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Homestead_Cromer (6) I r surf rots! ?w,ILU fwt 17tlASttll TORN:S-IA Arn,tw'EO BY SIVVE&MariIN NrrtMs.wn raESMIBEn oT MC OFPARfleVTOF LOCAL GOVERNMENT FE&SCE tt.-1.l_3l ;Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 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 eser for homestead fraud.Homestead fraud causes higher tax bills fur all:therefore. III HEA 1:44-2009 requires mxparen 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 filings. This information will he kept confidential and can only be accessed by authorized county officials.The Ikpanment of Local Government Finance will use this information to create test that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address / Cromer, Lois Corrine t 7�j R3 HaA/- hh/ %�•�1 C/ Oakl ity IN 47660 ✓ ,s f) 1722 (TIF!1 Lois Corrine Cromer 6533 S 950 E State Parcel Number Legal Description Oakland City IN 47660-7732 IIIiillitel.IIurllnllntlieill 'InIlurlrinllnillinlrll 26-20-15-2 00.160-001 001-00160-00 PT E NE 153935.11 AC PART 2:TAXPAYER INFORMATION Owner I First Middle Last Lol5 CoIQR iAI5 CRoMER- tgAddresti(number mt3ittat.cirv,Stiite,nnd ZIP&ode) ----- — "-----' - - - —R-Same to property oddros --- - 4513 S, 94"o F OAK I- AND C i' T I2) IN. I-1166o Spouse First Middle Last Yip ieEASEO Mailing Address(Number and street,city,state,and ZIP code) 0 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) Sete 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 Signature Date ( ) PART 4:ADDITIONAL INFORMATION M FM FORM YEAR �AR I' STATEMENT I (we) certify that on the I I d - ay I (W '81s Air principal place of residence the following described real property for which a Homestead ed by claimed- e) occupie Wch, 20 I (We) owned ❑ Are buying under contract Aave a beneficial interest in the entity that is liable for the property taxes on the property and that owns thiroZerty uy, CONTRACT! RECORDED If buying on contract. Fee Simple owners name Rewider's office where contract is recorded Record number Page -PROPERTYMESCRIPTION - f. tl Cou CLAIM FOR HOMESTEAD PROPERTY TAX Township CREDIT/STANDARD DEDUCTION �nre of imam State Form 5473 IRS / 10-01) j 9 Prescribed by the Department of Local Government Finance $ 1AICT01 IrTinAIC- Q dot.. F Ef,� FORM YEAR �AR I' STATEMENT I (we) certify that on the I I d - ay I (W '81s Air principal place of residence the following described real property for which a Homestead ed by claimed- e) occupie Wch, 20 I (We) owned ❑ Are buying under contract Aave a beneficial interest in the entity that is liable for the property taxes on the property and that owns thiroZerty uy, CONTRACT! RECORDED If buying on contract. Fee Simple owners name Rewider's office where contract is recorded Record number Page PROPERTY OWNED BY CLAIMANT IN OTHEWCOUNTIES -PROPERTYMESCRIPTION - f. tl Cou Toomship Township Taxing district (city, town f hi �nre of imam ptiop j 9 is the property in question: $ ed uafion or $6,000 Real property ❑ Mobile Homo (LC. 6-1.1- 7) If my portion of the resideriti4stWure mthe land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of th" U&I'M fcbv,*�, V Dale sign7/111 — 7,z "o0 —000 - /60 0 PROPERTY OWNED BY CLAIMANT IN OTHEWCOUNTIES County Township County Township I hereby certify the above statements are true, correct and complete. �nre of imam and street, city, state, ZIP code) k�&,W- /19 FAW __ -k. "�, *'ASSESSOR TR ASSESSEDYALUE 1 7HOMESTE� ., .'_'jNON -RESIDENTIAL USE ONLY P VALUE.,; AT.100% OF.TTV ��L E $ ed uafion or $6,000 ...... Land not exceeding I (one) acre immediately Dale sign7/111 surrounding residential improvements. Other land (2) Total land (fine 1 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (fine 3 plus line 7) (8) I hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed "" 7�.,STANDARD.DEDUCTIONALLOWANCE-�"�*-,'-.�'""'Af'- 20 _ Pay 20 Lesser of 1/2 Homestead $ ed uafion or $6,000 Dale sign7/111 Tr-" T n I— —