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Home My WebLink AboutHomestead_HartFORM YEAR R H C10 L t - 6 2Qn2 'CERTIFICATION STATEMENT". . 17 1 01 . ( (We) certify that a 1st day o March,20 0 ' 4 —7/— (We) occupied as our principal place of residence the wing described real property for which a Homestead Prop Tax CneWoeycla �Aby c, qte6� - 10 ❑ l(We)owned ❑ Are buying under contract COUNTY A U D I TO R 6& 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-",,-.--'r:` I buying on contract, Fee Simple owner's name Recorder's office where contract is recorded Record number Page '27 -PROPERTY.DESCRIPTION ASSESSED VALUE CLAIM FOR HOMESTEAD PROPERTY TAX County CREDIT/STANDARD DEDUCTION Taxing district (city, town, township) State Form 5473 (R5 110-01) number Prescribed by the Department of Local Government Finance Is the property in question: INSTRUCTIONS: See reverse side for riling instructions. FORM YEAR R H C10 L t - 6 2Qn2 'CERTIFICATION STATEMENT". . 17 1 01 . ( (We) certify that a 1st day o March,20 0 ' 4 —7/— (We) occupied as our principal place of residence the wing described real property for which a Homestead Prop Tax CneWoeycla �Aby c, qte6� - 10 ❑ l(We)owned ❑ Are buying under contract COUNTY A U D I TO R 6& 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-",,-.--'r:` I buying on contract, Fee Simple owner's name Recorder's office where contract is recorded Record number Page '27 -PROPERTY.DESCRIPTION ASSESSED VALUE County Torrnship Taxing district (city, town, township) 0 F 0 TTV� number l-'escrietiorlb Is the property in question: PqI ❑ Real property ❑ Mobile Homo (I.C. 6-1.1-7) If any portion of the residential structure or the Land not exceeding one (1) acre that immediat!ly surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. Toiimship County I hereby certify the above statements are true, correct and complete. Ir Z:T. aturpcliclaimant • I I Address (n(milifer and street, � stave, Zip cpde) � . I I . X 20 _ Pay 20 _ Lesser of 1/2 Homestead Valuation or $6,000 S ASSESSED VALUE , , N-RESIDENTIALK VALUE- 0 F 0 TTV� 'n-Ava,�1 _, k,, Land not exceeding 1 (one) acre immediately surrounding residential improvements. Other land (2) & Total land (line I plus line 2) (3) p. Dwelling (4) Residential improvements Garage (5) ------------ -------- ... Other improvements (6) Total improvements (fine 4 through line 6) (7) Total value (line 3 pits line 7) (8) I hereby certify the above is true, correct, and Signature of Assessor I Date signed complete. Verifying action - Signature of Auditor Date signed 20 _ Pay 20 _ Lesser of 1/2 Homestead Valuation or $6,000 S STALL FORM 9W,R?/YU1 1RASELL81ORP 15-IA APPROVED RV,1.11E M01RfOF Mil••,etS_1t.+ ?RLSCRmLoll1"P4 fIPAR LYEN Of LOCAL COVER)11241 Fhl1CC lc e4.1?-., Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS` • 101 N. Main Street Individuals and married couples are limited to One homestead standard deduction.As the receipt of this deduction becomes Princeton, IN 47670 more beneficial.there is more incentive than ter for homestead fraud.Homestead fraud causes higher tas bills for all:tlxrfon. • HEA 1344-2009 reunion taxpayers who receive the homestead standard deduction to verify that they are eligible to recent,the benefit and to provide additional identifying infnrn-mien mess an'm allow county government to better monitor homestead filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to crate tool;that will help county officials eliminate homestead Baud. PART 1:PROPERTY INFORMATION ' — Taxpayer Name Location Address _ Hart, Matthew T/Julie M ° — 200 S SIXTH AVENUE flouhsfadte RFEfeIN, y7(039 2726 Matthew T I Julie M Hart 110161 l Dull 11111.101 QII 11Q1F 11 11.11_11_II IQIQ110111011.011011_/1111/1/1 200 S Sixth Ave HAUBSTADT IN 47639-8212 IIlI"I'III "1I'1I"IIIIIIIII'I' IIIIIII1'll'I' '11"I"1"IlIi State Parcel Number Legal Description 26-19-31-400-000.696-0 00 O. — -- - --- -- — — -- - - -- - — — --- NOV `1201122 c. .M This form MUST be returned to County AuditOrgscofetteeTY AUDITOR Please do NOT send this form back with your tax payment to the county treasurer. f----N • - • - PART 2:TAXPAYER INFOR11IATION - a I First Middle Last Mai/hew -iiidd yarf Mailing Address(number and street,city.state and ZIP code) ❑ Same as property address Spouse First Middle Last Chit e; Michelle Hart Mailing Address(Number and street,city,state.and ZIP code) Same as property 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 t es and substantial financ I p nalties. Owner I Signature Date - o-ces_s0,7 (urn?,t nn 5