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Homestead_Hanoldai^ CLAIM FOR HOMESTEAD PROPERTY T FORM YEAR i' CREDIT /STANDARD DEDUCTION HC10 � State Form 5473 (R2 15 92) ('� O P INSTRUCTIONS See reverse side for q Strvtions. n ."le) V / VWZN``- certify that on the 1st day of March, 19 e) oc ied as our pr ipat pla of resident th (lowing des ribed real property for which a Homestead Pro T 1. @edit t cef,9yr, claimed: ❑/I (We) owned Are b i g under contract N a^ C g :::Illy --- a on ❑ 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 %' AUDITOR If Recorder's office where contract is recorded Record number Page PROPERTY DESCRIPTION - County Township Taxi tlis t ( y. to• n.:owns I el:3bef n q 0 O Legal description 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 I County - Tawnshio certify the above statements are true. correct and complete. Address (number and stmt. city. state. ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON - RESIDENTIAL VALUE VALUE VALUE VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Other land (2) Total land (line I plus line 7) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) I (7) Total value (line 3 pbs line 7) (8) 1 hereby certify the above is true. correct. and Signature of Assessor Date signed complete, ying action - Signature of Auditor Date signed I STANDARD DEDUCTION ALLOWANCE I 19_pay 19_ Lesser of 1/2 Homestead Valuation or S2.000 S of Auditor / It n/ A. 0 � ) - / Y I I /r7 I /)— I uatThea —� in SLATS FORM tS e.OC/•+r'I TPFASULEA FORM 75IA Arprrwto BY 51StE BOAltD rnerO t%TS.`nN PRESCRIBED BY THE DEPARTMENT OF LEAS GOVERNMENT roasts IC 4,1.1-72-8.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individual.s and married couples are limited to one homestead 9andanl 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;dlerefewe. 0 HEA 1341-7009 requires taxpayers who receive the homestead standard deduction to verify Hut they are eligible to reeene the benefit and to preside additional identifying information necessary to allow county government to better monitor homestead filing?.This information will be kept confidential and©n only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create mob that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Hanold, Gregory A 212 S Race Haubstadl IN 47639 3091 Gregory A Hanold PO Box 64 State Parcel Number Legal Description Haubstadt IN 47639-0064 IJu��tu�tl�uulltltlnllntllnullntin�tl�ntlrt�ttt��� 26-19-31-303-000.006-009 013-00006-0OORIGINALPLAN295/296PT 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 Last ✓c.d ti ,,,/e h gi(/c/di Address(mum• and street.city,state,and ZIP cod ® Same as property address a (� Q a c e. Sl-. cod b X G I Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) El Same as property address Social Security Number(last 5 digits) l Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sv¢— 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-. d substantial financial penalties. Owner I Signs Date ( ) PART 4:ADDITIONAL INFORMATION •