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Homestead_Meade • STATE IORM'!K,R_l'es Tht'Stlla i01131171-1A APrMWED BY GIVE BnaRO OF"On*INTa_!uu PtnfllBED BY Mt DEPARTtEYT(fL OAL covtLNMRn FINANCE IC 6-1.1-12-0 Gibson County Auditor 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 lax bills for all:therefore. HEA 1344-200 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receite the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can only he acrevsed by authorized county officials.The Ikpanment of Local Government Finance will use this information to create tools that will help camty officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Meade, Clinton C/April D 4975 E 590 N Patoka IN 47666 735 Clinton C Meade 4975E 590 N State Parcel Number Legal Description PATOKA IN 47666-9128 26-05-12-300-003.024-017 009-03024-00 PT FRAC 12 1 10&PT LOC 11111Iiiiildloollo11111111 r I I 11Ir II teI r I tat V r 1I 1 I l I III 124 15.2347 AC X PART 2:TAXPAYER INFORMATION Owner I First Middle Last mg Address(number and street,city,state,and ZiP gale)— --- — -- lit/Same as property uddr ss '— - — - — — 4005 Ei 5°1O N , 9240‘..a. 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 1 agl e'/r��� Date INFORMATION • CLAIM FOR HOMESTEAD PROPERTY TAX FORM CREDIT /STANDARD DEDUCTION Hc�o Sam Form 5473 (R715-0M Prescribed by the Depertrner4 of Loral Govermerd Fnwnco INSTRUCTI(NS' See revnr .Note fnr filinn mdnrlinne Iml 04 q �f I Me) certify that on the 1 st day of March, 20_ I Me) occupied as our principal place of residence for which a Hameste4" Taxp"t is hereby claimed: I (We) owned ❑ Are buying under contract Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the�A"Wv under a contract CONTRACT4ECORDm�` it buying on contract Fee Sunple owner's name Ramrdeft afte where coritrad a raoorded Record number Page "PROPERTY OWNED SrcLAron NT MOTHER couxrr£sxra .. " - . , • +• - PROPERTY OFSCRIP'iION- .. ,... ... t ". �:' -.;•u r .- x,a County Townstdp Tatung didrict (cily, ) ' �7-7� s4io 7 zr) k'�- ¢7 ( � . ���. u<i3 '..[VALUE t�'r;!,.,.; Land not exceeding 1 (OrIB) eras Irtxlhed,etely - /�- Legal ptien Is eu in question: ❑ surrounding residential improvenents. Dam q .oa - properly Home(LC. &1.1 -7) tarty portion of the residential struchre cur the larnd nap o¢eeQrg one (,) acre that inmadialdy surrounds dud is used to poodles income. describe the use end portion d the property uti(®d to pmclum income. "PROPERTY OWNED SrcLAron NT MOTHER couxrr£sxra County Township County Township I hereby certify the above staternents are true, correct and complete. ' T cd �7-7� s4io 7 zr) k'�- ¢7 ( � . - USE ONLY .TRUE TAX ASSF�VALUE FIOltESiF.AD _-1NONitESIDENTIAI°[^j,a , .ASSESSOR .+, VALUE;n, ;AT•100X OF TTV n .VALUE ���. u<i3 '..[VALUE t�'r;!,.,.; Land not exceeding 1 (OrIB) eras Irtxlhed,etely Vatuatim or (36,000 }'i)', A surrounding residential improvenents. Dam q Other land (2)- ; "'s','.�,'. TdN land (ltire 1 plus fire 2) (3) r'4) Residential'vgrvvenrerts erAnually ..Dwelling . Amassed Mobile I MaraAalbYed Huns Garage Other improvements (6) Tdal improvements (!me 4 Ihrouglh Gyre 6) (7) Total value (fare 3 plus line T) (6) I (hereby certify the above is true, carted, and complete. Signature of Assessor Dam signed Y-rMng aden - Signature of A xfiev Data signed •. STANDARD DEDUCTION ALLOWANCE.. 20 _ Pay 20_ Lesser of 12 Homestead E Vatuatim or (36,000 Dam q