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Homestead_Buck (6)' r SI.,rE 1(RM.1H I R_r 1 1REWItLX FORM sIA APPROVED BY$IAIL IMRUM MVYtL\Ta-rytr PRFATIBED BY air DF/ARI\QYr(F LOCAL nR''cRMMrsT FINANCE M.at-r'4.I Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N Main PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1344.2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible m teethe the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead iilintn.Ibis information will he kepi confidential and can only he accessed by awhnrired totally officials.The Depannient 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 Buck,Alva B/Lu Ann -- -- - ---- — - _- —._ Fort Branch IN 47648 8690 - .- _ — Alva B/Lu Artn Buck 6547 E SR 168 State Parcel Number Legal Description Fort Branch IN 47648 26-20-17-300-001.742-001 001-01742-00 PT NW SW 17 3 9 1.435 AC \x/ D-8 PART 2:TAXPAYER INFORMATION Owner I First Middle Last• Rva- Bruce Suck �Eg Address(number and street,city,state,and ZIP code) - -- -- —El Seine as praperty - (�5-y7 Aa. 4- 5 -I-e_ Roca X68 • Spouse First Middle Last is!tn n B ct Ck Mailing Address(Number and sweet,city,state,and ZIP code) © Same as property address 6,5%-i7 2o-as1- S k.3e, R /S8 ._. 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 Signs e // Date CLAIM FOR HOMESTEAD PROPERTY TAX . O N YEAR CREDIT /STANDARD DEDUCTION 0 !' State Form 5473 (R215 -92) _ INSTRUCTIONS: See reverse side for filing instructions. ou 30 1997 I (We) �' --•, Z �(9 ..- ,.. -,% Afnfif - t�oP�fhe'I si day o> 19 occupied as our principal place of residence the following described real property for which Homestead Property Tax Credit is hereby claimed: (We) awned ❑ 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 property or is buying under a contract. - - CONTRACT RECORDED _ - II buying on contract, Fee. Simple owner's name Recorders office where contract is recorded - Record number Page PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES PROPERTY DESCRIPTION- " County Township.- xing district (dry. town, township) - - Parcel number Legal description —1 b Date signed If any portion of the residential structure or the land not exceeding one (1) aae that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. (2) - 46 /• 7` 0 -CO PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township eby certify the above statements are true, correct and complete. Signature of d imam Address (number and street, dry, state, 21P code) S el %G qjP A ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Signature of A '•or Date signed Otherland (2) Total land (line 1 plus line 2) (3) r Residential improvements Dwelling (4) Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) I hereby certify the above is true, correct, and complete. Signature of Assessor Date signed Verifying action - Signature of Auditor Date signed - STANDARD DEDUCTION ALLOWANCE 19_Pay 19_ Lesser of 112 Homestead Valuation or $2,000 $ Signature of A '•or Date signed