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Homestead_Atkinson M FOR HOTSTEAD PROPERTY W CREDIT FOR YEAR l s:•. .. CLAI :-.,!,..:,,-..4.4::•,r.47;-- SEE BACK'FOR• FILING INSTRUCTIONS - ' '• I• ' oe:) J' j•� c`c . G�. & of certify "that an the let.day d v=..ch, 19, 5. I,� occu?ia as our principal place o residence the fallowing described real IN ecty far rdiieuh a Homested Property Tax Credit is hereby being clamed: .-,(45) © aimed _ . . Oars lamina :Eder contract . D haw . a ter a .ial�interest in the taxpayer - . Property Deacriptlat. in County Tdashi; Taxing District (City, Tam, 'la nship) : Z() �, t` ^<-_- Parcel punter F 1 ' . or legal description slam on tax statement: . -P,E wA Je /4 /oz- i- /i 1. 6a40._ • If buying an Contract: Owner's name (fee simple owner) - vecoaded in Recorder's Office - Record Na. - Page If any portion of the residential structure or the land, not exceeding one (1) acre that immediately stun rds that structure is used to produce inane, describe the use and portion of the property-utilised i . • Any other counties in ~Birch indiud4ual owns or is buying real property:• : County : Township I h5apy certify Ut��-. . . statement is true, ogrrect and couplets. J� - /•'r/` rr._) / a / ! .. S 8 / i ...Pic �7G G • Odds• Ss.gnature Street Address ty, State Clil,�' •Individual either outs or-is buying user a contract that provides he is to pay the property, teas ,on the residence, or has a beneficial interest in the ,taxpayer. • . - FOR ASSESSOR'S USEONLY - • True Cash. Assessed Homestead ' Value Valuation . '. Valuation i Land not erasedin nt g 1 (ae) as immediately surrouadu:g residential improvements (1) SO o no • /70 Other Land (2) 3° ' -; �/ /��I." , Total Land . (3) o° ���//�/��/ Residential InpXovmwits. • Dating • ' (4) • . . G/�/�/%%% ti�%/��/%/ Garage (5) / / / • //// / Total (6) _ SC i b , • . 5'3`-/ nn Other Iuprovsnants (7) %%� - To • Improvements - Line (6) plus (7) equals (8) (S) . Cf/ a' /,/%/ %�/ 1 hereby certify the above is true, correct, and complete. • mature of Asaessar mote - ACTION BY AUDITOR - /� Date: S-a2 -d"S tu,onoved: _Li - • %LATE FORM!l•IFLU v I FAFAAItIR FORM T-IA APPMWEn DV RATE°PAR IW MxxALM-S.auq PRISCRIBwBY PIE DEP fl NTOF LIX:%t f/■'ERYMFNT FDaMttIC•I.1-224.1 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 net for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore. Ito HEA 1344-2009 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 tiling.This information will he kept confdential and can only be accessed by authorized county officials.the Depannsenl 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 Atkinson, Perry L/ Patricia A CR 550 N/Old Hwy 41 372 Perry L/Patricia A Atkinson 562 W 550 N State Parcel Number Lethal Description Patoka IN 47666-9060 ` Itlltllttt�t��rtl��tt r��t 111�tt llFltl��rt��trtt��tttt�t��tr�t� 26-04-12-400-000.026-018 /010-00026-00 PT W SE 121 11 2.996 AC PART 2:TAXPAYER INFORMATION Owner I First Middle �/ Last freXI 2 f�f/f'i n so �rg Address(nut d street city,stete.ldfd ZiP code). — _ —- Same na.property addrmce _ __ _ _ .____ • 5 G 07 Cr/ v SD /r_ /9/9/-at/f T,c/ 766 6f' Spouse First Middle Last pA/79, c/i� 4 1�� >>s aft_ ailing Address(Number and street,city,state.and ZIP code) ,,Same as property address 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.understandsthat by-claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner I Signature Date •