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Homestead_Ondrey •' MATE FORM 5!tagR_/vv IREASURFn roaM 711A ArPROVED nY SHIT y,011301'MTA:\73,9u ?REARMED BY TIE DEPA0.nvLusw LRAIrovsr2MRtr FI:ANCEMN.1-_J.I 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 ewer for homestead fraud.Homestead mud causes higher tax bills for all:therefore. HEA 1344--20mg requires taxpayers who receive the homestead standard deduction to verity that they arc client to receive the benefit and to provide additional identifyinc infomlanon 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 Depanntent 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 Ondrey, Richard G 711 S Old I'atoka Rd Patoka IN 47666 641 Richard G Ondrey p.11 S Old Patoka Rd State Parcel Number Legal Description atokaIN 47666-9003 �t�tt��ttr�t��trt��t tt��rt�t�r tll ltt" ��ttt t�,ttt��t tt�, 26-04-25-400-000.5517t1[tl) 018-00551-OO PT SE 251112.00 AC 1117/ PART 2:TAXPAYER INFORMATION Owner I First Middle Last )C R6 Eol26r ®NDge-7 irrsdmg Addfcsd(number-ono street,city,store,and ZIP code) —- © Same as property address 71/ �. O L-P A rare4 et' F*'ro, t `yitu Y74,64 Spouse First Middle Last Mailing Address(Number and sweet,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 Pan 4 below) Set 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 unlawfull e r she may be liable for back taxes and substantial financial penalties. Owner 1 i t c Date a PART 4: ADDITIONAL INFORMATION CLAIM FOR HOMESTEAD PROPERTY TAX FORM z� CREDIT /STANDARD DEDUCTION HC10 t State Form 5473 (13215 -92) rau , FILED INSTRUCTIONS: See reverse side for filing instructions. - CFRTIFICATIr1N STATEMENT - I� ��dL Q�.P�j �. - MAK D1993 .03) A /l (.l_ certify that on the 1st day of March, 19_ i i.Je) o pied as our principal place of residence the following described real pro Arty for which a Homestead Pr rty Tax Cr�it ereby claimed: Cg it s- (We) owned ❑ Are buying under contract - AUDVTOR o ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. CONTRACT RECORDED It buying on contract, Fee Simple owners name - - Recorder's office where contract is recorded Record number Page PROPERTY DESCRIPTION County C Township Taxing district , t n, township) / - Q bSS� - W /T Ile V� Parcel u er ELI Legal description 25 Otherland If any pomon 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 utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES- - County Township County Township '?Feieby (e o alma certify the above statements are true, correct and complete. (1) Address (number and street, city, state, ZIP code) i3 l ASSESSOR USE ONLY TRUETAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL - VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Otherland (2) Total land (line 1 plus line 2) (3) Residential improvements Dwelling (4) - Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 pus line 7) (S) . I hereby certify the above is true, correct, and mplete. Signature of Assessor Date signed �ririg action - Signature of Auditor Date signed I STANDARD DEDUCTION ALLOWANCE ( 19 _Pay 19_ Lesser of 112 Homestead Valuation or $2,000 V \ S