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Home My WebLink AboutHomestead_LungCLAIM FOR HOMESTEAD PROPERTY TAX FORM YID R CREDIT /STANDARD DEDUCTION Hcio ` State Form 5473 IRS / 7 -07) Prescribed by the Department of Local Co emment Finance INSTRUCTIONS: See reverse side for filing instructions. I (We) certify the o20 1 (We) occupied as our principal lace of residence the fo11 win escnbed real property for which a Homestead Prop T d ;% (We) owned ❑ Are buying under contract 9L{� lave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is,byyingunder a contract. CONTRA& RECORDED If buying on contract, Fee Simple owners name GIBBON Q COUNTY AUDITOR Reoorders office where contract is recorded Record number Page PROPERTY county Township Taxing distract (city, town, township) Pamel number _ Legal des cd lion _ I _ Is the property in question: f[./�!pG7 ❑ Real property ❑ Mobile Home (IC 61.1 -7) If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce Income, describe the use and portion of the property NiSZed to produce income. PROPERTY OWNED 13Y CLAIMANT IN.OTHER COUNTIES ASSESSED LUE County Township County Township Lesser of 12 44,000 for 2008 pay 2009 Homestead Valuation AT 100% OF TTV VALUE I hereby certify the above statements are true, correct and complete. Signature of Smartt ' - •s (numberandspwt, city, state, and ZIPCrode) �� ^ / / V -�-67% /?/ - -1�71Y, 411 / F— ASSES . •- USE ONLY I-TRUE-TAX VALUE ASSESSED LUE • I 42,000 for 2010 pay 2011 Lesser of 12 44,000 for 2008 pay 2009 Homestead Valuation AT 100% OF TTV VALUE VALUE Land not exceeding 1 (one) acre immediately - SignatureofAuditor . surrounding residential improvements. Other land Total land (line 1 plus line 2) (3) Residential improvements or Annually Dwelling (4) Assessed Mobile I Manufactured Home._,,;- " Garage Other improvements (6) Total improvements (fine 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed (mooN, day. year) complete. Verifying action - Signature of Auditor Date signed (month, day, year) [- STANDARD DEDUCTION ALLOWANCE 2 pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 12 44,000 for 2008 pay 2009 Homestead Valuation 41,000 for 2011 pay 2012 $ or 43,000 for 2009 pay 2010 40,000 payable after 2012 - SignatureofAuditor Dale ed y r) n. . V STATE FORM 53569(R18-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS,2000 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 1061.1-:2-8.I IMPORTANT NOTICE TO HOMESTEAD 'PROPERTYOWNERS _ 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 fraud_d_ /Pauses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead /Pauses ndard 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. This information will be kept confidential and can only be accessed by authorized county officials. The Department of Local • Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. v PAR I E PROPER VINFOR,MA ION Taxpayer Name Property Address State Parcel Number Lena!Description: Christopher Lung 508 N MAIN ST 26-04-24-302-000266-020 COL DIV 56 PATOKA IN 47666 Complete and return to: I®IIHUJ111®I77m EIT1IfJ®��uJ 9 UIIIDl®� GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 110 ❑1 Owner I /_� PART !::TAXPAYER INFORNIATIOIN. /) '/ // Last c ,/!/1/✓/0 /�0A_... First - //tA/ . . - Middle Ci l/ (/ Moduli]Address(number and street,city,state and ZIP code) `� Sarin as property address -v.._._- r .First Middle Last 5n/iAy14X /1M7 G aziz • Mailing Address(number and street,city,state and ZIP moo I —) Sane as property address PART 3CERTIFICATION - _,.- : - Eat 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 f Si.. .'tire Date Telephone / N ///// I ( ) / v Signature . / Date Telephone i IO� - - - - ( _ ._ ) . .I l a _ . ‘.9 PART 4:ADDITIONAL INFOR\IATION.',;_.• - •. FILE I -_ . . . - NOV ..5 2012 -. • c.'3.my . I GIBSON teuNTY AUDITOR