINANCEIC4-1.1_a.l Gibson County Auditor Al N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead vandaid deduction.As the receipt of this deduction becomes • more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. ILEA I 344-2009 requires taxpayers who receive the homestead standard deduction to%only that they are eligible to recent the benefit and to provide additional identifyin- information necessary to allow county government to better monitor homestead tiling..This information will he kepi confidential and can only be acee.asl by authorized county oficials.The De annlou of Local Government Finance will tae this information to create tools that will h:Ip county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address French, Gregory A/Deborah J P 0 Box 253 . Somerville IN 47683 8590 Gregory A/Deborah J French P O Box 253 Somerville IN 47683-0253 State Parcel Number Legal Description •IEIttllrrrLllrtlL,IrrtILlLrrrt• • • •ter•• • • IrILJIrII 26-20-11-202-000.137-003 020-00137-00 PT NE 11-3-92AC PART 2:TAXPAYER INFORMATION Owner I First n Middle Last _ Cie c(/n f �-t l 1 t,._� Fh.hci •n�g Address(number aid Area,city,state,and ZIP code) I,q Snme as property address I" O C X X53 l031toa-o1 cKydL Svmef u: t i c i,J y �� C 3 Spouse ii First Middle Last babycvi-- Ta h Fr(friGi Mailing Address(Number and street,city,stale,and ZIP code) y�j Same as propene address - - - 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 Si tore Date Telephone • Spouse iI .tore Date PART 4: ADDITIONAL INFORMATION - • fyf Sid)♦ a� °e CLAIM FOR HOMESTEAD PROPERTY TAX a CREDIT/STANDARD DEDUCTION ..;; State Form 5473 (R2 / 5 -92) ' reo - INSTRUCTIONS: See reverse side for filing instructions. - - -- - CERTIFICATION STATEMENT I (We) certify that on t a &.ar6 I (We) occupied as our p ncipal p e of residence the following d ibed real property for which a Homestead Property Tax CrAt M9FOR imed: n• 1 (We) owned ❑ Are buying.under contract _ .. �iave 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 - PROPERTY DESCRIPT N - •" - County Township •' I hereby certify the above statements are true, correct and complete. T g dist (city, town, to hip) ., Parcel number © a.C9 -0913 =0 Legal description - - - Q 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 I hereby certify the above statements are true, correct and complete. Signature o laim nt 0`ress umber and street, city, state, ZIP code) I- __ -�0 _S3 So eTu "Ile y1 ASSESSOR USE ONLY - - TRUE TAX VALUE ASSESSED VALUE, HOMESTEAD VALUE - NON -RESIDENTIAL. VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) - - - - - Otherland (2) Total land (line I plus line 2) 3 l Residential improvements Dwelling (4) Garage (5) _ - - Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 piu line 7) (6) 1 hereby certify the above is true, correct, and complete. Signature of Assessor Date s fined Verifying action - Signature of Auditor - Date signed _ STANDARD DEDUCTION ALLOWANCE 19 —Pay 19_ Lesser of 112 Homestead Valuation or $2,000 S Signature of Auditor Date si need - -5 -a