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Homestead_Hunt . . CLAIM FGR FEES It.10 12RDF.S1114-111 }Tiit ltht i:Da_gS . ' • - 0 9 . 00 3 3 / • - . to ef,o s=.-- BAcK F •R FP NG INSTRICTIONS . : ' • 4-.' .. . ' , •I • - • e.. .., ans.,: •. • _ ._ - • • • . , ., i . . . =idly that ca the its. E \ 1;.--Ch, 19 I, -e) C=1:-.:.--, as chr Ft=chinal piece of ra:,-"Ler- the baLlo.th.ng Cen--4 - x Ali `‘ =.7..---ty .-:-.ar 1.-. 4-1-1 a P--.-..nest _a.----' . .:_,T---..pa•rty. Tax Tratit is 1-a_^-hlTy b=_L-4 -.1 r'trrelf I, Fa) ica-r-c- . • ! , • ; •••••• -- ). - _. • ) 0 ,-0 b-sar...wrai=n- _...--.=•_-=_-......-t-.. . . • . . . . . ._- • • 0 have a .tarrc t± --t in the t .srat . '. . • . . .. p=ity rp r---■r:zio In . , c -_-=y L.Qi rr-ting ni_.&-int (Zity, Tan, ao-..-.7.nhan) : ti-5 a-Ahnte--- . pr -01 N-7,- . I - . 1 i • .. ...L.,a, claz__1,•_i-an Si 4..n a, hex aL.. =,--=--: • 9.4" • M D il I 4- 9 8 MO 9.33 * .co A. , . . . . -rf 17.-....-..4-_c c —.^-tr....c.ht: Dr...-rn--. -.a raze (fee ati.-7.-.ale cs...-ner) C ---L- rh_..- :----4_ in lostr.-•;._at's C-1._=1:_ie - Pc....-:d lb. IA Iva. %9) If any n:-_-_dm of 4.:1-Le ittial state or the land, rot ezhea-g cr (1) pn-e thda. . " =• e_1y s=6-_-.---tis the.t ...= - .-__tre is us th Pit:7==a 4^--rne, Ca:-..-='-_-■.th the nse. •=d ....._-:-.2_.= 14 1 9 • kw 0 1 • .. .,...8.2...._.0 Pry edtp..r cd=ties in T..ta:n •!...r.r.._•av4A-'7, 1 CC.-1-5 = is 131.7:'LIM =au F.r.pa--::::: : ''..=7N • Zaca-L-3.• _ . • . • .. • _ • APR—.6 19'88 ,. . • ____,I.nit, Ltte_ _, .• • . . - • . • . • . . .. • . . • • mic. 0 1 in---._:Dy rafaily the ahove st-. +a a__ t is lame, a2=1:. -..._ !TOR . . 0 - il 0 .. .11.)1 .) h , • . 4tAtiT . . ) ( .Sa..-na---zre • - Cr], Sv”._-_.e. and zap • . . . inr.4ivinial eithEco crems or IS lawirti tr a comthaht that FrotiriES he is to pay .1-_.• • te.• on the .7-c-41Aan^cs = has a ..r.rrn=f4-i”1 inareot in tth =payer. • - . . • . : . . . . .. • . - FC:11 P.F.S.E.SSG.1 S LEE orzs - -. - . . . - • .. ...__.__ .. Land not exceeding 1 (one) acre True Cash Assessed Homestead immediately surrounding residental Value Valuation Valuation improvements ( 1) Other Land ( 2) . Total Land ( 3) ________:_c_Residential._Improvements. D_w.ekling__.___ (41 Garage (5) Total (6) Other Improvements (7) . . Total Improvements Line 6 plus 7 (8) equals 8. _III I hereby certify the above is true , correct . and complete . -.4 6 - i - A.-teci- res-a—•-/ea-4-n-c-tte- o 87 Signature Hei f Assessor Date Approved : (1.41.41-2-' )‘-. 711 --1-1-91- 6 -3°- FF A9r HAM/W,RL'-tei IR:A:URGP.FORM 15-tA . .Vnlnrn Ill CIATE 3 ,Kn aF%altwrs.Von rEtscRa1FO KY ME PA9.1Vt,.TOf ra:• CON FA•fa-a FINANCE.if.-tlrsz 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.then:is more Meanlvc than ever for hmn:,tad fraud.Homestead fraud causes higher tae bills for all:therefore. • FILED f EA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the benefit and to provide additional idcntifrim_ ir.lixmation necessary to allow county government to better monitor homes cad filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance wilt use this information to crate tool;that will help county officials eliminate homestead fraud. APR 2 0 2012 PART I:PROPERTY INFORMATION Taxpayer Name Location Address C. .r Hunt, Larry E/Candice K 3928 E SR 56 GIBSON COUNTY AUDITOR HAZLETON IN 47640 23 1 �I Larry E/Candice K Hunt II I�IIIJ�II�II-I�I III IA II III �II[II �I �II�IILLII_III�I II II_III�ILIII�I�II III 3928 E SR 56 Hazleton IN 47640 State Parcel Number Legal Description 26-02-57-111-000.336-017 PT MD 111 1-10 9.33 AC 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. .r I - PAR 2: AXPA ' ` I '1 • I", - • First Middle Last . LgegY a . - Mu a r Mailing Add ss(number and street.city.state.and ZIP code) [Jfame as property address Spouse First Middle Last an Aid i C t°. K �I/an t Mailing Address(Number and street,city,state,and ZIP code) l r u flame 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 taxes and substantial financial penalties. Owner I Sig : e Date PART 4:ADDITIONAL INFORMATION