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Homestead_Weist OR.' HG l0 1977 tescribed-By State Board of Tax Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_ SEE BACK FOR FILING INSTRUCTIONS I,'`11 /!) Qt• Q . a -„ ) ce. certify that on the 1st day of March, 19 , I, (Pie) occupied as op principayolace of "residence the following described real property for which a Homestead Property Tax C.LSedit is hereby being claimed: I, (We) Q owned are buying under contract • p have a beneficial interest in the taxpayer- . . I // Property Description in County Township Taxing District (City, Town, Township) : /, 1 .7TH 7 Or Parcel Number or legal description shown on tax statement: If buying on contract: Owners name (fee simple owner) Contract recorded in Recorder's Office - Record No. Page If any portion of the residential structure or the land, not exceeding one (1) acre that isanediately surrounds that structure is used to produce inane, describe the use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: County T wnshin I h ._by certify the above statement is true, correct and complete. *Signature Street Address City, State and Zip Code *Individual either awns or is buying uner a contract that provides he is to pay the property, taxes.on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - True Cash Assessed Homestead Value Valuation . Valuation Land not exceeding 1 (one) acre imrediately surrounding residential improvements (1) .5 o o / 7 0 / 70 Other Land (2) Total Land (3) ,co o O JJ//7 o Residential Improvements Dwelling (4) / 7 p 60 //////��V/ Garage (5) Total (6) ) 7 n .5- 9`3 c S9S& Other Improvements (7) //, �'O////// To ' Improvarents - Line (6) plus (7) equals (8) (8) 17 Y� (2 �S 9.�f) I .0.:,y certify the above iiiss�true, , correct, and complete. Signature of Assessor Date - ACTION BY AUDITOR - • Date: %TUE FORM:Wt.de/'.PO IALASUU J FORM 31A ArrWR'Ef BY MATE MMPUOP'mg srS.]Vx PRESCRIBED BY f tF DEPARTMENT OF LOCAL rovzLNMrte FINANCE rt-brat Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS c 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 ever for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore. HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.'ILis information will he Lim confidential and can only be accessed by authorized county officials.The Depanmem of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Weist, Craig A/Jan L 2276 F John Ford Rd Ilazleton IN 47640 930 Craig A/Jan L Weist 2276 E John Ford Rd Hazleton IN 47640-9265 State Parcel Number Legal Description ltltt�itr Fit liFt tlFt 111Ft F1r1F FFF1F1r 11F 1F1t1t1rt tir ll1F t�FFll 26-05-57-061-000.878-017 009-00878-00 PT MD 61 1-10 .596 AC • PART 2:TAXPAYER INFORMATION Owner I First Middle Last CRAIG ANDREW l(/E.ZST III g Address(number and snort.city,siiite,and ZIP code) -- - ---- - a Same as property address- -- -- --- a a 76 E Jj7'ti FRV /eio<1D I34ZL E TOA/ ..7iv. 4"7 4/0 Spouse ��- First Middle Last CJHN LEE /-(4..z-Sr Mailing Address(Number and street,ciy,state,and ZIP code) ❑ Same as property address 02a76 E C1#N 112 19of+21 1-/9ZL EToA! .Ziv. 4/7G90 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 Signature Date PART 4:ADDITIONAL INFORMATION III