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Homestead_Bittner I GIVE FORM 53YMIR_I v 41 APPROVED a E TRFA[naFA FORM 74-1A C.ZINN PLESCRJBED BY 11W '4 '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 ever for homestead fraud. Homestead feud causes higher tax bills for all:therefore. ® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they an eligible to reeehe the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kept confidential and can only be accessed by authorized county officials_The Depanment of Local Government Finance sill use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Bittner, Rodney A IC Box 33 Fort Branch IN 47648 1121 Rodney A Bittner 5702 E 750 S State Parcel Number Legal Description Fort Branch IN 47648-8445 " 26-20-18-300-000.292-001 001-00292-00 PT SW 18393.86 AC 1r1n11nt1r11ntinllnlriu�u�n�t�u�r 1r1tllinuirliuirl s. . PART 2:TAXPAYER INFORMATION Owner I First Middle Last geidn ei A. et.tEne tr ' ig Address(nurti and street,city,state;and ZIP Code) — --- — -—-- --— -" ElSame as prupeny aidnao 570,9 C '7503 fz . Bunch-. . -.-/tl- q'7Loe/Ir. Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) star 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 elieible 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 e • CLAIM FOR HOMESTEAD PROPERTY_ TAX eta 4` CREDIT /STANDARD DEDUCTION State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEMENT FORM YEAR HC10 I q(j (W certify that on the 1 st day of March , 19 01 (We) occupied as our pVidcipal place of residence theme, following described real property for which a Homestead iProperty Tax Credit is hereby claimed- LYI (We) owned ❑ Are buying under contract ❑ Have a beneficial interest in the entity that is liable for the property taxes on thep a wns the property or is buying it under a contract. !J' I CONTRACT RECORDED IIIAI 9 9 1001 If buying on contract. Fee Simple Owner's Name Recorder's office where contract is recorded. R AU O 19 —Pay 19 — PROPERTY DESCRIPTION u y \ Township_ " . faxing D t (City, , township) .J Parcel Numbe Legal Description If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture 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 hereby certify the above statements are true. correct and state and ZIP code) ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON -RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements Other land Total land - line (1) plus line (2) Residential improvements Dwelling - Garage Other improvements Total improvements - line (4) through line (6) Total value - line (3) plus line (7) (1) 1991 Pay 1992 19 —Pay 19 — Lesser of 1/2 Homestead (2) Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2.500 (3) Valuation or $1,500 Valuation or $1,500 (4) gn (5) Date Signed - a�- (6) (7) (8) 1 hereby certify the above is true. correct, and complete Signature of Assesor Date Signed Verifying Action - Signature of Auditor Date Signed STANDARD DEDUCTION ALLOWANCE 1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 —Pay 19 — Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2.500 Valuation or $2,000 Valuation or $1,500 Valuation or $1,500 gn ure of Auditor Q Date Signed - a�-